"It hurts, the 23-year-old girl has stomach cancer, the lesion is very large, and can only be completely removed from the stomach." Gao Feng, director of the Gastrointestinal Surgery Department of the Digestive Disease Center of Ningda Affiliated Hospital, has treated many cancer patients, but when he talks about Xiao Zuo (pseudonym), he is still sighing.
Gao Feng said that many people believe that gastrointestinal cancer and bowel cancer, these malignant digestive tract diseases, are the "patents" of middle-aged and elderly people. In fact, the proportion of young people suffering from stomach cancer is increasing, and there is a trend of increasing year by year. Another patient he recently admitted to was only 23 years old and was in the advanced stage of bowel cancer.
Stomach pain for two weeks, not taken seriously
Xiao Zuo is a young white-collar worker, usually busy at work, very stressful, and in a normal figure.
Starting in mid-November, she began to feel stomach pains. "The pain is faint, not too severe, and it can be endured." Xiao Zuo thought that it may be related to the weather, and it may also be caused by eating food that is not easy to digest. She bought some digestive medicines at the pharmacy and ate them.
In this way, the stomach pain lasted for two weeks, never getting better, and it became more and more serious. From the previous vague pain, to the presence of pain that can be clearly felt.
Xiao Zuo thought that when the weekend is empty, he can go to the hospital to see it. Before the weekend, Xiao Zuo had hematemesis after a meal. She panicked and hurried to the local hospital.
However, the gastroscopy showed that there was no major problem with XiaoZuo's stomach, just a small ulcer.
cancer! Total gastric resection
After a few days, Xiao Zuo still felt very uncomfortable.
She came to the Gastrointestinal Surgery Department of the Digestive Disease Center of Ningda University Affiliated Hospital for examination. After reviewing Xiaozuo's gastroscopy report, the doctor felt that there may be a big gap between the actual situation and the examination report, and suggested that Xiaozuo do the gastroscopy again.
Xiao Zuo agreed after thinking. This gastroscopy and pathological examination finally found and confirmed the lesions of gastric cancer.
"The lesions on the mucous membranes are really small, only about 1.5 centimeters in diameter." Doctors said that probably because the lesion was relatively small, it was ignored during gastroscopy at the local hospital.
"Sometimes, the lesions on the mucous membranes may appear quite small, and the actual lesion range may be large. Like an iceberg floating on the surface of the sea, only a small part of the surface of the sea is exposed, and the volume under the sea is much larger. The doctor's plan is that if the scope of the lesion at the bottom is optimistic, xiaozuo can be given a local resection that preserves gastric function. After all, Xiao Zuo was too young.
"The size of the iceberg under the sea can be accurately determined by the intraoperative gastroscope." The doctor also gave Xiaozuo an intraoperative gastroscope to more precisely locate the location of the lesion and determine the extent of the lesion.
The results are regrettable, through laparoscopy, it can be determined that the lesion range of the little left reaches 5 cm × 5 cm. The diameter of the small left stomach is only about 12 centimeters.
In the end, the doctor performed a total gastrectomy on Xiaozuo and did a gastrointestinal function anastomosis, and the intestines took into account the function of the stomach.
Work is stressful and there is no family history
Subsequent pathological slides showed that Xiaozuo's stomach cancer was not in the early stage, but in the advanced stage.
The doctor regrets that due to total gastric resection, Xiaozuo may face difficulties such as anemia, nutrient deficiency, and iron absorption disorders in the future, and it has become difficult to maintain a normal weight.
The likelihood of microzoal cancer relapsing and metastasis is relatively high. Under the advice of doctors, Xiaozuo is currently doing genetic testing, hoping to find genetic characteristics related to the onset of the disease.
In general, diffuse stomach cancer under the age of 40 is closely related to heredity. Xiao Zuo's father introduced that no one in the family had ever suffered from tumors. In view of Xiao Zuo's situation, relatives in the family will also have a gastrointestinal endoscopy in the near future.
When asking about medical history and daily life, the doctor learned that Xiaozuo's eating habits are more similar to those of young people today, and he likes to eat barbecue, hot pot, and takeaway, but the frequency and amount are basically normal. She also did not deliberately diet, and her figure has been in normal condition. It's just that the parents mentioned that XiaoZuo's usual work pressure is indeed very large, and the work is very busy. This time, it was not until I vomited blood that I went to the hospital for examination.
The doctor said that for Xiao Zuo, the fortunate thing in the misfortune was that the lesion caused a stomach ulcer and hematemesis symptoms appeared. Therefore, she went to the gastroenterology department for examination, and if she dragged it on, the consequences would be even more unimaginable.
Xiao Nan (pseudonym), a peer living in the ward next to XiaoZuo, was also unfortunate, having recently been diagnosed with advanced bowel cancer and invading the ovaries. Now, you can only do chemotherapy first, and then you can do surgery when the condition gets better. The doctor learned that Xiao Nan's work pressure is also very large.
Learn to release stress
Be aware of these matters
The doctor said that the situation of Xiao Zuo and Xiao Nan should attract the attention of young people. Young people always think that they have a good foundation, often ignore the signals sent by the disease, and once the disease is found, they often miss the best treatment period.
According to the doctor, there are many disease factors that affect the gastrointestinal tract, and good lifestyle and eating habits are very important.
For example, in terms of stress mediation, the gastrointestinal tract can be said to be a barometer of stress. When young people are working hard, they should learn to soothe and release stress, not at the expense of physical health. In terms of work and rest, do not be overly tired and stay up late for a long time.
For example, in the diet, you should eat less barbecue, pickled foods, and do not eat too much high-protein foods such as red meat. Eat more fresh vegetables and fruits, and pay attention to the intake of coarse grains.
He also cautioned that precancerous lesions should be of concern. For example, pay attention to polyps, ulcers, enteritis, etc. Many gastrointestinal cancers develop from pre-stage lesions.
In addition, it is necessary to pay attention to the tumor history of the elders in the family, and prevent and check in advance. Due to the advanced age of onset of gastrointestinal tumors, the age of gastrointestinal screening has been advanced from the past 50 years old to 45 years old. If there is a family history of tumors, the age of examination can be advanced.
The doctor also added that gastrointestinal and colonoscopy are important means of screening gastrointestinal diseases, and professional institutions should be selected as much as possible to avoid missed examinations and missed diagnoses.
This article is reproduced from the WeChat public account "Xinhua Net", source: Ningbo Evening News