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Was that Rebecca impressed?
Since childhood, I like to eat the wet soil in the yard and the lime wall skin scraped off with my nails
Take comfort by "eating soil"
Become the antidote to loneliness
Two months ago
Huan Huan (pseudonym), 11, experienced abdominal pain and vomiting
The family began to think it was gastroenteritis
It was not taken seriously
Over time
Abdominal pain and vomiting worsen
Mom hurried to bring her here
Department of Gastroenterology, First Affiliated Hospital of Zhejiang University School of Medicine
Specialists find it through gastroscopy
There was a big clump of hair in Huan Huan's stomach
Worse still
The hair was as if it had been sealed by cement
It is the size of a tennis ball and is incredibly hard
Hair stones
It is unusually difficult to remove with a gastroscope
Our experts specialize in treating difficult diseases that others can't see well
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Patients present pennants to the Gastroenterology Team
"Special thanks to Chief Physician Ji Feng for his superb medical skills, patience, carefulness, courage and care, little by little under the gastroscopy, he completely and magically solved the almost impossible problems, so that the little girl could avoid the trauma of surgery." From the design of the surgical plan to the surgical process, all the medical staff are centered on the children throughout the process, and the postoperative visits are carried out one after another, caring, helping and encouraging. Thank you to all the medical staff, thank you Tozogichi, thanksgiving. Recently, Ji Feng, chief physician of the Department of Gastroenterology and The Center for Gastrointestinal Endoscopy of the First Hospital of Zhejiang University, received a long thank-you letter and a red pennant, which also pulled his thoughts to a month ago.
The 11-year-old girl suddenly had a stomachache and a hard hairstone in her stomach
"Director Ji, can you help my daughter?" You are our last hope. On January 18, Chief Physician Ji Feng received a request for help from a mother.
Foreign body hair in the stomach, 4cm X5cm such as the size of a tennis ball, indestructible, gastritis gastric ulcer, multiple foreign body forceps in the outer courtyard repeated stone failure... After listening to Huan Huan's mother's medical history description and reading the relevant examination report, Chief Physician Ji Feng frowned slightly: the little girl's condition is indeed more difficult, and the difficulty of endoscopic stone removal is very large.
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Tennis tennis ball size hair stones
Such a small child, if the gastrointestinal incision is cut and the stone is taken, there will inevitably be trauma. After a moment of thought, Chief Physician Ji Feng gave hope, "Bring the children over to see, we will work together and do our best." ”
"After a long time of retention in the stomach, the hair in Huan Huan's body has formed the shape of the stomach, occupying most of the stomach body, and there are obstruction manifestations. Moreover, the bulk of the rough stone is large, and a large number of bacteria breed in the clumps. "After years of gathering, the hair stones in Huan Huan's stomach seemed to be sealed by cement, very hard. Previously, the doctors in the outer hospital had tried to make the girls drink sodium bicarbonate to eliminate the stones, but this trick did not work. I also tried to use foreign object tongs to repeatedly take the stone, and each time it was difficult to catch it, but because the hair was very long, it broke as soon as it was pulled, and the stone still did not move. Even if you can take it out, it is a few at a time, and according to this rhythm, it is not clean to take it for a week or two.
The condition is complex and difficult, and the transparent cap is used to loosen the hair stones
Recently, at the First Phase Mirror Center of the Headquarters of the First Hospital of Zhejiang University, Chief Physician Ji Feng began to take stones for girls under digestive endoscopy. Although the girl's condition was understood before the operation, when the gastroscope entered the stomach, the medical staff present were amazed, "How to take out such a large hair stone?" ”
Director Ji Feng used a digestive endoscopy to take stones for the little girl
When the gastroscope slowly entered the girl's stomach cavity, Chief Physician Ji Feng has been thinking about various possibilities. "At that time, I thought that the conventional stone removal scheme would not work for this girl, and for hard hair stones, the most important thing is to break the hair and then use foreign object tongs to remove them little by little."
But how can such a hard stone be broken? Chief Physician Ji Feng made a clever move. "I came up with a way to install a special long transparent cap at the front of the gastroscope, grasp a part of the hair through foreign body forceps, and constantly pull and shake the hair from different angles to make the hair stones slowly loosen."
A transparent cap is a small piece of transparent plastic that is placed on the front of the gastroscope and is usually used to separate the mucous membranes and keep the lens clear. Under the operation of Chief Physician Ji Feng, through the transparent hat to continuously pull and shake the hair stones, after an hour and a half, the original hard hair stones finally began to slowly loosen. Subsequently, Chief Physician Ji Feng took out the hair through the foreign body forceps, little by little, one by one. When the last strand of hair was removed, five and a half hours had passed since the operation had begun.
Take out the hairs
After the operation, the little girl was hospitalized for observation for two days and was successfully discharged from the hospital. It was under the "ingenuity" of Chief Physician Ji Feng that the girl successfully avoided a surgical operation and avoided the trauma of the operation.
At any time, parents should strengthen safety awareness education
Clinically, Chief Physician Ji Feng has handled many complex endoscopic foreign body removal surgeries. There was once an 8-year-old boy who swallowed four magnetic bead toys by mistake, resulting in the lower part of the esophagus and the bottom of the stomach being firmly sucked together by magnetic beads, and the esophagus perforation, gastric perforation, and bleeding were imminent. During the operation, Chief Physician Ji Feng had another flash of inspiration, and successfully removed the magnetic beads tightly attached together with a transparent cap under the gastroscope, and removed the "time bomb" buried in the boy's body.
Terrible magnetic beads
Chief Physician Ji Feng stressed that children are curious and lack safety awareness, and often swallow foreign bodies. "Once these things are swallowed, they can easily get stuck in various positions in the digestive tract, causing gastrointestinal obstruction, perforation, bleeding, infection, etc., such as foreign bodies accidentally falling into the trachea, which can also cause suffocation."
Even if the "mythical beast returns to the cage", parents should try to avoid their children's exposure to dangerous goods and strengthen safety awareness education. "Once the child is found to have some abnormal behavior, it is necessary to correct it in time, seek medical treatment in time if there is a problem, and seek help from a psychologist if necessary." Chief Physician Ji Feng reminded.
In fact, the most common pica is dirt, stones, paper scraps, and bark, but there are all kinds of strange things that you can't think of. For example, a magnate during the Southern and Northern Dynasties, who was fond of blood scabs, even whipped hundreds of officials under himself, just to eat scabs, leaving an allusion to "scab addiction".
The most common causes of pica in children include iron deficiency, zinc deficiency, selenium deficiency, or lack of trace elements such as manganese, cobalt, and copper, and eating some dietary supplements can be cured quickly. Others are due to psychiatric factors, such as anxiety, nervousness, autism, schizophrenia, and mental retardation.
Surgical treatment is only for the treatment of children like Huan Huan, and the treatment of the cause and psychology should also be very important in the later stage, otherwise it is easy to form gastric hair stone disease again.
Mental health experts particularly emphasize that many parents will correct their children by beating and cursing when they find that their children have ingested foreign bodies, which may cause their children's behavior of eating foreign bodies to become more hidden, and the consequences will be more serious. Therefore, behavioral therapy and long-term mental health department follow-up are also important parts of treatment.
This article is reported by the City Express
Image source: Department of Gastroenterology, First Hospital of Zhejiang University