On the occasion of the National Cancer Prevention and Treatment Publicity Week, Xia Yu, director of the Department of Gastrointestinal Surgery of Nanchang Central Hospital (Laofushan Campus, Bayi Avenue Laofushan Campus), and Wan Zhenda, deputy director of the treatment team, have recently completed a number of gastrointestinal malignant tumor surgeries. Share a case:
62-year-old Chen, recurrent right middle and lower abdomen distension and discomfort for a year, about half a month ago due to abdominal pain and vomiting, blood in the stool in the local provincial hospital, CT showed that the ascending colon occupies a mass, after symptomatic treatment, the hospital recommended that the patient undergo colonoscopy to determine the cause, the patient and his family refused, and was discharged by himself.
Because the patient's family is engaged in the medical aesthetic industry and usually pays more attention to physical health, the patient does not think that he has the possibility of malignant tumors. However, after being discharged from the hospital, the patient still had recurrent abdominal pain and vomiting, so he went to Nanchang Central Hospital (Bayi Avenue Laofushan Campus) for colonoscopy, which showed that the ascending colon occupied a mass, and the biopsy pathology was adenocarcinoma.
Preoperative colonoscopy
Preoperative CT scan
Preoperative pathology
After patiently explaining the cause and symptoms of the tumor to the patient and his family, the patient gradually accepted the condition and agreed to the surgical treatment. After the preoperative examination was perfected, Deputy Director Wan Zhenda cooperated with the treatment team to complete the laparoscopic radical surgery for right colon cancer for the patient, and the patient recovered quickly after the operation, ate 3 days later, and was discharged 6 days after the operation. The patient expressed his gratitude to the department's medical team.
Postoperative specimens
Pathological findings
In recent years, there has been a high incidence of gastrointestinal malignant tumors, and most of the ordinary people ignore the gastrointestinal endoscopy physical examination, and when they have abdominal discomfort symptoms, they often think that they have eaten something bad or have indigestion. As a result, the opportunity for early diagnosis and treatment is missed.
So how to prevent cancer scientifically, the following suggestions can be referred to:
01, Maintain healthy weight
Obesity is associated with cancers of multiple systems throughout the body. We usually use body mass index (BMI) to judge whether the weight is healthy, the calculation formula is weight (kg) divided by the square of height (m) (kg/m2), and the healthy weight BMI of the mainland population is greater than or equal to 18.5 and less than or equal to 24. Between 24 and 28 is considered overweight, and more than 28 is considered obese.
02. Adequate intake of whole grains, vegetables, fruits and legumes
Whole grains are grain seeds that have not been refined after hulling. It retains the grain bran, germ and endosperm and provides the body with more protein, fiber, and other essential vitamins and minerals. Whole grain foods are: oats, rye, corn, sorghum, buckwheat, brown rice, rice, glutinous rice, japonica rice, millet, etc. In addition, soybeans, peas, kidney beans, cassava, etc. are also whole grain foods.
03. Limit the intake of red meat and high-sugar and high-fat processed foods
Common red meat: beef, pork, lamb should be limited in limit, especially processed red meat such as sausage, ham.
Starchy foods: such as fried pies, fried dough sticks, scallion pancakes, oil cakes and other foods contain a lot of fat and sugar;
Meat foods: Pineapple pork, braised pork, fried chicken, Dongpo pork, pork liver, chicken liver, etc., which are cooked with sugar juice, sugar frying and sugar roasting, are also high-sugar and high-fat foods. In addition, in order to reduce costs and improve the deliciousness of beef jerky, some factories will add excessive starch, salt and sugar, which will also form high-fat and high-sugar foods;
Cream products: cream cakes, milk tea, puffs and other desserts, the main raw materials are starch and butter.
Limiting your intake of these foods can help you control your calorie intake and maintain a healthy weight.
04. Limit alcohol intake
Ethanol is converted into acetaldehyde when it comes into contact with saliva, making the level of acetaldehyde in saliva 10-100 times higher than in blood, which is an important factor in the development of gastrointestinal cancers.
05. Health care products are not credible for cancer prevention
"The so-called traditional Chinese medicine and tonic with anti-cancer effects are all deceptive", Sun Yan, an academician of the Chinese Academy of Engineering, gave a positive answer. Fuzheng's traditional Chinese medicine can only improve the patient's immune function, and cannot replace modern tumor medicine. It is also impossible to replace modern regular oncology medication with tonics.
If cancer has been diagnosed, it is necessary to see a doctor in time for early treatment and a better prognosis. The gastrointestinal surgery team of Nanchang Central Hospital (Laofushan Campus, Bayi Avenue Laofushan Campus) specializes in minimally invasive surgery for the treatment of various benign and malignant gastrointestinal tumors, gastrointestinal perforation and bleeding, and hernia, as well as the surgical treatment of intestinal obstruction, appendicitis, benign and malignant thyroid tumors, benign and malignant breast tumors, and abdominal organ and accessory structure damage caused by trauma. The treatment team has rich experience in surgery and comprehensive treatment of gastrointestinal malignant tumors to escort gastrointestinal health.
Gastrointestinal Surgery Specialist Profile
Xia Yu is currently the director of gastrointestinal surgery, chief physician, master's supervisor, and master of medicine. He graduated from Jiangxi Medical College (undergraduate) and Shantou University Medical College (postgraduate), and has been engaged in clinical and teaching of general surgery for more than 30 years. He is proficient in the surgical techniques of general surgery, focusing on the treatment of various thyroid diseases, the surgical operation of gastrointestinal tumors and the treatment of integrated traditional Chinese and Western medicine. He is a member of the Standing Committee of the Liver Cancer Professional Committee, the Standing Committee of the Colon Cancer Professional Committee, and the Standing Committee of the Pancreatic Cancer Professional Committee of the Jiangxi Anti-Cancer Association. He participated in a national project and a number of provincial and municipal projects, presided over the project of Nanchang Science and Technology Bureau "Application of Laparoscopic Technology in Abdominal Surgery", and won the third prize of Nanchang Municipal Government Science and Technology Progress Award. Wrote 30 papers.
Wan Zhenda is currently the deputy director and deputy chief physician of the Department of Gastrointestinal Surgery. He has been engaged in clinical, teaching and scientific research in general surgery for more than 10 years, and is proficient in various types of general surgery, especially in the treatment of gastrointestinal tumors, posterior peritoneal tumors, gastrointestinal perforation, intestinal obstruction, and internal and external abdominal hernias using laparoscopic minimally invasive techniques. He has served as a member of the Perioperative Professional Committee of the Chinese Association of Integrative Medicine, the Laparoscopic General Surgery Branch Committee of the Jiangxi Provincial Research Hospital Association, the Colorectal Professional Committee of the Jiangxi Medical Doctor Association, and the Hepatobiliary Surgery Branch of the Jiangxi Provincial Research Hospital Association.
Author: Wan Zhenda, Deputy Chief Physician of the Department of Gastrointestinal Surgery, Nanchang Central Hospital (Laofushan Campus, Bayi Avenue).
Correspondent: Wan Zimeng Zhang Siwei
Editor: Huang Menglin
Reviewer: Chen Shirui
Issued: Daley Red
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