Achalasia surgery

If achalasia is taken seriously when it first occurs, it will not cause too much physical discomfort. The initial symptom is gastric reflux, with food returning to the stomach mouthful by mouthful. At this time, taking some stomach-nourishing and stomach-treating medicines, avoiding spicy and irritating foods, and eating on time and regularly can cure it. Severe achalasia can cause cardiac cancer. Here I will introduce you to achalasia surgery.

Cardiac cancer erodes blood vessels and often causes acute massive upper gastrointestinal bleeding that is difficult to stop on its own. Even if the symptoms are relieved, it is only a reduction in the amount of bleeding. At the same time, these patients tend to be older, with increased vascular fragility, making bleeding even more difficult to stop on its own. The amount of bleeding is large, similar to the bleeding from esophageal varicose veins in cirrhosis. For those who do not respond well to medical treatment for bleeding, especially the elderly, it may affect the possibility of bleeding from cardiac cancer. Emergency gastroscopy is of great significance. The earlier the time, the higher the accuracy of diagnosis and location of the cause of bleeding.

Data show that the bleeding site can be determined in about 78% of patients within 24 hours, 60% within 48 hours, and only 32% after 48 hours. At the same time, endoscopic hemostasis can be performed to identify the cause, and surgery can be selected at an early stage.

For patients aged 50 years and above with no history of gastric disease, or with a history of gastric disease for more than 20 years, or patients aged 40 years and above with upper gastrointestinal bleeding who have a history of gastric disease but the history is less than 3 years, gastric cancer bleeding should be considered. The early surgical resection rate of cardiac cancer can reach 85%, which is higher than that of non-hemorrhagic gastric cancer (78%) in the same period. And it turns out that this type of bleeding is not a late complication.

Experts say that in addition to gastrointestinal bleeding, common complications of cardia cancer include:

Arrhythmia: Cardiac cancer resection is performed by thoracotomy or combined thoracoabdominal incision. Arrhythmia is one of the common complications after thoracotomy, with an incidence rate as high as 13%-60%, which is often closely related to the nature of the tumor.

Complication 2: Food reflux: After the cardia, most of the stomach and a small part of the esophagus are removed for cardiac cancer, the function of the cardia is severely affected. Food entering the stomach may reflux during peristalsis, which can cause vomiting. This is also one of the most common complications after cardiac cancer surgery. The patient may see improvement after a period of recovery.

Complication 3: Pulmonary infection after surgery for cardiac cancer: Pulmonary infection after surgery for cardiac cancer is one of the most common complications. Patients mainly present with pneumonia, lung abscess, atelectasis and bronchial asthma, with an incidence of 2%-5% and a mortality rate of 16.7%-27.9%. Clinical experiments have shown that effective nursing measures play a vital role in preventing and reducing postoperative lung infections.

Complications of cardiac cancer are mostly caused by lung infection!

After surgery for cardiac cancer, due to deficiency of both Qi and blood and weak Ying and Wei systems, external pathogens can easily invade the lung defense system, and the lungs fail to descend, resulting in chills, fever, and cough. Due to deficiency of both Qi and Yin, evil can easily enter the body, evil heat blocks the lungs, and the liquid turns into phlegm. Phlegm and heat block the lungs, and lung Qi is not smooth, resulting in cough, thick phlegm, and chest pain. The tongue and pulse both indicate deficiency of both Qi and Yin, and phlegm and heat blocking the lungs. Therefore, the treatment should be to clear away heat and resolve phlegm.