South China is the smallest!45 days of newborn vomiting milk frequently, doctors use tunnel endoscopic minimally invasive technology "ingenuity"!

Smoking or vomiting is a very common phenomenon of newborns, most of which are physiological.

But for only 45 days of birth and a weighing 3.48kg of the Rocky Rock, it is a bad thing. "The baby vomits after eating milk, and our family is almost collapsed ...".

A few days ago, the multi -disciplinary team of our college successfully diagnosed the congenital hypertrophic pylorus stenosis. Endoscopic Pyloromyotomy, G-POEM), 3 days after surgery, the digestive tract resumed smoothly. 7 days after surgery, remove the reserve needle and drainage tube.

During the surgery, in order to ensure the smooth operation of the child and avoid dual infections, doctors also self -made the safety of the children.

The success of this surgery refreshed the new records of the age and weight of the G-POEM surgery application in patients with CHPS. After retrieval, 45 days are also the youngest children in South China.

Repeated milk, it turns out to be congenital hypertrophy, the pyloric door narrow

In February this year, Yanyan from Shantou was born in the expectations of the whole family, weighing 2.75kg. The family thought that the original nervous mood after birth was finally relaxed. I did not expect that Yanyan began to vomit milk repeatedly in just 3 days, and then symptoms such as cough and fever (vomiting caused lung infections), and the weight did not grow. The Yan family was so anxious that she had not been able to go to our hospital for medical treatment in many places.

After a detailed and comprehensive diagnosis of deputy chief physician Li Sitao deputy director of the pediatrics, the baby was diagnosed with a "congenital hypertrophic pylorus stenosis", and also merged with diseases such as bronchial pneumonia, hyper lactic acid disease, and low weight ". After the active anti -infection and symptomatic treatment of pediatrics, the infection is effectively controlled, the vital signs are stable, and the innate hypertrophy of the "initial figurine" is narrow.

The question is, how to treat it?

Doctors discussed the condition of Yanyan ...

Director Wang Dejuan of Pediatric Surgery pointed out that congenital hypertrophy of the pylorus can use laparoscopy or open surgical pyloridal muscle cutting surgery to mature the treatment methods. Risk of damage in the internal organs. Li Sitao checked the latest literature and found that the trauma was less trauma under gastroscopy and had good tolerance for children. In order to verify the feasibility of gastroscopy, the team of Director Li Chunjun, the Department of Gastroenterology, and the team's backbone force Sun Jiachen's attending physician proposed a treatment plan under G-POEM surgery.

As a result, a technical collaboration team composed of pediatric surgery, Pu pediatrics, digestive endoscopy, ultrasound, video department, anesthesiology, operating room and other technical collaboration teams quickly established.

Homemade baby cushion to escort the baby

Due to the frequent vomiting of milk, the nutritional condition is not optimistic. The weight is only 3.48kg, and the shape of the body is too thin. In addition, although the pediatrician has controlled the lung infection of the rock with drugs, if there is no suitable mouth cushion, it means He may still face the risk of infection during the operation.

As soon as Sun Jiachen had a clever machine, he took out scissors, syringes, and tape, and customized the most suitable "baby cushion" for rocky.

Everything is ready. On the day of the operation, a total of 20 medical teams in the operation room escorted the rock.

The display on the display on the display screen is closed. Even if the ultra -fine nasal and gastroscopy has only 5 mm diameter, it is still very laborious through the pylorus. During the operation, Sun Jiachen did not dare to have a lack of relaxation. He carefully adjusted the angle of the electric knife, and established a tunnel between the child's thin gastric mucosa and the muscle layer. The gastroscope gradually deepened the "life tunnel" in the tunnel.

"It's past!" With the shot picture of Liu Dianhua, a cheer in the operating room, the medical team that was waiting for the strict time finally let go.

During the surgery for nearly 3 hours, the number of children's bleeding was very small. Under the close monitoring of anesthesia doctors, the whole process was stable.

After surgery, the newborn ICU was tightly observed. The next day, the child had been transferred to the general ward for treatment. The digestive tract of the child with the gastrointestinal film creation of the digestive tract 3 days after surgery was smooth. , Can already breastfeed normally without vomiting.

Recently, I learned in the follow -up that there was no problem of vomiting after the discharge of Yanyan, which became more and more lively and naughty.

It is particularly gratifying that 2 months after the operation, its weight increased from 3.48kg to 7kg (reached normal weight).

G-POEM, newborn can also tolerate surgery

According to reports, the pathological basis of congenital hypertrophy of Helicon is the poor development and lack of local ganglia cell cells in the pylori, which leads to the thickening of the inherent muscle layer and the mechanical obstruction of the pyloric door. The clinical manifestation is repeatedly sprayed vomiting after birth. The third place of the newborn digestive tract. Chps often causes severe malnutrition due to timely and correct treatment, leading to organ failure or even death.

Li Sitao introduced, "Most of the patients with congenital hypertrophic pyloric doors are boys, and vomiting symptoms occur 2 to 4 weeks after birth." Fortunately, Yanyan is diagnosed in time. Effective and timely surgical treatment, achieve satisfactory results, so it can quickly recover well. Li Sitao reminded that if the children who were born for more than 20 days did not increase their weight, vomit yellow -green liquid or bloody objects, vomiting and spray -like, please seek medical treatment in time. Li Chunjun pointed out that the Department of Gastroenterology of our hospital has been committed to diagnosis and treatment of obstructive gastrointestinal diseases. So far, 11 sessions have been held for endoscopic treatment seminar for obstructive gastrointestinal diseases. It is a concentrated display of work.

The G-POEM surgery is based on the development of POEM surgery (POEM) surgery (POEM). It is used in the stomach and was originally used to treat the gastric mildness, congenital hypertrophic gym narrows, etc. Sexual diseases.

The "super minimally invasive" characteristics of the G-POEM surgery help reduce gastric mucosa damage. After surgery, the normal diet can be restored faster. The surgical process is fast and the trauma is small, which greatly reduces the patient's pain.

Guidance experts in this article

Chief Physician Li Chunjun, Department of Gastroenterology

Chief physician and master's degree instructor; Director of the Department of Gastroenterology, Sixth Hospital of Sun Yat -sen University.

Academic position: Standing Committee member of the Cross -Strait Medical and Health Exchange Association of the Medicine and Health Exchange Association; member of the Standing Committee of the Gastroscopy Branch of the Guangdong Medical Association/Member of the Gastroenterology Branch; member of the Guangdong Provincial Anti -Cancer Association Cancer Professional Committee; Standing Committee member of the Mirror Branch; Members of the expert group of the Guangdong Gastrointestinal Professional Medical Quality Control Center; members of the expert group of the medical quality control center of Guangdong Province; deputy chairman of the Guangdong Provincial Health Management Society of the Gastrointestinal MDT Professional Committee; Learn to the deputy chairman of the professional committee of digestive and digestive endoscopic; deputy chairman of the deputy chairman of the Special Committee of the Special Committee of the Society of Integrated Mirrors/Integration of Hepatitis Diseases; Deputy Director of the Gastrointestinal Cancer Professional Committee of the Guangdong Provincial Traditional Chinese Medicine Society Member; Deputy Chairman of the Professional Committee of Endoscopic Diagnosis and Treatment of Liver Diseases of the Guangdong Province; Member of the Standing Committee of the Chinese Medical Education Association of Inflammation Intestinal Diseases/Member of the Professional Committee of Gastrointestinal Diseases; Academic Consultant of the Society of Gastrointestinal Liver Diseases of Macau; The editorial board of communication; focusing on and good at various digestive endoscopic diagnosis and treatment techniques.

Academic expertise: After graduating from college, he has been working at the affiliated hospital affiliated to Sun Yat -sen University. He has rich clinical experience in the diagnosis and treatment of various esophagus, stomach, intestines, liver, bile, pancreas and other diseases. In the past 20 years, focusing on digestive endoscopic diagnosis and minimally invasive treatment, skillfully operates gastroscopy, colonoscopy, small colonoscopy, duodent colonoscopy, capsule endoscopy and ultrasonic endoscopy for endoscope diagnosis and treatment. Essence He has accepted the Hong Kong Society of Gastroenterology and Cao Shizhi Digestive Endoscopy Foundation (Dr. William Chao Digestive

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