Great Medical System in a Veterinarian

Chapter 779 - 310: Reviving a Heart by Bare Hand—Even King Yama Waited at the Bedside as He Kept Adding Time to Life!

"Heavens—, why is there so much blood in the abdominal cavity?"

When the peritoneum was opened, they saw the liver, stomach, and large intestine wrapped around the small intestine.

At this moment, the expert team led by Huang Xiangning was completely stunned by the amount of bleeding in the abdominal cavity.

Everyone even had a sense of foreboding.

The surgery continued, and the pancreas is located behind the liver, stomach, large and small intestines, and the duodenum, near the posterior lumbar spine area.

Generally speaking, food enters through the mouth, goes through the esophagus, and then into the stomach.

Zhang Lingchuan observed.

There was also a question mark by the stomach.

Based on previous experience, this question mark usually indicates that there might be a problem in this area.

[This is an ulcerated stomach, and the degree of ulceration is quite severe.]

As expected.

Stomach ulcer.

It seems the pancreatic issue is quite significant.

Although Zhang Lingchuan is not a gastroenterologist, he has been a physician for a long time and understands a fair amount about human anatomy.

Generally speaking,

since the pancreas is next to the stomach and liver, if there is a major issue with the pancreas, the stomach and liver are inevitably affected.

If the stomach ulcer was pre-existing, that’s fine, but if it just appeared, it indicates that pancreatic secretions have already started causing havoc.

The human body is a marvel of structure.

Food is ingested through the esophagus into the stomach, where it is mixed and digested by stomach acid.

However, the stomach cannot fully digest food, such as proteins and fats that gastric juice cannot digest.

So, they enter a section below the stomach, an area called the duodenum.

Here, two digestive fluids are added to digest proteins and fats.

One is bile, and the other is pancreatic juice.

The two are like two branching creeks that eventually converge into a main thoroughfare, flowing into the duodenal lagoon.

Their convergence point is called the major duodenal papilla.

This is why gallstones can cause pancreatic inflammation.

Because the creek paths of bile and pancreatic juice ultimately converge into a common main path.

If gallstones dislodged one day and blocked the main path from the bile-secreting creek,

the pancreatic juice that was supposed to go through to the duodenum gets obstructed, increasing pressure in the pancreatic duct and causing edema.

This pancreatic condition is called edematous pancreatitis, a mild form of pancreatitis, which generally is not life-threatening if treated appropriately, and accounts for about 70-80% of cases.

As for severe pancreatitis,

it occurs when the duct is blocked, and the pancreatic duct pressure is extremely high, yet pancreatic juice continues to be delivered.

Normally, the pancreatic juice contains inactive zymogens.

They are activated upon entering the duodenum to digest proteins, fats, and starches.

But due to increased duct pressure, the pancreatic juice breaks through the pancreatic duct, akin to water seeping through a layer of blue waterproof paint in a bathroom, causing seepage and leakage.

But while a bathroom only has seepage and leakage issues, compared to the breakthrough of pancreatic juice, it’s child’s play.

Because the setting of pancreatic juice zymogens is to start digesting when encountering proteins, fats, or starches, without mercy.

Once the pancreatic juice breaches the duct’s protective layer, both the duct and pancreas, which contain proteins, get digested by the now-active zymogens, subsequently digesting the entire pancreas, leading to widespread inflammation affecting the stomach, liver, and kidneys, resulting in multi-organ failure and possibly pancreatic encephalopathy.

In short,

the pancreas digests itself, affecting all organs and causing death.

This is why the mortality rate of acute pancreatitis is much higher than that of a heart attack.

Even if somehow saved,

with the pancreas damaged or gone, and various organs affected, the person, if they survive, walks a razor’s edge.

[This is a gallbladder with stones.]

[This is an inflamed section of the duodenum, requiring resection.]

[Attention! This pancreatic lesion is extremely severe and has lost basic function, requiring removal...]

They finally investigated the gallbladder structure, duodenum, and pancreas.

Undoubtedly,

all three had question marks appearing above them.

"The, pancreas is almost completely diseased, and it has affected various parts..."

The surgical team was also stunned at this point.

The pancreas, due to excessive pancreatic secretion, has digested itself and affected the duodenum and stomach, causing liver and kidney failure, with a high probability of pancreatic encephalopathy occurring.

"Xiaochuan, use the suction head near this bleeding point to reduce blood loss, I will go talk to the patient’s family."

Huang Xiangning’s expression was extremely grave.

The digestive, gastroenterology, and general surgery experts present all inhaled a sharp breath.

At this moment, Fang Jianhong, if not operated on, will inevitably die.

Of course, even if operated on, there’s still a high chance of death.

They need to inform the patient’s family of this situation, for them to make the decision.

If they feel there’s no need to continue,

the surgery will be terminated.

If they want to take the risk, they will try.

"Understood."

Zhang Lingchuan began operating the suction device.

During surgery, this tool is indeed very useful.