Stomach diaphragm

　　How is diaphragmatic hernia caused? It was previously believed that the occurrence of diaphragmatic hernia was related to the recanalization of the primitive gut during embryogenesis, that is, the Tandler hypothesis. However, it is now believed that there is no Tandler proliferation stage during the development of the stomach, and the formation of the pyloric diaphragm is due to the overgrowth of local endodermal tissue.

　　What diseases does diaphragmatic hernia cause? Briefly described as follows:

　　1. Imperforate diaphragm is common in newborns, causing symptoms such as difficulty breathing and excessive drooling.

　　2. Holey diaphragm is common in children and adults. It often causes symptoms such as vomiting after eating, upper abdominal fullness or pain, which subsides after vomiting. There may be no weight gain or weight loss.

　　Diaphragmatic hernia is generally located 1-7 cm above the pylorus and is divided into an antrum type and a pylorus type. The diaphragm thickness is 2-3 cm, soft but tenacious, and can occur simultaneously with another one several centimeters away from the pylorus, far in the duodenum. The imperforate diaphragm can cause complete obstruction of the pylorus, seen in newborns. The hole in the diaphragm is located in the center or slightly off-center of the diaphragm, seen in children and adults.

　　1. Imperforate diaphragm

　　It is common in newborns, who appear frequent vomiting shortly after birth, without bile in the vomit, and often have symptoms such as difficulty breathing and excessive drooling. The newborn can pass a small amount of meconium, but then has no bowel movements. Physical examination can find swelling in the upper abdomen, and the middle and lower abdomen of the stomach are flat or concave in the shape of a boat.

　　2. Holey diaphragm

　　It is common in children and adults. Patients often have vomiting from birth, with intermittent attacks. Vomiting usually occurs after eating, and the vomit is often undigested and does not contain bile. Patients often experience upper abdominal fullness or pain after eating, which subsides after vomiting. There may be no weight gain or weight loss.

　　How to prevent diaphragmatic hernia? Briefly described as follows:

　　Since this disease is a congenital digestive tract malformation, it cannot be effectively prevented after birth and can only be excluded by prenatal examination. It is necessary to perform fetal echocardiography during pregnancy to detect problems in a timely manner. There are many kinds of fetal malformations, and preventive measures should be taken actively before pregnancy. Necessary examinations should also be done after pregnancy to terminate the pregnancy in time.

　　What examinations should be done for diaphragmatic hernia? Briefly described as follows:

　　X-ray examination shows the shadow of the gastric bubble, with no gas shadow in the middle and lower abdomen. The size of the stomach is normal, and a narrow defect can be seen 1-2 cm from the pylorus. Barium can pass through the diaphragmatic orifice, and normal pylorus and duodenum can be seen. If there are two diaphragms, the upper part of the duodenum can be seen to be dilated.

　　What should be paid attention to in the diet and health care of stomach septum patients? Briefly described as follows:

　　First, stomach septum food therapy

　　1, Lotus Seed Porridge. 30g lotus seeds, 100g rice. Cook the porridge according to normal methods, eat it every day, and take it for 1 month. Suitable for ulcerative diseases with weak spleen and stomach.

　　2,山药粥. 100g yam, 100g long-grain rice. Cook the porridge together with water, take 1 dose per day, and drink it in 3 doses. Suitable for ulcerative diseases with weak spleen and stomach.

　　3, Glutinous Rice Porridge. 100g glutinous or long-grain rice, 7 red dates. Cook the porridge according to normal methods, cook until extremely soft, and eat regularly. Suitable for ulcerative diseases with weak spleen and stomach, and can treat gastric and duodenal ulcers.

　　Second, suitable for eating

　　1, Strengthening nutrition should choose easily digestible foods that contain sufficient calories, protein, and vitamins, such as congee, thin noodles, milk, soft rice, soy milk, eggs, lean meat, tofu, and soy products.

　　2, Eat more foods rich in vitamin A, B, and C, such as fresh vegetables and fruits. These foods can enhance the body's resistance, help repair damaged tissues, and promote ulcer healing.

　　Third, food with auxiliary therapeutic effects for gastric ulcers

　　1, Honey. It tastes really good. It contains glucose, fructose, organic acids, yeast, various vitamins, and trace elements, and can play a protective role on the ulcerated surface of the gastric mucosa.

　　2, Lotus Root. Rich in starch, it can promote gastrointestinal motility, accelerate the healing of gastric ulcers, and also has the function of detoxifying alcohol.

　　3, Egg. The yolk contains a large amount of lecithin and cephalin, which has a strong protective effect on the gastric mucosa.

　　4, Jujube. Jujube has the function of invigorating the spleen and stomach, and eating jujube or porridge made from jujube and glutinous rice can have a certain preventive and therapeutic effect on gastric ulcers.

　　What are the treatment methods for stomach septum? Briefly described as follows:

　　Before surgery, it is necessary to actively correct water and electrolyte imbalances, anemia, and malnutrition. For those with significant stomach dilation, a stomach tube should be placed for decompression, and the stomach should be washed with warm saline to restore the tension of the stomach wall and reduce the edema of the gastric mucosa.

　　For patients with a perforated stomach septum, it can be initially treated with gastroscopy balloon dilation. If this is ineffective, surgical treatment can be performed. If the operation confirms a stomach septum, a simple mucosal resection can be performed for the antrum type; a pyloroplasty is required for the pyloric type. For cases with ulcers, partial gastrectomy or selective vagotomy can also be chosen.