What is the treatment of gastric cardia relaxation?

Cardia laxity can cause gastroesophageal reflux.

Gastric acid and gastric contents reflux into the esophagus, long-term reflux can lead to problems in the esophagus, symptoms of acid reflux heartburn will occur, endoscopic radiofrequency surgery can be done without trauma**, so that the cardia becomes tighter. This technique is not something that few hospitals can do, and it is recommended to go to the gastroesophageal reflux specialist in the hospital. Achalasia, also known as myocardial spasm or giant esophagus, is a condition caused by neuromuscular dysfunction of the esophagus.

Its main features are synchronous contraction of the esophageal body or lack of peristalsis, lower esophageal sphincter.

Pressure is high, and the relaxed response to swallowing action is diminished or absent. Clinical manifestations include dysphagia, food reflux, and sternum.

After discomfort or pain, occasionally pulmonary complications and malnutrition.

Achalasia affects quality of life, and there are currently no medications that are effective in relieving symptoms. Transgastroscopy.

Upper gastrointestinal angiography.

When the diagnosis of achalasia is confirmed by esophageal dynamics examination, bulbar dilation can be performed, but the number of dilations should not be too much, so as not to increase the chance of dilation complications and the difficulty of surgery.

Cardia relaxation is divided into four levels, the first and second levels of slight relaxation do not affect life can be left alone, pay more attention in life, try to stand upright after eating, eat seven points full, generally will not affect normal life. If the cardia is so flaccid that gastroesophageal reflux develops, quality of life can be affected. General drugs have little effect on cardia relaxation.

The cardia can be tightened by radiofrequency surgery or fundus folding. At present, there is a specialized gastroesophageal reflux department, and there are many surgeries and the most experienced. In addition to radiofrequency surgery and fundoplication, there are ligations, magnetic beads.

and other methods to tighten the cardia. What kind of surgery is suitable for each person needs to be evaluated at the hospital and decided.

Do a detailed interpretation of the problem, I hope it will help you, if you have any questions, you can leave me a message in the comment area, you can comment with me more, if there is something wrong, you can also interact with me more, if you like the author, you can also follow me, your like is the biggest help to me, thank you.

The stomach is very important for the health of the human body, and if there is a problem with the stomach, then the diet cannot be guaranteed. In such a situation, there is no way to fully absorb the same substance, so when there is a problem with the stomach, many people will feel very uncomfortable. One of the problems that still often arises, that is, gastric cardia laxity, so what are the usual causes of gastric cardia laxity?

Gastric cardia laxity is mainly due to a temporary neuromodulation imbalance, resulting in a lack of muscle tone in the lower esophagus and gastric cardia. If there is relaxation, it will cause the milk in the stomach to reflux into the esophagus, resulting in inflammation of the esophagus or respiratory complications. The reason for the neuromodulation imbalance is likely to be that people eat too much greasy and high salt in the process of eating, or they are too full.

In such cases, the body reacts to these foods in some way, which leads to an imbalance in regulation. And once the stomach cardia is relaxed, it will feel very uncomfortable, as if stomach acid has reached the throat. In this case, you will feel nauseous, and some people will vomit.

Once the gastric secretion relaxation continues, the pain will be unbearable and difficult to relieve, and it must be effectively improved after the stomach adjusts itself.

Gastric cardia relaxation is fine if it is only a case of one or two times, after all, the body is just a stress reaction. But if this happens often, it means that there is a serious problem with your diet. Moreover, suffering such pain in the stomach can also trigger the effect of stomach acid on the esophagus, and even make the esophagus hollow, so that it is even more impossible to eat by yourself in the future.

Therefore, it is best to adjust in time, do not overeat, and do not eat high-fat and high-fat foods. In this case, you can ensure the health of your stomach, after all, only when you eat well, then you can get the nutrients, and you can let your body develop normally.

It may be caused by poor lifestyle and eating habits, some stomach diseases, inflammation of the esophagus or complications caused by the respiratory system.

It is because of a temporary imbalance in neuromodulation, which will lead to this disease, and once there is a relaxation, some other diseases will form, and it will be very difficult to regulate.

Because of the high number of vomiting, there are some problems in the body, neuromodulation imbalance, lack of muscle tone, and it may also be caused by some other diseases.

This refers to the loose part of the esophagus that meets the stomach. You should avoid eating too much, pay attention to your dietary intake, and pay more attention to digestion.

Don't eat too much, don't lie down after eating, you can take some medications, you can have an endoscopy, you can use surgery**.

If you have such symptoms, you should accept **, you can drink some oral medicine or have surgery**.

Banxia, smallpox, atractylodes, reed root, tulip, dandelion, citrus aurantium, astragalus, Yunling, sand kernel, bellflower, codonopsis, etc., add water to decoction. This TCM** method is often used in the clinical practice of achalasia.

I think you can use wolfberry, rehmannia root, schisandra chinensis, shou wu and ejiao to ** this disease. Because these herbs can be **gastric achalasia, and this also helps our condition**.

You can drink traditional Chinese medicine for conditioning, or for acupuncture, or for blood circulation and blood stasis, or for injection**, or you can use the way of dilation**, or massage the corresponding acupuncture points.

It can be combined with traditional Chinese medicine**, you can choose acupuncture, you can also choose massage, and you should also listen to the doctor's words and adjust your diet.

You can drink traditional Chinese medicine, you have to go to the hospital to receive **, understand the specific situation, so that you can choose Chinese medicine**.

Disease analysis: cardia relaxation is caused by temporary neuromodulation imbalance, lack of muscle tone in the lower end of the esophagus and gastric cardia, cardia relaxation can cause esophageal inflammation and other opinions and suggestions: surgical methods such as lower esophageal cardia myotomy can be used**, usually do not eat too full, eat less and more often, nutritious, easy to digest diet is mainly satisfied.

Summary. If you are worried about insufficient nutrition, or hunger, you can eat less and more often, and pay attention to the nutritional combination of diet to ensure a balanced intake of protein, vitamins and various trace elements, and you must choose easily digestible food, try to make the food soft when cooking, do not eat too greasy and spicy food, keep the diet light, can relieve stomach pressure, Try to stand upright or sit upright within 2 hours after eating, and do not lie down, which can reduce the symptoms of vomiting and nausea. The second type, the drug**, is mainly for the symptoms**, by taking general drugs, can not make the cardia relax to a normal state, for example, the common symptoms of the patient are vomiting, respiratory diseases, dehydration, malnutrition, esophagitis, professional medical personnel will be according to the different symptoms and severity of the patient, let the patient take reasonable drugs, and all need to adhere to the medication for a long time.

Third, surgery**, patients who have been affected by cardia laxity for a long time can choose the method of surgery**, if it is confirmed that the physical condition is suitable for surgery after examination in a regular medical institution, this method can be chosen. Note that surgery does not restore the normal function of the cardia, and the cardia is loose.

If you are worried about insufficient nutrition, or hunger, you can eat less and more meals, and pay attention to the nutritional combination of Huai carefully to ensure the balanced intake of protein, vitamins and various trace elements, and you must choose easily digestible food, try to make the food soft when cooking, do not eat too greasy and spicy food, keep the diet light, can relieve stomach pressure, Within 2 hours after eating, try to stand or sit upright, do not lie down, can reduce the symptoms of vomiting and nausea. The second type, the drug**, is mainly for the symptoms**, by taking general drugs, can not make the cardia relax to a normal state, for example, the common symptoms of the patient are vomiting, respiratory diseases, dehydration, malnutrition, esophagitis, professional medical personnel will be according to the different symptoms and severity of the patient, let the patient take reasonable drugs, and all need to adhere to the medication for a long time. The third type, surgery**, patients who have been affected by cardia laxity for a long time can choose the method of surgical lead, if after examination in a regular medical institution, it is confirmed that the physical condition is suitable for surgery**, you can choose this way.

Note that surgery is not to restore the normal function of the cardia, and it is not to restore the normal function of the cardia to be done to make a surgical call, but to reduce the symptoms of gastric esophageal reflux through surgery, such as fundoplication surgery, cardia hollow bending incision, etc., these methods are effective, but they are very traumatic to the body.

1.Internal medicine**.

Symptoms can be relieved by taking sedative and antispasmodic medications, such as oral 1% procaine solution, sublingual nitroglycerin tablets, and nifepyridine, an anti-calcium antagonist that has been tried in recent years. To prevent food from spilling into the airways during sleep, use a high pillow or raise the head of the bed.

2.Endoscopy**.

In recent years, with the deepening of the concept of minimally invasive treatment, new medical technologies and equipment have been emerging, and endoscopic ** cardia has been widely used, and many new progress has been made. Traditional endoscopic methods** can mainly include endoscopic balloon dilation and stent implantation**, microscopic botulinum toxin type A injection, and endoscopic microwave incision and sclerotherapy injection**.

3.Peroral endoscopic myotomy (POEM).

** Attitude of cardia with good results. POEM surgery has no ** incision, through endoscopic cardiac annular muscle incision, to maximize the recovery of the physiological function of the esophagus and reduce the complications of surgery, early postoperative eating, 95% of patients have been relieved of postoperative dysphagia, and the incidence of reflux esophagitis is low. Due to the short operation time, small trauma, particularly fast recovery, and reliable curative effect, POEM may be the best choice for achalasia at present.

4.Surgery**.

Surgery should be performed for patients with moderate, severe, and poor results under conventional endoscopy**. Helder surgery is still the most commonly used procedure. It can be done transthoracic or transabdominal surgery, or it can be done under thoracoscopy or laparoscopy.

The long-term complication is mainly reflux esophagitis, and many people advocate additional anti-reflux surgery, such as gastric fundus wrapping around the end of the esophagus 360 degrees (Nissen surgery) or suturing the gastric fundus to the abdominal and anterior wall of the esophagus (DOR procedure).

Disease analysis: This cardia is a result of the connection between the human stomach and the esophagus, this place has a high-pressure area of muscles, this can be anti-reflux, because the stomach needs peristalsis to mix and digest food, so this is anti-reflux, that is, to prevent food from reflux from the stomach to the esophagus, guidance:

If this cardia has flaccidity, that is, the pressure in this place is not high enough, it cannot resist reflux, and it is easy to cause food to go from the stomach to the esophagus, resulting in heartburn and even vomiting.

Department of Gastroenterology, General Hospital of Beijing Military Region.