A sudden change caused Xiao Luo (pseudonym), who had just entered the university campus, to fall to the bottom of his life. To treat the rare Castleman's disease, he underwent open surgery, but after the surgery, he developed serious complications - gastroparesis, which left him with no choice but to rely on a nasogastric tube to deliver enteral nutrition to sustain his life, and his studies were interrupted as a result. Is life going on like this? Xiaoluo found a new possibility at Zhongshan Hospital affiliated with Fudan University. Last September, Xiaoluo accidentally discovered a lump in his abdomen during the entrance examination. Further diagnosis confirmed him as Castleman's disease, a rare reactive lymphadenopathy that requires surgical treatment. Due to the dense adhesion around the tumor, the nerve on the right side of the cardia was also severed during the surgical removal of the tumor, resulting in postoperative gastroparesis. This makes Xiaoluo unable to eat normally and can only rely on nasogastric feeding tubes for enteral nutrition support. How will the nasal feeding tube, which is permanently insulated from food and cannot be removed before the age of 20, change his life? The family couldn't accept it and took Xiao Luo to seek medical treatment everywhere, trying various Chinese and Western medical methods, but the effect was minimal. Xiao Luo's family accidentally learned that Director Zhou Pinghong of the Endoscopy Center at Zhongshan Hospital affiliated with Fudan University is skilled in using G-POEM method to treat gastroparesis. In late July, they found Zhou Pinghong's outpatient clinic. At this point, he has been managing his life for 8 months. Zhou Pinghong believes that Xiaoluo's gastroparesis is caused by nerve damage that impairs the peristalsis and emptying movement of the stomach, making it impossible to push food through the pylorus (the outlet of the stomach) through its own movement. The pylorus is the junction of the stomach and small intestine, with a relatively small lumen. Although the lack of gastric motility caused by nerve damage is difficult to fully recover, a new approach can be taken by releasing the pylorus to reduce the resistance to food excretion, ultimately achieving the goal of oral feeding. The treatment of this disease usually requires cutting off the pyloric sphincter, and Zhou Pinghong believes that the use of G-POEM, a minimally invasive endoscopic surgery, can release the muscle ring that controls the flow of gastric contents to the small intestine, allowing food to freely enter the intestine through the pylorus and effectively treat gastric paralysis. On the day of the surgery, Zhou Pinghong ingeniously created a "tunnel" in the submucosal layer of the patient's gastric antrum, successfully separating the submucosal layer. Then, under direct visualization of gastroscopy, she passed through the world's smallest "tunnel" to reach the pyloric sphincter, incising the circular muscle to open the "closed" portal, and finally closing the mucosal incision with a metal titanium clip. The entire surgery requires extremely high precision and skill, and the surgical team, anesthesia team, and nursing team work closely together to ensure the smooth progress of the surgery. In just two days after the surgery, Xiaoluo was able to drink water and eat liquid food normally, with stable physical condition and no abnormal reactions. After one week of discharge, his diet has basically returned to normal. Now, Xiaoluo has completely overcome the shadow of illness and returned to a normal life and study. Just a few days ago, he once again joined the gathering of his classmates. Xiao Luo and his family are extremely grateful to Director Zhou Pinghong for her superb medical skills and noble medical ethics. (New Society)