Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Patient is female, 55 years old, 1. had a cholecystectomy 30 years ago (Jiashan Second People’s Hospital). 2. The patient has been suffering from chronic gastritis and moderate atrophic gastritis for more than 10 years. 3. In March 2010, she suffered from acute pancreatitis and was treated at Jiaxing First Hospital, where she was hospitalized for about 1 month, but the cause of the disease was not found. 4, 2012 to Jiaxing First Hospital treatment was found to have acute viral hepatitis, 30 years ago the gallbladder surgery design line is defective, resulting in backflow to the bile ducts, causing inflammation, often fever, vomiting. 1, after gallbladder removal, people are prone to fever and feel stuffy at the bottom of the heart, as if there is a gas, but the manifestation symptoms are not too obvious. after October 09, the number of fever increased, after October 11, basically about 10 days fever once, accompanied by vomiting. Jiaxing First Hospital concluded that the cause of the patient’s frequent fever and vomiting was a defect in the design of the gallbladder removal surgery line 30 years ago, which led to backflow of food into the bile ducts and caused inflammation, hence the frequent fever and vomiting. Do I need to have a new surgery to change it and is it risky? Are there any other treatment options? Zhou Guangwen, Department of General Surgery, Shanghai First People’s Hospital: My opinion is that the bile reflux is causing retrograde infection, can you come to me to check to see if you need surgery to solve the problem. Patient: Hello Dr. Zhou, if surgery is needed, is it risky? The attending doctor at Jiaxing First Hospital said that the surgery is quite big and Jiaxing side cannot afford to continue the treatment and can only stabilize the condition. Since we are in Jiaxing and our family members are at work, I would like to learn more about the possible treatment options. Can I make an appointment online? Zhou Guangwen, Department of General Surgery, Shanghai First People’s Hospital: You can get as comprehensive tests as possible in Jiaxing, and these tests can be waived in my office. Patient: Thank you, Dr. Zhou! Nowadays, doctors like Dr. Zhou are really rare, I was really surprised. Now we are at Shanghai First People’s Hospital South, preparing for the surgery! Thank you so much!