In the last year, Ms. He, who is nearing the end of her life, has been feeling more and more difficult to eat, and sometimes even drinking water is difficult to swallow. Whenever she ate a meal, she felt a blockage in her heart and vomited up some of the things she ate to feel better. Other people take about a quarter of an hour to eat a meal, but it takes her half an hour or even an hour. Sometimes the morning vomit is yesterday, or even the day before the food eaten, and sour and smelly, painful. Seeing that her wife was losing weight day by day, her husband rushed to take her to the local hospital for a barium esophagus and gastroscopy. Fortunately, Ms. He did not have esophageal cancer as originally feared, but pancreatic dyscrasia. The doctor pointed to the esophagogram film and told them that the lower esophagus had the typical “rat tail sign” and there was more than 10 centimeters of barium accumulation in the lower part of the esophagus, and the obviously dilated esophagus was as thick as a child’s arm. Gastroscopy showed that a large amount of food residue had accumulated in the esophagus, and it was difficult to get into the stomach with the narrow cardia opening. After a period of esophageal cleaning and infusion treatment, Ms. He’s condition was controlled and her weight did not drop again. Local doctors advised her that the only way to solve the problem of difficulty in eating was to open the narrowed cardia, but this surgery was overkill and would probably cause new problems of acid reflux and heartburn. Her daughter, who was away at university in Beijing, was anxious to learn that her mother could not eat and had to undergo major surgery. She hurriedly searched the Internet for medical advice. On the website of CCTV Health Road, she learned that the lumpectomy department of Peking University People’s Hospital was able to treat the disease without major surgery, using minimally invasive laparoscopic surgery for ten years, and had accumulated a wealth of experience. Ms. He was quickly admitted to the ward of the old People’s Hospital in Baita Temple through the lumpectomy surgery’s foreign patient through train. After two days of careful preparation, Ms. He successfully underwent laparoscopic surgery. After the gastric tube was removed on the next day of surgery, Ms. He drank two sips of water with fear and trepidation and felt smooth and painful. On the third day after surgery, she was able to eat a liquid diet. After a week of chewing slowly and eating small amounts of food, a review of the barium meal showed that the “tight spell” of the esophagus had been completely broken, and she was finally discharged from the hospital. She was so happy and grateful that she finally opened her heart to the surgeon. It turns out that more than 20 years ago, the young woman had come to Beijing to join the northern drifters. During that time, she met her beloved “Prince Charming” and gained a heartfelt love. At the same time, there was a boy from her parents’ family in her distant hometown who had been taking care of her frail parents while she was wandering away. As time passed, it was time for them to talk about getting married. After her parents repeatedly urged her to go home for a blind date to complete the marriage, as a good girl, she had to give up her love to repay her parents for their kindness. Soon after the wedding, she would occasionally choke when she ate too quickly or when the food was a little too big. After having her own golden baby, she poured all her emotions into her daughter as much as possible. After her daughter started boarding in middle school, she had difficulty swallowing several times again, and gradually from several times a year to several times a month. Until almost a year ago, almost every day and every meal was not smooth. The experienced surgeon had already guessed the “story” in her mind because he already knew that most of these patients have a history of psychological and psychiatric trauma. Before the operation, the patient was more worried about whether the operation would be dangerous and whether it would solve the problem completely. That’s why he didn’t touch the “knot” of the unrequited love at that sensitive time. So, what is pancreatic dysostosis? It is a dysfunctional disease of the esophagus whose cause is still unknown. It is mostly triggered by psychological and psychiatric trauma. The main manifestations are dysphagia, regurgitation and chest pain. There are essentially no effective medications available to treat it. Although whale baleen was used more than 300 years ago to dilate the esophagus in order to obtain results, decades of practice of dilatation treatment and even endoscopic local injection of botulinum toxin only provide temporary relief, and most relapse after a few months as before. Surgical treatment has a history of nearly 100 years, but the huge trauma of open-heart surgery discouraged many patients. It was not until the early 1990s that modern minimally invasive laparoscopic surgery completely changed the treatment situation for this disease. Laparoscopic surgery for pancreatic atelectasis is to complete the incision of the lower esophagus and the circular muscle of the cardia through 4~5 holes of 5~10mm each in the abdominal wall to completely break the “tight spell” that hinders the downward movement of food, and to prevent acid reflux caused by reflux of gastric contents by adding a fundic fold in front of the bulging esophagus and fundic mucosa. The outstanding advantages of this method are the most reasonable technical route (lower esophageal diseases located in the abdominal cavity are solved through the abdominal cavity), the smallest overall trauma (light cardiopulmonary interference), orthopedic and anti-reflux at the same time, not only to get rid of the disease and not to add to the disease, press the gourd nor let the ladybug up.