Take the stone in the mouth, the Longhua District Central Hospital successfully implemented a case of ERCP gallbladder

Recently, 32 -year -old Mr. Yin was more obvious due to repeated abdominal pain, especially at night pain, which seriously affected sleep. He came to our hospital for consultation. After the doctor passed the CT and magnetic resonance examination, the diagnosis was diagnosed as a total bile duct stones. Mr. Yin learned that the Department of Gastrointestinal Medicine could perform ERCP stone. You can take out stones through "doing gastroscopy". High -efficiency, minimally invasive, and painful pain can be transferred to the digestive medicine treatment with the mentality of trying.

Under the guidance of Director Xiong Ying and Deputy Director Zhu Qian, Director Deng Weiping led the surgery team to perform ERCP gallbladder in the interventional room for the patient. The operation was very smooth. The whole process was less than 50 minutes. Pain discomfort. At present, the patient recovery is better, and the hospital can be discharged in one week.

Director Deng Weiping is performing ERCP surgery operation

Surgical team assisted and cooperated with each other

The gallbladder stones taken out, excreted from the body from the intestine

What is ERCP bile gangs?

Insert the duodenoscopy through the mouth to the duodenum (for the patient as the gastroscopy), find the duodenal nipples, insert the guide wire and the nipple muscle through the nipple mouth to the bile tube, Injecting the contrast agent, the sizes and sizes of the stones of the gallbladder tube are displayed under the X line. Then perform duodenal nipple sphincter sphincter. If necessary, then duodenal and nipple expansion surgery is performed. Finally, use the net basket to enter the gallbladder pipe set to take the stones, pull the stones out of the bile tube, or use the stone balloon to enter the bile gangsca. , Drag the stones out of the bile tube, the stones enter the intestine and are excreted from the body.

What are the indications of ERCP?

1. Biliary stones

2. Obstruct jaundice

3. Biliary tumor

4. Biliary tract injury, gallbladder deformity, gallbladder slices after gallbladder leakage.

5. Plastic syndrome after biliary

6. Baldius tapeworm

7. Reasons of unknown pancreatitis and other pancreatic diseases, such as pancreatic tube stenosis, pancreatic duct stones, etc.

8.ODI sphincter functional disorders

9. Organizational inspection of pancreatic or bile ducts

ERCP gallbladder chassis advantage

ERCP has a short operation time, and there is no wound in vitro skin. There are basically no bleeding. Generally, normal diet activities will be restored on the third day after surgery, and you can be discharged in one week.

This technical advantage is: minimally invasive, small pain, fast recovery, and can take out the biliary stones without opening abdominal surgery; extensive indications, without restrictions on abdominal adhesion and aging weakness after multiple operations.

Department introduction

There are currently 38 medical staff in the Department of Gastroenterology of Longhua District Central Hospital, including 1 high -level talent in Longhua District, Shenzhen, 2 people in the high -level titles, 6 deputy high -level titles, 20 junior titles, 4 doctoral degrees, 4 doctoral degrees , 7 master's degree.

The department has advanced diagnosis and treatment equipment, Olympus electronic endoscopic system, Fujinon electronic endoscopic system, routinely carry out gastrointestinal colonoscopy, ultrasonic endoscopic examination, capsule endoscopy, upper digestive bleeding endoscopic hematopoietic treatment, esophageal vein curvature curvature Endoscopy 疗 Treatment (EVL) and tissue glue injection treatment, digestive polyps removal, digestive tract early cancer ESD surgery, ERCP gallbladder tube quiz stone take and drainage therapy, endoscopic diagnosis reached the advanced level of the third -level hospital in the city.

At present, there are 40,000 outpatients in the specialty; 32 are open beds, more than 2,000 patients discharged in the annual discharge; the number of diagnosis of endoscopic is 20,000.

The department is a key discipline (construction unit) in Longhua District of Shenzhen. It is a member of the Standing Committee of the Guangdong Gastroenterology Branch. We will focus on digestive endoscopy and minimally invasive therapy. Talent training and echelon construction are the core, creating a "patient satisfaction, first -class service, and superb technology" digestive specialty.

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