Zhuzhou Central Hospital took the lead in applying pancreatic imaging system to precise treatment in Zhuzhou

Red net moment December 31 (correspondent gold) Recently, 82-year-old Mr. Su Lao and 65-year-old Ms. Jiang were recently admitted to the hospital for unknown reasons for biliary stenosis, preoperative imaging examination suggested that Mr. Su Lao's obstruction was located at the end of the common bile duct, and Ms. Jiang's obstruction was located in the hepatic portal area, the cause was not clear, the previous ERCP angiography could only show the stenosis site and length, it was difficult to fully accurately judge the benign and malignant nature of the stenosis, and eventually may cause adverse consequences of delaying the condition or overtreatment. Jin Shaochun, chief physician of the Digestive Endoscopy Center of Zhuzhou Central Hospital, conducted biliary exploration under direct vision through the pancreatic bile imaging system, and finally determined that Mr. Su Lao was the inflammatory stenosis caused by the stone at the end of the common bile duct, and at the same time successfully removed the stone, while Ms. Jiang was an inflammatory stenosis secondary to surgery, which finally allowed the two patients to successfully remove the tumor hat and avoid the physical and mental damage caused by the surgical exploration to the patient.

The biliary pancreatic imaging system diagnoses and treats biliary tract diseases, visualizes the bile pancreatic duct, clears the last blind spot of the digestive tract, and marks the beginning of the era of precision medicine in the erCP examination and treatment of the central hospital. It also took the lead in applying pancreatic biliary imaging system in Zhuzhou to accurately treat patients with pancreatic biliary disease.

Jin Shaochun pointed out that the traditional ERCP diagnosis and treatment of the bilecreatic duct visit there is a blind area, can not directly judge the lesion, can only be judged indirectly by X-ray, the positive rate of cell brush scratch for the lesion is less than 50%, the application of the biliary pancreatic catheter open vision system, can clearly visit the disease of the biliary tract, and can carry out accurate biopsy, improve the detection rate of the disease, is the good news for patients with biliary pancreatic disease.

The disposable pancreatic biliary imaging system is actually an ultra-fine biliary endoscope, and this new type of biliary mirror hides mysteries and visualizes operations to break through blind spots. It is an upgraded version of ERCP technology, which mainly places a new type of biliary tract mirror into the biliary tract for direct inspection, obtains the accurate location and performs related surgery after finding the lesion, without the need for intraoperative angiography. Currently, it is suitable for large bile duct stones, some gallbladder duct stones, gallbladder irrigation and drainage, some intrahepatic bile duct stones, common bile duct multiple stones, and suspected bile duct occupancy. This technology has obvious technical advantages for "difficult" large stones, and can use laser crushing technology to break into pieces and break each one. This leading new technology in China has broken through the blind spot of the original endoscopic treatment and also allowed ERCP technology to enter a new stage.

Compared with traditional surgery, the minimally invasive ERCP surgery under direct vision of the new pancreatic biliary imaging system is smaller than that of traditional surgery, which is conducive to protecting the function of the papillary sphincter, with less bleeding and low risk; intraoperative visualization, direct observation of the biliary tract, and selection of treatment strategies; reduced radiation assistance during surgery to better protect medical staff and patients; higher efficiency of stone removal, and postoperative patients have no discomfort symptoms and fast recovery.

Zhuzhou Central Hospital Gastroenterology department took the lead in Zhuzhou City to carry out ERCP series of diagnosis and treatment technology, has been carrying out ERCP treatment for more than 30 years, the hospital endoscopy center has an independent ERCP diagnosis and treatment room, not only in terms of hardware has PHILIPS mobile C-arm X-ray machine, OLYMPUS duodenoscope (TJF-260V), ERBE Haibo knife and other advanced equipment, but also in the talent echelon training and other software aspects of the effort. Through the selection of a number of young and middle-aged backbones in the Naval Military Medical University Affiliated Changhai Hospital and the Oriental Hepatobiliary Hospital for further training, has formed a multidisciplinary diagnosis and treatment team led by gastroenterology, anesthesia and hepatobiliary surgery, in the treatment adhere to the premise of safety, small trauma, as far as possible to achieve comfortable, individualized treatment. In this national ERCP competition, not only the young physicians of the central hospital directly participated in the competition and advanced to the final, jin Shaochun, director of the hospital endoscopy center, as a well-known expert in the field of ERCP in Hunan Province, was invited to become an expert judge many times in the preliminary round and final of the southeast region, which is a full affirmation of the hospital ERCP team.