【Sanshui Renyi】Biliary tract disease without surgery? Learn about ERCP

With the change of my country’s population structure, there are more and more elderly patients with biliary tract disease in clinical practice. Cholangiography), which can solve problems for patients with biliary tract disease without surgery.

From Foshan City Since the Gastroenterology Department of Sanshui District People’s Hospital started ERCP, it has solved the problem for many patients with biliary tract disease. In March this year alone, three elderly patients were hospitalized in the Department of Gastroenterology due to abdominal pain and discomfort caused by biliary tract disease. They are 95 years old and 96 years old respectively. In the early stage of admission, they experienced a sharp aggravation of bile duct obstruction caused by stones in the lower segment of the common bile duct, and they may turn into acute obstructive suppurative cholangitis at any time. Dangerous; while another patient, 81-year-old Grandpa Li, has been hospitalized for several times due to obstructive jaundice and biliary tract infection caused by stones in the lower segment of the common bile duct. Grandpa’s total bilirubin, transaminase, and infection indicators are still gradually rising, which are higher than those in the previous hospitalization. It can be seen that the condition is still progressing.

The complications caused by the bile duct stones of the three elderly people are threatening their lives, and surgical treatment is imminent. The director of the Department of Gastroenterology, Yao Fanbao, chief physician, has ruled out the contraindications of surgery after understanding the conditions of the three patients in detail. After obtaining the consent of their respective families, it was decided to urgently perform ERCP treatment for them. The three elderly patients underwent biliary stent implantation to relieve the biliary obstruction and successfully removed the stones in the lower segment of the common bile duct. , transaminase, infection indicators, etc. gradually decreased until normal, and finally discharged smoothly.

There is also a middle-aged male patient who was hospitalized due to pancreatic tumor-induced biliary obstruction and acute pancreatitis. Considering that the patient’s cause was pancreatic tumor, the patient and his family did not agree to undergo surgery for the time being. Biliary duct obstruction, the patient’s abdominal pain, acute pancreatitis, etc. will still recur, after obtaining the consent of the patient and family members, ERCP surgery is performed, and the patient is placed with a biliary duct stent to relieve biliary tract obstruction during the operation. , Temporarily improved abdominal pain and other symptoms for the patient, the patient recovered well after the operation and was discharged smoothly.