One 78-year-old female patient was admitted to hospital on June 1, 2018 due to "intermittent abdominal pain with fever for 10 days".Cholecystolithiasis after cholecystectomy is the patient's history.The patient was diagnosed with acute cholangitis and choledocholithiasis. Treatment: the patient was given fasting and anti-infection treatment after admission, and underwent endoscopic retrograde cholangiopancreatography (ERCP) on June 6, 2018 .The papilla was cut, and multiple stones and purulent secretions were repeatedly removed with stone basket and balloon. A 7.0 Fr x 20 cm plastic stent, modified by nasal biliary tube was then inserted into the bile duct. Then we performed the duodenal papilla plasty. Read More

Biopsy, upon the request of diagnosis and treatment, refers to the pathological examination technology of taking the lesion tissue samples from the body of the patient by cutting, forceps grasping, or puncturing the tissues. It is the final gold standard for disease diagnosis. Read More

Ingestion of foreign bodies or food impaction is a common gastrointestinal emergency. For the foreign bodies in the upper digestive tract, the traditional treatment methods are emergency surgical removal of foreign bodies or oral administration of some food to promote the natural expulsion of foreig Read More

The successful rate and management of complications are the core factors of whether an operation can be well promoted and benefit patients. This article focuses on Chinese endoscopic physician's experience and experience in the treatment of stenosis in ESD surgical complications in recent years. Read More

The main complication after ESD is esophageal stenosis. At present, finding better ways to prevent esophageal stenosis has become a difficult program in the world wide. Based on this, this paper briefly introduces the factors related with stenosis after ESD operation in large area of early esophageal cancer and analyzes the effect of current prevention measures for stenosis. Read More

Compared with the developed countries in Europe and America, GERD treatment in China is still dominated by drugs, and the understanding of surgical treatment is limited. Laparoscopic anti-reflux surgery (laparoscopic esophageal hiatal hernia repair and gastric bottom folding )in China is still in the promotion stage, surgeons need to participate in a lot of standardized training, to ensure the success rate of surgery, and to reduce postoperative recurrence and complications. This is an excerpt from multidisciplinary diagnosis and treatment consensus of GERD in China. Read More