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
Recently, World Endoscopy Organization, (WEO) officially announced that digestive endoscopy department of JIANGSU PROVINCE HOSPITAL was selected as "WEO - ERCP training base", which is the first WEO- ERCP endorsement Fellowship program world widely. Read More
Murphy’s Law: Anything that can go wrong will go wrong. This is appropriate for the occurrence and treatment of ERCP complications. This is a paper that takes reference from ERCP forum of Changhai Digestive Disease and Gastrointestinal Endoscopy Week& Conference of Digestive System Endoscope of Shanghai Medical Association & 22nd Chinese Symposium on Endoscopic Ultrasonography. Read More
This paper is excerpts from the research paper of Professor Sun Bo, director of endoscopy centerIn Longhua hospital affiliated to Shanghai University of Traditional Chinese Medicine. There are two main modes of EUS combined with ERCP: EUS before ERCP and EUS after ERCP. EUS before ERCPEUS before ERC Read More
Plastic Stent PlacementTechniquein Treatment of MOJ Restenosis The restenosis in malignant obstructive jaundice after metal stent implantation has the occurrence rate of 20% to 86%. The important elements that could lead to restenosis are tumor stage, obstruction position and concurrent infection. Read More
Stone retrieval basket and balloon extraction catheter have generally high successful rate in treating biliary stone diseases. However, for refractory biliary stricture, stone retrieval at one time has large difficulty accompanied with high risks.For those patients with refractory common bile duct stone, especially combined with infections in bile duct. Timely biliary drainage is one of the most important measures to save patients and to bring opportunity for subsequent treatment. Read More