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publicado em 12/01/2013 às 10h00:00
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Cholangiopancreatography technique begins with surgery in a public hospital in TO

Hospital General Public Palmas proceeds to perform the minimally invasive procedure with little morbidity

 
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Foto: SES/TO
Procedure at General Hospital Public Palmas in which the patient underwent a surgical procedure to remove a calculation endoscopy in the biliary tract by ERCP technique
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Procedure at General Hospital Public Palmas in which the patient underwent a surgical procedure to remove a calculation endoscopy in the biliary tract by ERCP technique

The Public General Hospital of Palmas, Tocantins began performing the endoscopic procedure with the technique endoscopic retrograde cholangiopancreatography or ERCP. Before the service was outsourced and those treated in Araguaína. With the purchase of the equipment duodenoscope care shall be done at the hospital with the health team is headed by the endoscopist Edson Osshiro, only expert in the implementation of this test in the clinic.

A 52 year old patient was the first in HGPP to be submitted to endoscopic surgical procedure to remove a calculus in the biliary tract. Osshiro evaluates the procedure as minimally invasive and less morbidity. Besides the benefits to patients, the government cut costs, he said.

As a rule, the most common reasons to perform an ERCP include the removal of calculi bile ducts (most common cause), the need to detect stenosis (narrowing), obstructions and irregularities lesions of the bile ducts and of bile flow and changes pancreatic when symptoms are present that might suggest. Evaluates still cases of jaundice when suspected involvement of the bile ducts, performing biopsies and explain findings from other tests.

Procedure <b> </ b>

The mean duration of the procedure is about 1h30, except situations especiais.No day immediately following the procedure or, in the absence of clinical complications, the patient is discharged.

ERCP is performed in a room equipped with X-rays, with the patient lying on the abdomen. The duodenoscope is inserted through the patient's mouth until the second portion of the duodenum.

A light source and a video camera that transmit magnified images and high definition to a monitor in the room where the test is performed. A catheter is introduced to assess the radiological anatomy and biliary duct of Wirsung by admistração radiopaque contrast through the catheter gun followed by serial chest radiographs of the abdomen.

Source: Isaude.net
   Palavras-chave:   Cholangiopancreatography    Endoscopist    Duodenoscope    General hospital    Tocantins   
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