What exactly is ERCP surgery assisted by an interventional C-arm X-ray machine?

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When many patients suffer from gallstones or pancreatic problems, they often hear doctors recommend ERCP. What exactly is ERCP surgery assisted by an interventional C-arm X-ray machine? What are its advantages over traditional surgery? What diseases is it suitable for?

ERCP (endoscopic retrograde cholangiopancreatography) is a minimally invasive procedure that combines endoscopic and interventional C-arm X-ray machine technology to diagnose and treat biliary and pancreatic diseases. This technique avoids the major trauma caused by traditional laparotomy and provides patients with a relatively safe and effective treatment option.

What is the operation process?

  1. Pass the duodenoscope through the mouth, esophagus, stomach, and finally reach the descending part of the duodenum.
  2. Find the duodenal papilla and insert an incision knife or guidewire into the bile duct or pancreatic duct through the biopsy channel of the endoscope.
  3. With the help of interventional C-arm X-ray machine, real-time imaging is performed to ensure accurate display of the bile and pancreatic duct structure.
  4. Based on the image guidance of the interventional C-arm X-ray machine, doctors can diagnose and treat common bile duct stones, pancreatic duct stones, stenosis, and benign and malignant tumors.

Interventional C-arm X-ray machine images

In what aspects is the operational difficulty of ERCP reflected?

  1. ERCP uses side-view mirrors, a very special type of endoscope, which is like having eyes at the back of the head but driving a long distance.
  2. It is difficult to enter after finding the opening of the bile and pancreatic duct. It does not mean that you will reach the end point if you go in the right direction. There are a thousand Hamlets in the minds of a thousand readers; there are a thousand kinds of bile and pancreatic duct openings in a thousand patients, which requires rich clinical experience.
  3. ERCP also has a certain risk of complications. How to prevent, identify and deal with complications also requires the accumulation of long-term clinical experience.

What exactly is ERCP surgery assisted by interventional C-arm X-ray machine?

Compared with traditional surgery, what are the advantages of ERCP?

Less trauma: ERCP can treat bile and pancreatic diseases, and even gallbladder diseases, through the natural orifice without destroying the normal physiological anatomical structure, and does not even require drilling like laparoscopy. Therefore, ERCP is less invasive, especially for children, pregnant women, and young people. It is especially good for patients who are old and frail and cannot tolerate surgery.
Repeatable surgery: For patients with bile duct stones and pancreatic duct stones, due to the disordered internal environment and the constitution of the stones, even if the stones are removed cleanly, they will easily grow stones again. They cannot do it after one surgical operation, which will leave scars everywhere. There are adhesions, but we can repeat ERCP many times with little harm.
What diseases is ERCP suitable for?

Biliary tract diseases: bile duct stones, obstructive jaundice, suppurative cholangitis, benign and malignant bile duct strictures
Pancreatic diseases: biliary pancreatitis, chronic pancreatitis, pancreatic pseudocyst, benign and malignant pancreatic tumors, pancreatic schizophrenia
Liver diseases: liver cancer with tumor thrombus, liver transplantation.
Biliary fistula and pancreatic fistula caused by various hepatobiliary surgeries.

Clinical application of interventional C-arm X-ray machine in China

As a national brand that has been deeply involved in medical imaging for more than 20 years, Puai Medical contributes the power of “Intelligent Manufacturing in China” in promoting the development of ERCP technology. Its series of interventional C-arm X-ray machines provide high-performance imaging capabilities for minimally invasive surgeries such as ERCP, ensuring that doctors can obtain clear real-time images for precise treatment. Puai Medical’s interventional C-arm X-ray machine has been used in many medical institutions at home and abroad, helping hospitals successfully carry out ERCP surgeries.

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