Endoscopic retrograde cholangiopancreatography successful in an 84-year-old patient

At noon on April 18, Hospital 199 (Da Nang) performed a successful endoscopic retrograde cholangiopancreatic intervention on an 84-year-old female patient. This is the first time this technique has been performed at Hospital 199, Ministry of Public Security with the support of experts from Hue Central Hospital and Kyoto Katsura Hospital (Japan).

Hospital 199 (Da Nang) successfully performed endoscopic retrograde cholangiopancreatography on an 84-year-old female patient. Photo: Han River

An 84-year-old female patient (in Son Tra district, Da Nang city) was admitted to the hospital with severe epigastric pain, right lower quadrant, abdominal distension, and vomiting many times. Here, the patient was clinically evaluated by doctors and medical experts, had blood tests, ultrasound, and hepatobiliary CT scan and was diagnosed with: bile duct stones, severe biliary tract infection. The patient’s condition requires early intervention and treatment.

Therefore, the patient was referred for surgery using endoscopic retrograde cholangiopancreatography. The interventional endoscopy was performed by leading experts in hepatobiliary medicine at Hue Central Hospital, namely Doctor II Tran Nhu Nguyen Phuong, Master Doctor Pham Nhu Hien. With Dr. Yoshitaka Nakai – Kyoto Katsura Hospital (Japan) and a team of doctors from the Department of Gastroenterology, Hospital 199.

Within 45 minutes of intervention, the team successfully removed a 9.2mm bile duct stone to the duodenum, helping the patient restore biliary circulation. After intervention, the patient recovered well and was monitored at the Department. It is expected that the patient can be discharged from the hospital 2 days later.

According to MSc Hoang Phuong Thuy, this is the first successful case of endoscopic retrograde cholangiopancreatic intervention to remove common bile duct stones at Hospital 199. Hue Central Hospital’s experts are all leading experts in the field of common bile duct stones. digestive endoscopy, especially complex techniques such as endoscopic retrograde cholangiopancreatography. In the coming time, Hue Central Hospital will continue to accompany and support Hospital 199 of the Ministry of Public Security to perform endoscopic retrograde cholangiopancreatography. Experts further recommend: “The patient’s condition has Biliary tract stones, if not treated, can cause biliary tract infection and biliary obstruction. In these cases, intervention is required. Intervention methods can include open surgery or intervention through endoscopic retrograde cholangiopancreatography. However, the current endoscopic retrograde cholangiopancreatography method is more effective and better, especially for older patients.”

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