1. When appointed?
3. How to prepare?
cholangioscopy is an informative diagnostic method that is based on a visual examination of the bile ducts using an endoscope.Currently in clinical practice is most often used holangiopankreatikografiya (extended examination of the pancreatic ducts and papillary).
holangiopankreatikografii main purpose is to diagnose abnormalities of the pancreatic or bile duct, as well as the determination of their causes.The therapeutic function is to eliminate the factors that caused the disease process, and the restoration of patency of the pancreatic and bile ducts.Stenting (recovery ductal lumen) can be carried out in one and in two steps.
One-step stenting ducts in the following cases:
two-stage stenting ducts made in the following situations:
cholangioscopy carried out with the participation of a nurse and two doctors.Premedication is to enhance the motility of the digestive system and the suppression increased salivation.In addition, before the procedure, the patient is administered sedatives and painkillers because the manipulation is carried painful and often causes anxiety, making it difficult to complete the survey.
After step sedation patient lies on his left side, then the research begins.One doctor is not available, and the process of endoscopy examination of the bile ducts and mucous membranes, and the second deals with the patient controls the X-ray machine and provides a replacement for surgical instruments.As for the nurses, it monitors the state of health of the test, as well as helping the patient to hold the desired position.
main indications are for holding cholangioscopy:
Contraindications Contraindications to cholangioscopy are:
cholangioscopy carried out on an empty stomach, so for 6-10 hours prior to the procedure the patient should refrain from eating.In addition, for 2-3 hours before the examination the patient should refrain from smoking, as nicotine contributes to the active development of gastric juice and saliva, making it difficult to study mucous membranes.
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