With What Is Biliary Tract Disease Examined
Oct 16, 2022
It has sensitivity and specificity for the diagnosis of common biliary tract diseases. Check gallbladder, need to fast 12 hours, 4 hours of tight drink, the previous day dinner should eat light vegetarian. 2. Percutaneous transhepatic cholangiography can clearly show the intrahepatic and extrahepatic bile ducts and the site of obstruction, which is an important diagnostic technique in current biliary surgery. However, there may be complications such as bile leakage, bleeding and biliary tract infection, so coagulation function and vitamin K should be checked before operation. Use antibiotics when necessary; Prepare for exploratory laparotomy, and deal with emergency complications such as biliary peritonitis and bleeding in time. Percutaneous liver puncture catheter drainage can drain bile and relieve jaundice. 3. Endoscopic retrograde cholangiopancreatography (ERCP) is performed by using fiberduodenoscope to intubate the papilla into the bile duct or pancreatic duct through the papilla for direct retrograde angiography, which can understand the condition of the duodenal papilla, clearly display the biliopancreatic duct system, and identify the location and lesion extent of intrahepatic and extrahepatic bile duct obstruction. This examination can induce acute pancreatitis, cholangitis, intestinal perforation and other complications. 5. Common bile duct exploration after cholecystolithiasis or acute cholecystitis, if common bile duct lesions or stones are suspected, and the gallbladder is removed, common bile duct exploration should be performed to confirm. T-tube drainage is usually required after common bile duct exploration. 6. When the calcium content of X-ray plain film is high, mixed stones can be developed.
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