ENBD care and prevention of pancreatitis after ERCP.docVIP

 PAGE \* MERGEFORMAT 7 ENBD care and prevention of pancreatitis after ERCP Of: Luoxiu Juan Qiu Keke Wu Xiuzhu [Keywords:] Nasal bile duct drainage, pancreatitis Nursing At present, ERCP (endoscopic retrograde cholangiopancreatography, ERCP) and related technologies have become an important and effective hepatobiliary and pancreatic disease diagnosis and treatment methods. But after ERCP due to a variety of serious complications to some extent, limited the technology’s broad applications, especially in the most common acute pancreatitis .2003 January ~ July 2006, our department of 123 cases with endoscopic nasal biliary drainage (endoscopic naso biliary drainage, ENBD) prevention of ERCP pancreatitis, the effect satisfaction, now nursing are summarized below. 1 Materials and Methods 1.1 Clinical data of patients in this group of 123 cases, male 65 cases, female 58 cases, aged 30 to 79 years old. In which 69 patients with common bile duct stones, malignant biliary obstruction in 22 cases, 18 cases of gallstone pancreatitis, roundworm after removing tube 7 cases, endoscopic Oddi sphincterotomy in 7 cases. 1.2 Methods of endoscopic duodenal using OLYMPUS-V electronic microscope, using the German MEDWORK nasobiliary’s NAS 2 07 type nasobiliary. Patients were left lateral position, into the mirror to find duodenal papilla, the bile duct line imaging to determine the site of obstruction, the guide wire inserted into bile duct obstruction above, select the scope of the most abundant bile duct drainage, drainage area to determine where the ideal would be along the guide wire into the nasal duct to a predetermined location, exit the guide wire, and then X-ray bile duct into the nose under the watchful eye out duodenoscopy, and finally leads to nasal duct from the nasal cavity and fixed. 2 Care ENBD is the bipolar effect in the duodenum, biliary drainage tube decompression, early biliary decompression and drainage of a micro-invasive method of trea