ʻO nā mea hoʻoheheʻe ʻo Gastroscope i ka pahu hoʻoheheʻe pōhaku i hoʻohālikelike ʻia no Ercp

ʻO ka ERCP no ka wehe ʻana i nā pōhaku bile he ala koʻikoʻi no ka mālama ʻana i nā pōhaku bile duct maʻamau, me nā mea maikaʻi o ka liʻiliʻi invasive a me ka hoʻōla wikiwiki.ERCP e wehe i nā pōhaku Dule BIL e hoʻohana i ka hopena e hōʻoia i ka nui o nā poki,ʻO nā ʻano kikoʻī penei:
1. Ka wehe 'ana ma o ka lithotripsy: wehe 'ia ka duct bile ma'amau i loko o ka duodenum, a aia ka sphincter o Oddi ma ka mahele ha'aha'a o ka duct bile ma'amau i ka wehe 'ana o ka duct bile ma'amau.Inā ʻoi aku ka nui o ka pōhaku, pono e hoʻokaʻawale ʻia ka sphincter o Oddi e hoʻonui i ka wehe ʻana o ka duct bile maʻamau, kahi kūpono i ka wehe ʻana i ka pōhaku.I ka wā i nui ai nā pōhaku i hiki ke wehe ʻia, hiki ke wāwahi ʻia nā pōhaku nui i nā pōhaku liʻiliʻi ma ka ʻoki ʻana i nā pōhaku, kahi kūpono no ka wehe ʻana;
2. Ka wehe ʻana i nā pōhaku ma o ka ʻoki ʻana: Ma waho aʻe o ka mālama ʻana i ka choledocholithiasis endoscopic, hiki ke hana ʻia ka choledocholithotomy invasive liʻiliʻi no ka wehe ʻana i nā pōhaku ma o ka ʻoki ʻana.
Hiki ke hoʻohana ʻia nā mea ʻelua no ka mālama ʻana i nā pōhaku bile maʻamau, a pono e koho ʻia nā ʻano like ʻole e like me ka makahiki o ka mea maʻi, ke ʻano o ka dilatation bile duct, ka nui a me ka helu o nā pōhaku, a inā paha ka wehe ʻana o ka ʻāpana haʻahaʻa o ka ʻAʻole keakea ʻia ka ʻawa bile maʻamau.