Gastroenterology

ERCP. extraction of lithiasis from the VBP

Biliary lithiasis and its complications are very frequent reasons for  medical consultation. It can manifest as a simple vesicular colic or have urgent connotations such as acute cholecystitis and lithiasis of the main bile duct known as VBP, with its most severe forms: acute pancreatitis and cholangitis.
The treatment of vesicular lithiasis and its complications has evolved considerably in recent years. A very frequent complication of vesicular lithiasis is the presence of stones in the main bile duct VBP
The treatment of lithiasis of VBP was exclusively surgical until a few decades ago. In recent years, endoscopic treatment has become the first option in choledochal lithiasis, both with in situ or cholecystectomized vesicles. The results obtained are regularly higher than those obtained by operative means.
MEDICAL PROGRAM
Hospitalization (2 days)
Hospitalization in private room (nursing care and meals)
Inpatient medical care. (medical round visit)
Initial evaluation and preparation of clinical history
Other medical checkups by specialists in
Anesthesiology
Gastroenterology
Re-checkup by  specialist.
Basic preoperative investigations.
Minimum coagulogram
Erythrosedimentation
Complete Hemogram
Creatinine
Glicemia
Determination of blood group ABO and RH
Quantitative Serology (VDRL)
Test. Antibodies against HIV-1/2
Alkaline Phosphatase
GammaglutamylTransferrase
TGP
TGO
Total and Direct Biliburrubin
Chest x-ray
Electrocardiogram
Imaging Investigations
Ultrasound of the liver and bile ducts
Gastroenterological Investigations
Endoscopic retrograde cholangiopancreatography (ERCP)
Endoscopy. General anesthesia
Biliary sphincterotomy
Extraction of bile duct stones
Medical report conclusions and recommendations
Note: Accommodation of the patient's companion: 40.00 CUC per day (meals included)
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery.
The Institute of Surgery for Minimum Access of Cuba, offers the possibility of extracting lithiasis from the biliary via
ERCP. Extraction of Lithiasis of the Main Vile duct or VBP
Minimal Access Surgery
TREATMENTS RELATED TO MINIMUM ACCESS SURGERIES
Unilateral Inguinal Hernioplasty
Nasal Polypectomy.
Resection of Hypofisiary Tumor
Laparoscopic Hysterectomy.
Resection of Transuretal Prostate
ERCP + Removal of Lithiasis from Pancreas
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Patient
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