胸部大小由脂肪细胞多少决定丰胸产品,胸部脂肪细胞多的人和少的人,究竟有何具体不同呢?关键在于“乳腺”。换句话说丰胸达人,只要乳腺发达,保护乳腺的脂肪量自然会随之增多。也就是说只要乳腺发达了,胸部自然就会增大了产后丰胸产品。可是怎么才能让乳腺发达呢?自然发育是不可能了!有很多人都说用小女人的丰胸秘籍,可是小女人丰胸秘籍是什么呢粉嫩公主酒酿蛋丰胸官网?

   +91 739 285 4998
   drrampratapsingh2308@gmail.com

Lifesavers, B-43, J-Park, Mahanagar,
Lucknow -06 (opp. Aastha Hospital)

Gastroenterology | Medical Responsive Website Templates

Ultramodern unit of CBD stone

Nowadays, endoscopic sphincterotomy combined with balloon catheters and/or baskets is the routine endoscopic technique for stone extraction in the great majority of patients. Large common bile duct stones are treated conventionally with mechanical lithotripsy, while the most serious complication of the procedure is “basket and stone impaction” that is predominately resolved surgically. In cases of difficult, impacted, multiple or intrahepatic stones, more sophisticated procedures have been used.

Large Bile Duct Stone:

The main problem that has to be solved regarding endoscopic extraction of large bile duct stones is extraction of something larger than the orifice through which access has been achieved. This is obtained by either enlarging the ampulla of vater (cutting, dilation) or reducing the size of the stone that has to be extracted (fragmentation, crushing) using adequate devices. The second problem is the size of the stone itself.

Endoscopic Sphincterotomy (EST):

It is considered worldwide as the established method, as the first step for CBD stone clearance. The size of the EST has to be adapted to the CBD and papilla size. Treated with conventional EST followed by conventional balloons and baskets, up to 90% of CBD stones can be extracted. On the other hand, EST alone for the removal of large stones (over 15 mm in diameter) is usually unsuccessful.

Endoscopic papillary balloon dilation (BD):

BD without prior EST became a popular method of stone extraction. BD is easily performed with the wire-guided method using a small diameter balloon catheter (usually 8-10 mm), dilating the papilla while intact for 45-60 s prior to EST. Some authors strongly supported that dilating the papilla without cutting it meant that papillary functions are preserved and complication rates decreased when compared to EST. It could be an alternative in a special group of patients with coagulopathy, altered anatomy or the presence of duodenal diverticuli.

Endoscopic sphincterotomy followed by large balloon dilation

In the case of large stones, a promising endoscopic technique is EST followed by large balloon dilation (ESLBD). In patients who underwent a prior sphincterotomy, dilation with large balloons to increase the diameter of the distal CBD opening into the duodenal lumen, instead of extending the already existing sphincterotomy, was found to be very safe.

Large Bile Duct Stone:

The main problem that has to be solved regarding endoscopic extraction of large bile duct stones is extraction of something larger than the orifice through which access has been achieved. This is obtained by either enlarging the ampulla of vater (cutting, dilation) or reducing the size of the stone that has to be extracted (fragmentation, crushing) using adequate devices. The second problem is the size of the stone itself.

Top