{"id":45483,"date":"2024-09-13T07:00:55","date_gmt":"2024-09-13T07:00:55","guid":{"rendered":"https:\/\/cardiacinstitute.bg\/?p=45483"},"modified":"2024-09-13T07:02:33","modified_gmt":"2024-09-13T07:02:33","slug":"non-surgical-removal-of-a-large-bile-duct-stone-performed-by-a-multidisciplinary-team-at-heart-and-brain","status":"publish","type":"post","link":"https:\/\/cardiacinstitute.bg\/ro\/2024\/09\/13\/non-surgical-removal-of-a-large-bile-duct-stone-performed-by-a-multidisciplinary-team-at-heart-and-brain\/","title":{"rendered":"\u00cendep\u0103rtarea non-chirurgical\u0103 a unui calcul biliar de dimensiuni mari efectuat\u0103 de o echip\u0103 multidisciplinar\u0103 la \u201eInim\u0103 \u0219i Creier&#8221;"},"content":{"rendered":"<p>Gastroenterologii de la\u00a0<b>\u201e<\/b>Inim\u0103 \u0219i Creier<b>&#8222;<\/b> Burgas au efectuat pentru prima dat\u0103 distrugerea cu laser a unei pietre biliare de dimensiuni mari la un pacient cu o piatr\u0103 biliar\u0103 detectat\u0103 \u00een timpul unei examin\u0103ri anterioare. Aceasta este a doua \u00eencercare de \u00eendep\u0103rtare a masei, dup\u0103 ce medicii au considerat c\u0103 manipularea nu poate fi efectuat\u0103 \u00een mod tradi\u021bional prin \u00eendep\u0103rtarea cu un balon sau un co\u0219 metalic. Cu ajutorul unui colangioscop, un endoscop sub\u021bire prin care se pot vedea c\u0103ile biliare, piatra este vizualizat\u0103 \u0219i ulterior fragmentat\u0103 cu ajutorul unei fibre laser (laser Tullium) \u0219i a echipamentului pus la dispozi\u021bie de departamentul de urologie. Pacientul \u0219i-a revenit \u00een doar dou\u0103 zile \u0219i a fost externat f\u0103r\u0103 complica\u021bii dup\u0103 procedur\u0103. Astfel, a fost evitat\u0103 interven\u021bia chirurgical\u0103, care este, de obicei, sever tolerat\u0103 \u0219i duce la prelungirea \u0219ederii \u00een spital.<\/p>\n<p><b>\u00cendep\u0103rtarea non-operatorie a pietrelor din c\u0103ile biliare<\/b><\/p>\n<p>Boala de calculi biliari este frecvent\u0103. Atunci c\u00e2nd se g\u0103sesc concre\u021biuni ale vezicii biliare, pacien\u021bii sunt supu\u0219i unui tratament chirurgical. Cu toate acestea, atunci c\u00e2nd forma\u021biunile patologice ajung \u00een c\u0103ile biliare, acestea provoac\u0103 \u00eeng\u0103lbenirea pielii \u0219i a ochilor \u0219i, \u00een aceste cazuri, fac obiectul gastroenterologiei. Pentru \u00eendep\u0103rtarea pietrelor din c\u0103ile biliare se efectueaz\u0103 o procedur\u0103 extrem de specializat\u0103 numit\u0103 colangiopancreatografie endoscopic\u0103 retrograd\u0103. \u00centr-un procent deloc neglijabil de cazuri, speciali\u0219tii \u00eent\u00e2lnesc concre\u021biuni mari (mai mult de 15 mm) care nu pot fi \u00eendep\u0103rtate doar prin aceast\u0103 metod\u0103. Departamentul de gastroenterologie din cadrul complexului spitalicesc de \u00eenalt\u0103 tehnologie \u201eInim\u0103 \u0219i Creier\u201d din Burgas dispune de echipamente suplimentare, a\u0219a-numita colangioscopie, cu ajutorul c\u0103reia sunt examinate c\u0103ile biliare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gastroenterologii de la\u00a0\u201eInim\u0103 \u0219i Creier&#8222; Burgas au efectuat pentru prima dat\u0103 distrugerea cu laser a unei pietre biliare de dimensiuni mari la un pacient cu o piatr\u0103 biliar\u0103 detectat\u0103 \u00een timpul unei examin\u0103ri anterioare. Aceasta este a doua \u00eencercare de \u00eendep\u0103rtare a masei, dup\u0103 ce medicii au considerat c\u0103 manipularea nu poate fi efectuat\u0103 \u00een [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[183],"tags":[],"class_list":["post-45483","post","type-post","status-publish","format-standard","hentry","category-stiri"],"_links":{"self":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/45483","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/comments?post=45483"}],"version-history":[{"count":2,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/45483\/revisions"}],"predecessor-version":[{"id":45485,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/45483\/revisions\/45485"}],"wp:attachment":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/media?parent=45483"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/categories?post=45483"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/tags?post=45483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}