ERCP technology is a breathtaking revolution, which not only makes the diagnosis of biliary and pancreatic diseases more accurate, but also can be treated endoscopically, eliminating the need for surgery, avoiding the disadvantages of high risk, trauma, slow recovery and many complications of surgery.

In 1968, American doctors successfully applied duodenoscopy for the first time to intubate, marking the beginning of ERCP, and then ERBD, EST and ENBD technologies were completed by experts from Germany and Japan respectively, and the ERCP series of diagnosis and treatment techniques were gradually improved.

In the early 80s of the last century, Professor Yu Zhonglin and Professor Lu Huanzhang began to introduce ERCP related treatment technology, and after more than 40 years of development, China's ERCP operation level has reached or even surpassed that of foreign countries.

After all, China has a huge number of patients, and the basic national conditions are different from those in other countries.

There are also many people abroad, but whether they can see a doctor or not depends first of all on whether they have money. Many people claim to be free medical treatment abroad, and this kind of thing also deceives people, and so many people who fly back to China for appendectomy every year go to the sea.

The experience gained from 10 ERCP surgeries a week is completely different from that of nearly 100 ERCP surgeries a week.

Foreign high-end technology is indeed high, but when it comes to the most basic treatment, there is another situation - the high is too high, and the low is too low.

In Wu Mian's view, the reason for the rapid development of foreign high-end technology is because of the needs of the rich. They don't care how much they spend, they only care about how many more years they can live.

As for those who don't have money...... Those are all means of production, not people. At this point, Mr. Ma has already made various arguments.

Wu Mian just pondered this idea by himself and didn't tell anyone.

Since ERCP technology has been basically developed and perfected, ERCP has not made substantial progress in the past 10 years, and it seems to have entered a bottleneck of development.

The bile and pancreatic ducts are referred to by doctors as "the last blind spot of the digestive tract."

Because the pancreas and bile ducts are "hidden" by organs such as the liver and stomach, it is very difficult to examine. At present, there are still some diseases of the biliary and pancreatic duct system that cannot be diagnosed by ERCP and MRCP, and there are still limitations for complex biliary tract diseases.

In recent years, the emergence of Spyglass is a highlight, which can perform biliary and pancreatic endobiopsy and even lithotripsy treatment under direct vision, breaking through the blind spot of the original endoscopic treatment.

SpyGlassDS stands for Transoral Biliary Pancreatic Direct Vision System, which can be said to be the third eye of endoscopists.

This system can enter the bile duct or pancreatic duct through the biopsy orifice of the duodenoscopy, so as to achieve direct vision and precision, so that the doctor can clearly observe the bile and pancreatic duct area at any time, eliminate the blind spot of the previous bile and pancreatic duct, and improve the ERCP technology.

Wu Mian listened to Xue Chunhe's introduction and said that Director Liang of the Digestive Endoscopy Department of the Second Hospital of the Medical University had made a list and bought a SpyGlassDS.

After that, he became interested, after all, the SpyGlassDS system appeared very late, and even some hospitals in the United States that were slightly worse were not popularized. Unexpectedly, it had been introduced in Montenegro Province, so he stopped by to take a look.

After entering the door to change clothes, seeing that Director Liang was looking at the image of the ultrasound gastroscopy in a daze, Wu Mian instantly understood what was going on, and he reminded in a low voice.

"Teacher Wu. Director Liang turned around and looked at Wu Mian in surprise.

I was surprised that my luck today was really bad, a misdiagnosis, and the current old patient's diagnosis was not clear, which had to leave a bad impression on Mr. Wu.

I'm afraid that I'm getting farther and farther away from the new hospital in Yaizi.

Now it's not that I hesitate and choose at all, but that Mr. Wu doesn't look down on me at all.

Happily, Mr. Wu is here, and I can ask for advice by the way, whether it is my own feeling or whether the patient really has a problem.

"Well, Director Liang, do you have any other problems with the patient's pancreas?" Wu Mian asked.

After a brief introduction to the patient's situation, Director Liang said, "Mr. Wu, I don't think there's anything wrong, but I still think there's a problem. ”

"What's the problem?" Wu Mian looked at Director Liang with a smile.

Director Liang was stunned for a moment, and asked ...... Small talk? Or examine yourself?

There is a problem, it is just an intuition based on years of accumulated clinical experience. But if you have to explain clearly where there is a problem, Director Liang will not be able to catch it.

Wu Mian didn't speak, just looked at Director Liang.

An aura of embarrassment permeated the surroundings, and Director Liang didn't know what Teacher Wu meant, and his anxious back kept sweating.

"The ......"

There was silence for more than ten seconds, and it seemed like a year had passed to Director Liang. He stammered, "That ......"

"Which one?" asked Wu Mian as if he was joking.

"Uh......" Director Liang saw that Wu Mian did not have a serious expression, but only smiled gently. The smile is so good-looking, he can feel that the eyes of the little nurses around him always converge on Teacher Wu from time to time.

Alas, it's no wonder that the single little nurses are actively going to Yaizi. If nothing else, the sight-catcher alone is enough.

But he asked himself directly, "which", which is a bit rude.

"Teacher Wu, I have the courage to say, please correct me if you are right or wrong. Director Liang said, "The patient is an old patient, who has been treated with me for many years, and I have a vague impression of his image data. ”

Wu Mian didn't interrupt Director Liang's words, just listened.

"Ultrasound gastroscopy shows pancreatic echogenic thickening and pancreatic duct dilation, and the diagnosis of chronic pancreatitis is definitely correct. But the overall pancreas looks a little rough, which makes me feel ...... Not beautiful. Director Liang thought about it for a long time, but he couldn't find the right words to describe the feeling in his heart, and finally he could only use "not beautiful" to describe it.

"Director Liang, your level is very high. Wu Mian nodded and said very seriously.

To Director Liang's surprise, Wu Mian did not ridicule his "ridiculous" statement, but was recognized.

The level is very high? A sentence that doesn't look like a doctor saying at all, it's not beautiful, it's a high level?

Director Liang looked at Wu Mian in surprise, wondering if he was talking back.

"Where did Director Liang learn the direct vision system through oral biliary pancreatic endoscopy?" asked Wu Mian.

"Magic City. ”

"Well, the magic capital is from the Department of Gastroenterology, and he has already carried out research on the transoral biliary pancreatic direct vision system. How many cases have you done yourself?" Wu Mian continued to ask.

Director Liang suddenly sweated profusely.

Wu Mian's gaze was direct and honest, without the slightest hostility, which made Director Liang feel a little warm.

He thought about it, and finally said the truth, "Teacher Wu, I have operated 3 cases in the magic capital by myself. I came back to apply, with the support of Dean Xue, I only arrived 1 month ago through the oral biliary pancreatic direct vision system, and I have not found a suitable patient recently. ”

A new system has just been bought, and the indication I must be looking for is the kind of patient who is very mild. This has to be lucky, starting with mild patients to "practice" until they become more and more proficient, before they dare to use it on patients similar to pancreatitis.

"You do it, I'll watch. Wu Mian said with a smile.