Recently, the endoscopy team of the General Surgery Gastroenterology Group of Liangxiang Hospital successfully completed a case of endoscopic retrograde appendicitis surgery, which filled the gap in this technology in Liangxiang Hospital and provided a new choice for patients with appendicitis.
The patient is an elderly woman with a long-term history of anti-appendicitis, because the patient has ulcerative colitis at the same time, worried about postoperative complications, and can not make up her mind to operate, resulting in appendicitis reverse, which has been attacked 4 times in recent months, causing great distress to the patient and seriously affecting the quality of life.
Li Xutong, deputy chief physician of the endoscopy group of the general surgery gastroenterology group, understood the patient's condition, and after learning the patient's demands, he proposed a new plan for appendicitis, that is, endoscopic appendicitis, which is more conservative than simple Appendicitis can not only fully remove the infectious substances in the lumen of appendicitis, dredge the lumen of the appendix, but also perform colonoscopy review on the patient's ulcerative colitis, and also avoid the risk of serious complications after the patient's ulcerative colitis surgery.
Li Xutong led the attending physician Chen Haoliang, with the full cooperation of the endoscopy center, to find the appendix opening through the colonoscopy, and the subscope was successfully inserted into the appendix lumen to fully remove the pus and infected tissue in the lumen. The whole operation process was smooth, the patient had no obvious discomfort, and the patient resumed his diet on the second day, and the patient was satisfied with the effect, and thanked Deputy Chief Physician Li Xutong and related medical staff.
At present, appendicitis mainly includes laparotomy surgery, laparoscopic surgery and conservative surgery, for special circumstances, such as intestinal diseases are not suitable for surgery, there is a need for conscription and is unwilling to undergo surgery, the effect of simple conservative surgery is not accurate, appendicitis is reversed, etc., endoscopic retrograde appendicitis surgery brings new options to patients.
In recent years, on the basis of mastering the routine operation of gastroscopy and colonoscopy, the endoscopy team of the General Surgery and Gastroenterology Group of Liangxiang Hospital has actively explored, relying on the unique advantages of surgeons, and strived to achieve a one-handed hard scope (laparoscope), a one-hand soft scope (gastric and colonoscope), and two-handed preparation, so as to provide more choices and better services for patients who come to seek medical treatment, and bring health gospel to the people in the region. 
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ERAT – A new option for appendicitis**
Q: What is endoscopic retrograde appendicitis**?
A: Endoscopic retrograde appendicitis (ERAT) is a method of appendicitis by endoscopic insertion into the ileocecal region, diagnosis, intubation, irrigation, fecal stone removal, dilation of the narrow appendix cavity, and drainage of pus. In addition, colonoscopy can also be used to perform large intestine examination, tumor screening, etc., and once a lesion is found, it can be treated at the same time. 
Q: What are the advantages of erat** appendicitis?
A: This technique has many advantages, such as rapid pain relief, no surgery, no scarring, rapid**, intact preservation of appendix function, and large bowel examination. In general, patients can eat normally 1 to 3 days after surgery, and the postoperative ** rate is lower than that of pure antibiotic conservatism**. Therefore, it is a safe, less costly, minimally invasive** modality. The main advantage of ERAT surgery is that it can diagnose appendicitis more accurately, and can complete operations such as irrigation and stone removal under direct vision, avoid incomplete irrigation and fecal stone removal, reduce the rate of missed diagnosis, and be accurate, and avoid the damage caused by radiographic imaging to the doctor and the patient's body. Therefore, even special populations, such as pregnant women, can receive ERAT**.
*: Liangxiang Hospital.
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