Ten years ago, when I watched Broken Arm Mountain, I was completely unaware of it. After ten years of medical treatment, we can gradually pay attention to “good friends, for life”. Because the human body also has such a pair of good friends, the so-called peach blossom pond water is a thousand feet deep, not as good as the biliopancreatic friends. The common bile duct and the pancreatic duct are natural good friends, there are pictures with the truth! Not yellow, not violent!
See, the common bile duct and the pancreatic duct in most cases are formed after the common channel, and then enter the duodenum together, even if they do not form a common channel, they are also back to back. But, as the saying goes, one glory and one loss. There is a loss of friends around, the festival is destined to break a ground. A heavy rain made Shenzhen a city of water, so we spit on the underground drainage facilities, in fact, the common bile duct is the hepatobiliary system is a sewer. The capillary bile ducts collect industrial water from the liver’s daily chemical group and transport it to the water purification plant – the gallbladder, which is purified and discharged through the common bile duct into the main line – the duodenum. However, the bile duct and the pancreatic duct system of Pancreatic Heavy Chemical Company are infinite in base, and the wind of the common bile duct will directly damage the good neighbor relationship. After the passage coming into the main line is affected by large stones, infection and inflammation, also known as the doctrine of obstruction and reflux. The structure and pressure inside the ducts change, causing bile and small stones to flow backwards into the pancreatic duct system, completely destroying the feng shui there, and pancreatitis arrives unannounced. And the pancreas, a heavy chemical plant leaked, the surrounding neighbors suffered, the so-called neighbors as a beggar is the same thing. By the way, there are many neighbors of the pancreas, stomach, intestines, spleen and kidneys. The good thing is that most of the biliary pancreatitis has a self-limiting tendency, but only a tendency, because the disease process is dynamic, like the ever-changing financial market, like the Chinese ama’s gold speculation road, a moment in the spring, a moment in the Arctic Ocean. The mortality rate of acute severe pancreatitis (SAP) is between 10 and 30 percent. The mortality rate of SARS (SARS), which was rampant in China and swept the world, was 4-20%, noting that SARS does not last long, while
SAP always exists. Identifying the problem is a skill, solving the problem is the ability, which requires top-level design to ensure that the good fundamentals are no longer pitiful. The treatment of biliary pancreatitis is like the Great Yu’s treatment of water, building a high river bank and clearing channels to restore the flow of the Yellow River into the sea. And it is worth mentioning that ERCP can release the biliary obstruction and unblock the sewer, which is a must for the treatment of biliary pancreatitis. In addition, the disease has a recurrence rate of up to 30% due to the scourge, so laparoscopic cholecystectomy is eventually required to solve the aftermath. But, many patients are often unable to understand this and are obsessed with the hope of keeping their gallbladder. It is important to know that a good friend is for life, and only when a bad friend becomes a good friend, a better future is not a worry.