A large choledochal cyst was found
Tuesday, December 31, 2013
Dr Etzkorn's first ERCP in Cambodia
Today the Borland Groover Clinic team along with Dr. Etzkorn performed the first ERCP ever at the hospital WorldHOPE's Sihanok in Phenom Phen that they are visiting. The patient has had recurrent right upper quadrant pain for several years and had ultrasound which demonstrated what appeared to be a dilated common bile duct. MRCP is not available in this city, also endoscopic ultrasound is not available in the country of Cambodia. The surgeons had requested the ERCP to better understand the anatomy of the patient and to decide if surgical intervention might help in the symptomatology.
Monday, December 30, 2013
The bats of Battambang
Every night the bats of Battambang 
exit from a cave and literally hundreds and thousands of bats swirl out into the evening air
Dr. Tek opens the dedicated BGC endoscopy center and of our mission
We came with the principal goal of establishing the ability to perform primary endoscopy, Both upper and lower endoscopy. Borland Groover clinic provided both upper and lower endoscopes and the scopes power supply and processing support. In addition to high definition monitor and and the scope support instruments. Additional endoscopic accessories were donated by several vendors.
With the equipment properly put in place, and appropriate training on scope care and cleaning, Dr. Tek will remain at Handa medical center to continue the endoscopic training of the physicians and nurses.
Dr. Etzkorn and the rest of the crew will then head to Phnom Penh in Cambodia, there, they will set up a new ERCP program with a donated ERCP scope. The next several days will be dedicated to instructing on scope maintenance, and the art of ERCP.
There are several patients already lined up for therapeutic ERCP.
Teaching the art of scope care
Handa operating physician's and nurses
The main future surgical /endoscopic team at the Handa medical center with Dr Tek and Dr Etzkorn
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