Project Description
Project ID
04TUTH001
Project Type
Funded Project - Normal Project
Project Title
A therapeutic video duodenoscope with a large forceps channel
Project Summary
T. U. Teaching Hospital may have been the first hospital to start ERCP service nearly 15 years ago. Helped by a Japanese Doctor and three interested Nepalese doctor, we provided investigative and therapeutic ERCP by doing spincterectomy and CBD stone removal. Since then, the Endoscopy Unit has been continuously providing this service (mostly free because our patient cannot afford even the subsidized rate we charge), sometimes with the generous help from doctors from abroad who donated accessories like cannulas, spincterotomes and baskets.
Biliary disease is one of the most common surgical disease in Nepal. Most of the surgeries are usually for obstructive jaundice due to stones and malignancies. There are 4 ERCP sets in Kathmandu to our knowledge. T. U. Teaching Hospital has the most number of endoscopist doing ERCP and because of the steady service and affordable price compared to private setup, we have probably done the highest number of cases. Also, among the few who do therapeutic ERCP, we must have done the most because of the same reason. This, despite the fact, we do not have a therapeutic ERCP set and thus, cannot do stenting, which has become so important because of the increased incidence of malignant inoperable obstruction of the biliary ducts.
MRCP is yet to come in Nepal and till then, ERCP must be used to investigate the biliary disease and there is no substitute for therapeutic procedures. Thus, if we were to have a Therapeutic ERCP set, we would be able to help so many of our people who still travel abroad for management, which we could have given here at much lower price.
Location
None
Time Frame
None
Institution
Tribhuvan University Teaching Hospital
Maharajgunj, GPO Box 1524
Kathmandu, Nepal
Contact
Dr. Mahesh Khakurel
mkhakurel
healthnet.org.np
ANMF/Nepal Project Manager
Aruna Pant
ArunaPantanmf.net
ANMF/America Project Manager
Dr. Bhargab Dixit
BhargabDixitanmf.net
Project Description
None
Material Requested
A therapeutic video Duodenoscope with a large forceps channel to accept a broad variety of therapeutic accessories for use in ERBD, EST and other procedures.
Approx. $17,000 (Seventeen thousand only). NRs. 12,75,000 (Twelve hundred and seventy-five thousand rupees only)*
Exchange rate of $ 1 = Rs. 75.00.
I quote here the approximate price of such instrument from Fujinon company as we have maximum experience with both Olympus and Fujinon. More an more Fujinon instruments are being used in Nepal because of its low initial and maintenance cost compared to Olympus, which becomes very important for sustainability of running these instruments in a General Hospital with multiple handling.
Training Requested
None
Advisors/Instructors Requested
None
Travel/Expenses Requested
None
Grants/Stipends Requested
None
Other Items Requested
None
Total Funds Requested
Approx. $17,000
Budget
None
Additional Information
One of the reason why we still do not have this now in our hospital is because the Hospital cannot buy it. Thus, to run it and maintain, we are proposing a new plan so the hospital will not have to bear the increased burden, while providing mostly needed free service for our poor patients.
- Thirty percent of the patients will undergo free treatment. These exclude patients who will receive free treatment from being admitted in free beds of our hospital.
- Twenty percent of the money earned will be separated for the Endoscopy Unit to maintain and buy accessories for the ERCP.
This will give valuable service to the poor patients who would not be able to afford it as well help sustain this service.