Precision Diagnosis and Integrated Minimally Invasive Pancreatobiliary Care

01　Clinical Overview

We integrate pancreatobiliary endoscopy with interventional endoscopic ultrasound (EUS) to treat biliary and pancreatic diseases. Cholangioscopy- and pancreatoscopy-guided lithotripsy enable treatment of difficult stones. Our team provides specialist on-call support 24 hours a day for timely care.

02　Specialized Clinical Services

For stones in the bile duct, cystic duct or pancreatic duct, we combine endoscopic retrograde cholangiopancreatography (ERCP) with direct visualization using cholangioscopy or pancreatoscopy. Electrohydraulic lithotripsy (EHL) treats large, impacted stones or stones that are difficult to remove with conventional techniques. When ERCP fails or surgically altered anatomy limits access, interventional EUS can establish an access route for lithotripsy, reducing the need for surgery in selected patients. EUS enables tissue sampling of pancreatic tumors. EUS-guided interventions include drainage of pancreatic fluid collections, gallbladder drainage for acute cholecystitis, biliary and pancreatic duct drainage, and gastroenterostomy. Specialists provide on-call coverage throughout the year, working with emergency medicine, anesthesia, surgery and diagnostic imaging teams. Our 24-hour specialist service coordinates emergency treatment and follow-up. Assessment begins through the Emergency Department or an inpatient consultation.

03　Representative Research Publications

04　Quality Recognition and Specialized Training

05　Medical Teams and Access to Care

Pancreatobiliary Endoscopy Team: Wen-Hsin Huang, Chi-Ying Yang, Shih-Chieh Chuang, Cheng-Hsing Hung, Tsung-Lin Hsieh, Yu-Chen Chang, Chin-Wei Chang

Outpatient Appointments: Visit the hospital website, select “Online Appointment Booking,” and choose Digestive Medicine and an appropriate physician. Referrals: Please use the hospital’s referral service. Patients with fever accompanied by jaundice or significant gastrointestinal bleeding should seek care at the Emergency Department. The team will arrange treatment according to the patient’s clinical condition.

Synergizing Ultrasound and Dual Endoscopy: Precision Theranostics for Gut Health

01　Clinical Overview

Capsule endoscopy and double-balloon enteroscopy are used for disease localization and diagnosis—enabling precise small bowel lesion localization, histological diagnosis, and minimally invasive therapy—combined with intestinal ultrasound to evaluate early treatment response in small bowel lesions and inflammatory bowel disease (IBD).

02　Specialized Clinical Services

For obscure gastrointestinal bleeding, small bowel tumors, and Crohn's disease, capsule endoscopy is utilized to localize lesions, followed by deep enteroscopy for biopsy, hemostasis, and lesion-specific interventions. Intestinal ultrasound provides radiation-free, repeatable evaluations of the bowel wall and surrounding tissues, facilitating the assessment of inflammation severity and early treatment response. By integrating endoscopy, imaging, pathology, surgery, and nutritional care, follow-up plans are tailored to specific disease characteristics, establishing a continuum of care that encompasses diagnosis, treatment, and long-term disease monitoring.

03　Representative Research Publications

04　Quality Recognition and International Training

05　Medical Teams and Access to Care

Small Bowel Team: Jen-Wei Chou, Yi-Hua Wu, Po-Ju Huang

Intestinal Ultrasound: Tsung-Yu Tsai

Outpatient Appointments: Visit the hospital website, select “Online Appointment Booking,” and choose Digestive Medicine and an appropriate physician. Referrals: Please use the hospital’s referral service. Patients with fever accompanied by jaundice or significant gastrointestinal bleeding should seek care at the Emergency Department. The team will arrange treatment according to the patient’s clinical condition.

Precision Image-Guided Liver Tumor Ablation and Integrated Care

01　Clinical Overview

By integrating Sonazoid contrast-enhanced ultrasonography, CT/MRI–ultrasound fusion imaging, and radiofrequency and microwave ablation, we provide precision, minimally invasive treatment for liver tumors. Anesthesiologist-managed sedation and intraoperative monitoring enhance patient comfort, while emphasizing preservation of liver function and comprehensive follow-up care.

02　Specialized Clinical Services

China Medical University Hospital integrates Sonazoid contrast-enhanced ultrasonography (CEUS), CT/MRI–ultrasound fusion imaging guidance, and radiofrequency ablation (RFA) and microwave ablation (MWA) to facilitate precise identification, localization, and individualized treatment planning for liver tumors. Treatment strategies are tailored by a multidisciplinary hepatology team according to liver cancer stage, tumor size and location, and underlying liver function. Anesthesiologists provide sedation and continuous intraoperative monitoring to enhance patient comfort and minimize procedural discomfort. Following treatment, patients receive comprehensive care incorporating imaging surveillance, monitoring for tumor recurrence, liver function management, and coordinated multidisciplinary treatment when indicated. This integrated approach supports continuity of care and long-term liver health.

03　Representative Research Publications

These publications reflect the liver cancer team’s research in treatment strategies, risk stratification, and real-world outcomes. They do not constitute a direct institutional comparison of RFA and MWA outcomes.

04　Medical Teams and Access to Care

Local Ablation: Hung-Wei Wang, Wei-Fan Hsu

Digestive Medicine and Multidisciplinary Liver Cancer Team: Hung-Wei Wang, Wei-Fan Hsu, Tzu-Hao Yen

Outpatient Appointments: Visit the hospital website, select “Online Appointment Booking,” and choose Digestive Medicine and an appropriate physician. Referrals: Please use the hospital’s referral service. Patients with fever accompanied by jaundice or significant gastrointestinal bleeding should seek care at the Emergency Department. The team will arrange treatment according to the patient’s clinical condition.