Laparoscopic Endoscopic retrograde cholangiopancreatography (ERCP) – Find All Details
Laparoscopic Endoscopic retrograde Cholangiopancreatography – ERCP
ERCP is a procedure that enables your physician to examine the pancreatic and bile ducts. A bendable, lighted tube (endoscope) about the thickness of your index finger is placed through your mouth and into your stomach and first part of the small intestine (duodenum). In the duodenum a small opening is identified (ampulla) and a small plastic tube (cannula) is passed through the endoscope and into this opening. Dye (contrast material) is injected and X-rays are taken to study the ducts of the pancreas and liver.
WHY IS AN ERCP PERFORMED?
ERCP is most commonly performed to diagnose conditions of the pancreas or bile ducts, and is also used to treat those conditions. It is used to evaluate symptoms suggestive of disease in these organs, or to further clarify abnormal results from blood tests or imaging tests such as ultrasound or CT scan. The most common reasons to do ERCP include abdominal pain, weight loss, jaundice (yellowing of the skin), or an ultrasound or CT scan that shows stones or a mass in these organs.
ERCP may be used before or after gallbladder surgery to assist in the performance of that operation. Bile duct stones can be diagnosed and removed with an ERCP. Tumors, both cancerous and noncancerous, can be diagnosed and then treated with indwelling plastic tubes that are used to bypass a blockage of the bile duct. Complications from gallbladder surgery can also sometimes be diagnosed and treated with ERCP.
In patients with suspected or known pancreatic disease, ERCP will help determine the need for surgery or the best type of surgical procedure to be performed. Occasionally, pancreatic stones can be removed by ERCP.
ERCP is generally not performed unless other less invasive diagnostic tests have first been used to determine the cause of a patient’s symptoms. Such tests include:
complete medical history and physical examination
blood tests (certain diseases can be diagnosed by abnormal levels of blood components)
ultrasound imaging (a procedure that uses high-frequency sound waves to visualize structures in the human body)
computed tomography (CT) scan (an imaging device that uses x rays to produce two-dimensional cross-sections on a viewing screen)
Before undergoing ERCP, the patient will be instructed to refrain from eating or drinking for at least six hours to ensure that the stomach and upper part of the intestine are empty. Arrangements should be made for someone to take the patient home after the procedure, as he or she will not be able to drive. The physician should also be given a complete list of all prescription, over-thecounter, and alternative medications or preparations that the patient is taking. The patient should also notify the doctor if he or she is allergic to iodine because the contrast dye contains it.
After the procedure, the patient will remain at the hospital or outpatient facility until the effects of the sedative wear off and no signs of any complications have appeared. A longer stay may be warranted if the patient experiences complications or if other procedures were performed.
Complications that have been reported with ERCP include pancreatitis, cholangitis (inflammation of the bile ducts), cholecystitis (inflammation of the gallbladder), injury to the duodenum, pain, bleeding, infection, and formation of blood clots. Factors that increase the risk of complications include liver damage, bleeding disorders, a history of post-ERCP complications, and a less experienced endoscopist.
Normal Results :
Following ERCP, the patient’s biliary and pancreatic ducts should be free of stones and show no strictures, obstructions, or evidence of infection or inflammation.
Laparoscopic Endoscopic retrograde cholangiopancreatography (ERCP) cost depends on multiple medical factors. Contact us for Cost Estimate.
ERCP is common procedure and has high success Rate
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