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ERCP Treatment in Broadway

ERCP Complicated Procedure

ERCP Treatment in Broadway

ERCP is a medical procedure to diagnose any anomalies or obstructions in the pancreas, liver, gallbladder, or bile ducts. During the same operation, other therapeutic procedures can be carried out if a blockage or abnormality is found. These treatments could involve removing gallstones, opening up the pancreatic or bile ducts that are constricted, implanting stents to keep the ducts open, or obtaining tissue samples for a Biopsy. To ensure patient comfort during the entire process, ERCP is usually carried out under anaesthesia. 

It is a crucial procedure for the detection and treatment of diseases such as pancreatitis, bile duct strictures, gallstones, and pancreatic cancers. But like with any surgical operation, there are some hazards involved, like bleeding, infection, pancreatitis, or intestinal perforation. Thus, it requires careful monitoring by an experienced team of doctors available at Manipal Hospitals, Broadway. Our team is proficient in both diagnosing and treating simple to complex biliary and pancreatic disorders.

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a complex procedure with serious complications. Thus, it requires significant expertise from the endoscopist to navigate the endoscope through the digestive tract into the small intestine and successfully cannulate the desired ducts. But, with our skilled gastroenterologists, you can rest assured that you will get enhanced treatment with minimal complications when you undergo the ERCP Procedure in Kolkata. 

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FAQ's

An ERCP can detect anatomical abnormalities such as pancreatic or bile duct strictures or constriction. It can also identify lumps or tumours inside these organs, which helps with cancer staging and diagnosis. During ERCP, infections inside the bile ducts can also be seen, enabling targeted antibiotics or other interventional treatment. 
Furthermore, because ERCP offers real-time imaging of the afflicted areas, it can be utilised to evaluate how well earlier interventions (like stent installation or stone removal) have worked. All things considered, ERCP is essential to the thorough assessment and treatment of a range of hepatobiliary and pancreatic illnesses.
 

It's important to carefully follow your healthcare provider's instructions before having an ERCP. This entails being aware of the procedure and signing a consent form, telling the doctor about any allergies or sensitivity to any drugs or contrast dye, and keeping to the eight-hour fasting window that usually precedes the surgery. 

It's crucial to let your doctor know about all of your prescriptions, over-the-counter medications, herbal supplements, and any history of bleeding issues or current usage of blood thinners. Since anaesthesia is frequently used during the treatment, additional instructions can be given regarding the administration of antibiotics for certain medical problems or making plans for returning home.
 

You will normally change into a hospital gown and have an IV line put in during an ERCP to receive medicine. On the X-ray table, you can be placed on your left side or abdomen and given oxygen via a nasal tube. A mouthguard is used to protect your teeth, and a numbing spray is given to your throat to reduce the gag reflex. After passing through your throat, the endoscope is directed into your stomach and duodenum before arriving at the biliary tree, where a contrast dye is administered to facilitate X-ray imaging. 

It's possible to take more X-rays following a dye injection into the pancreatic duct. Before removing the endoscope, operations like a Biopsy or stone removal may be carried out if necessary.
 

Following the ERCP, you will either be brought to your hospital room or released home after being observed in the recovery room until you reach a stable state. You should avoid eating or drinking until your gag reflex subsides. You might also feel uncomfortable swallowing and have a sore throat. One possible treatment for pancreatitis prevention is rectal suppositories. 

Generally, unless instructed differently, you can resume your regular activities and diet. Notify your healthcare practitioner if you have a fever, worsening chest or throat pain, stomach symptoms, bloody stools, swallowing problems, or problems with the IV site. Observe any further post-procedure guidelines that your healthcare practitioner may provide.
 

The risk of complications from ERCP varies from 5% to 10%, depending on the procedures performed and any previous diseases. Risks include pancreatitis, GI tract injury, bile duct injury, biliary system infection, sedative reactions, allergic reactions to contrast dye, and minimal radiation risk to a foetus if pregnant. Before the surgery, your gastroenterologist will go over these dangers and possible safeguards.
 


ERCP is distinct in that it uses a tiny endoscopic extension in addition to the regular endoscope to allow direct access and treatment of the pancreatic and bile ducts. 

Although techniques such as EUS and MRCP allow for the imaging of these ducts, they do not allow for direct intervention. This makes ERCP essential for addressing disorders affecting the pancreatic and biliary systems, both therapeutically and diagnostically.
 

Since ERCP enters the body through the mouth rather than the skin, it is regarded as an endoscopic treatment as opposed to standard surgery. It allows an endoscopist to do surgical tasks like cutting or stitching while the process is being done. 

Even though these procedures are less invasive than standard surgery, they still allow for important internal body manipulations despite their small size, lower risks, and quicker recovery periods.
 

A non-invasive technique called Extracorporeal Shock Wave Lithotripsy (ESWL) uses shockwaves to break up stones (usually kidney or bile duct stones) through the skin. Accurate shockwave direction is aided by the use of X-ray and ultrasound guidance. 

If necessary, remaining stone pieces can be extracted during Endoscopic Retrograde Cholangiopancreatography (ERCP), a follow-up surgery that takes place a few weeks after fragmentation. This two-step method minimises invasive treatments while efficiently addressing stone-related concerns.
 

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