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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure used to diagnose and treat problems related to the liver, gallbladder, bile duct, and pancreas. It entails passing an endoscope through the mouth and into the small intestine while examining. A dye is injected, and X-rays are taken to obtain clear images. It is employed in the diagnosis of diseases such as inflammation, tumours, obstructions, and gallstones.
During ERCP Treatment in Dhakuria, therapeutic procedures like duct widening or stone removal may be carried out. You may experience temporary adverse effects following the treatment, such as a sore throat and discomfort in the abdomen. Although uncommon, the risks associated with ERCP include bleeding, perforation, infection, and pancreatitis. Healthcare providers should be notified as soon as possible of any serious consequences. Monitoring recovery and addressing issues require regular follow-up.
The ERCP procedure helps diagnose conditions like pancreatitis, jaundice, stomach pain, and malignancies of the liver, pancreas, or bile ducts. Obstructions, stones, and fluid leaks in the ducts can be visible, and it also assists with treatment planning.
Healthcare providers can visualise malignancies and detect ductal blockages or constrictions, allowing for early discovery and treatment. ERCP plays a key role in identifying and treating bile duct infections and enhances patient outcomes.
If you are advised to undergo ERCP, contact your healthcare practitioner, address any questions, and sign a consent form. Tell them about any past experiences with contrast dye reactions or sensitivities to latex, anaesthesia, or drugs. Inform your doctor about bleeding disorders, current medications, or pregnancy. Avoid eating or taking liquids for eight hours before the procedure. You may have to stop taking blood thinners a week before the procedure.
Individuals suffering from heart valve dysfunction could require antibiotics before undergoing ERCP. Plan for transportation following the procedure, as you will be under the influence of sedation post-procedure. Follow any additional instructions for preparation that your healthcare practitioner has given you.
Before the ERCP procedure, an IV line will be started to administer sedatives to help you stay relaxed and comfortable. A liquid medicine may be given for gargling, or a spray medicine is given to numb your throat, which helps with preventing gagging.
During ERCP, you will be made to lie on an exam table, and the doctor will carefully pass the endoscope down your oesophagus into the stomach and duodenum. The endoscope pumps air into the stomach and intestine, allowing a clear visualisation of these structures. A camera attached to the endoscope sends the image to the monitor.
With the help of ERCP, the doctor locates the bile and pancreatic duct, emptying into the duodenum. Using an endoscope, a catheter is placed into the ducts, and then a specialised dye is administered. The dye makes the internal structures visible on X-rays, aiding in the examination of ducts and looking for narrowed areas or blockages.
If necessary, tiny tools will be passed through the endoscope to address problems within the bile and pancreatic ducts. A biopsy sample may also be taken from suspected areas within the duct for further testing.
You'll be observed in the recovery room following ERCP until you're stable, at which point you'll be sent home or to your hospital room. Till your gag reflex recovers, refrain from eating or drinking. You should anticipate a painful throat and difficulty swallowing, which usually go away in a few days.
You may be given rectal suppositories to lower the risk of pancreatitis. Unless instructed otherwise, return to your regular diet and activities. In case of a fever, problems with the IV site, symptoms related to the abdomen, abnormal bowels, or if your chest or throat pain gets worse, inform your doctor.
The ERCP procedure is associated with several complications, which include pancreatitis, infection within the bile ducts or gallbladder, haemorrhage, anaesthetic reactions (including respiratory or cardiac problems), tears in the digestive tract lining or bile duct, bile accumulation, and, in rare instances, perforation. Before the procedure, discuss any particular concerns you may have with your healthcare professional.
ERCP is a non-surgical endoscopic procedure that helps analyse the internal organs. The procedure also helps healthcare providers carry out some interventions. Due to their minimal invasiveness, they cause less pain and complications, allowing faster recovery. Their efficacy in identifying and treating gastrointestinal disorders makes them the preferable option; however, there are dangers involved that should be discussed with medical professionals before having an ERCP.
Dietary advice following an ERCP may include clear liquids at first to facilitate digestion. To give the gastrointestinal tract time to heal, patients may be recommended to temporarily adhere to an NPO (nothing by mouth) diet.
As an alternative, a low-fat diet could be advised to reduce the possibility of digestive problems or an upset stomach. The food recommendations are customised based on each patient's needs and stage of recovery to provide the best possible post-procedural care.
An ERCP treatment typically takes 45 to 60 minutes to complete. However, it could take up to 90 to 120 minutes (1 and 1/2 to 2 hours) if there are any repeat procedures or complicated patient circumstances. These extended periods enable complete assessment and intervention, guaranteeing all-encompassing therapy for underlying problems and enhancing patient results.
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