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Best ERCP Therapeutic Treatment In India

Related By Gastroenterology

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that examines the ducts that drain the liver and pancreas. Ducts are passageways for draining into the gut. Bile or biliary ducts are those that drain the liver and gallbladder. The pancreatic duct is the one that drains the pancreas. The bile and pancreatic ducts connect around 3 inches from the stomach, shortly before they flow into the upper colon. The drainage aperture is referred to as the papilla. A circular muscle termed the sphincter of Oddi surrounds the papilla.

Diagnostic ERCP involves injecting X-ray contrast dye into the bile duct, pancreatic duct, or both. This contrast dye is squirted into the ERCP via a tiny tube called a catheter.endoscope. X-rays are used during ERCP to photograph these channels. This is known as diagnostic ERCP. However, most ERCPs are performed for therapy rather than solely to take pictures. When an ERCP is performed to facilitate therapy, it is referred to as therapeutic ERCP.

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ERCP Therapeutic

Treatment ERCP

Doctors perform an ERCP surgery to identify and occasionally cure a blockage or constriction of the pancreatic or bile ducts. A tube is placed into the patient's mouth, advanced via the oesophagus, stomach, and small intestine opening during an ERCP. When the problem is identified and it is decided that a procedure can be carried out using the already-inserted tube, therapeutic ERCP is conducted.

ERCP Therapeutic

ERCP Treatment Types

The cause of the obstruction will determine the kind of ERCP procedure to be used. Infection-related inflammation, malignant or non-cancerous tumours, gallstones, and tissue accumulations are some of the factors that might cause obstruction. Depending on the circumstances, different ERCP treatments may be more or less successful. Treatments for ERCP include sphincterotomy, balloon dilatation, duct stone removal, and stents.
Expanding a balloon

In order to widen the ducts and permit the passage of bile or pancreatic fluid, balloon dilation is performed. The balloons are attached to catheters, which are subsequently passed through the constricted space. Scarring or cancerous development can cause narrowing. The aperture is then made wider by inflating the balloon. Sometimes stents are implanted briefly for strengthening.

ERCP Therapeutic

Stent placement

Stents are also employed to avoid obstructions that are deemed risky or pointless to remove. You can use a metal or plastic stent. A temporary plastic stent looks like a straw. Metal stents are formed of bendable metal wires and are long-lasting. To drain or remove the stent, further surgery or a later ERCP are typically necessary.

ERCP Therapeutic


An ERS, or endoscopic retrograde sphincterotomy, is another name for a schincterotomy. Gallstones in the bile duct are frequently treated with this ERCP procedure. At the ampulla, the very end of the bile duct is severed using an electric knife. After that, the gallstones can be removed. Although an ERS is occasionally used to clear a blockage in the pancreatic duct, this frequently happens in the bile duct.

ERCP Therapeutic

Removal of stones

The most frequent time for stone removal is after an ERS has been carried out to widen the bile duct opening. The blocking stone is pushed through the sphincterotomy and into the intestine using tools called balloons and baskets that are inserted via the endoscopic tube. A stone may occasionally have to be squeezed into the basket by being squashed.

ERCP Therapeutic


Additionally regarded as a type of therapeutic ERCP are biopsies. By doing a biopsy during an ERCP, the surgeon has access to the tissue that has to be examined for malignancy, even if it is not a definite therapy for the tumour or blockage. This avoids the need for more extensive surgery that would otherwise be required.


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