Best ERCP Treatment In India
Related By Gastroenterology
Bile is produced by the liver and flows through bile ducts, filling the gallbladder before entering the duodenum, which is placed right outside the stomach. The pancreas is located behind the stomach. This organ secretes digestive enzymes, which enter the colon via the same bile duct entrance via drainage channels known as pancreatic ducts. Bile and pancreatic enzymes are required for food digestion. Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure used to diagnose and treat problems with the liver, gallbladder, bile ducts, and pancreas. It uses X-ray imaging in conjunction with an endoscope, which is a long, flexible, lighted tube. The scope is directed through your throat and mouth, then down your oesophagus.
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Why is ERCP performed?
- Common bile duct-blocking gallstones that develop in the gallbladder
- An obstruction in the bile duct
- Pancreatic or bile duct cancer
- Pancreatitis (inflammation of the pancreas) (inflammation of the pancreas)
- Pseudocysts in the pancreas
- The bile ducts being infected
- Pancreatic duct or bile duct leaks
- Biliary or pancreatic duct trauma or surgical complications
Setup prior to procedure
Eight hours before your ERCP, you will be advised to refrain from eating or drinking anything, since an empty stomach provides for the best and safest treatment.
You must disclose any information relevant to your medical background, allergies, and prescription drugs. Some drugs, including blood thinners, must be stopped a few days before an ERCP since they raise the risk of bleeding. Few other people require a change in their dose or time.
When ERCP:
You'll be instructed to lie on your back or stomach. You'll have a monitor connection. If the operation is going to take a while, you might need an anaesthetist to keep you asleep. Your throat is sprayed with a local anaesthetic, and a mouth guard made of plastic is implanted to keep your mouth open.
The endoscope will be slowly advanced into your stomach and duodenum by your doctor after being carefully inserted into your oesophagus. An endoscope with a tiny camera on it will transmit a video image to a display. Your stomach and duodenum are made more visible by the endoscope by pumping air into them. The doctor next finds the point where the pancreatic and bile ducts exit into the duodenum.
A The primary bile duct/pancreatic duct entering the duodenum is reached by the endoscope and a thin, flexible tube known as a catheter is inserted. Then, to make the ducts visible, dye is put into them. X-ray images are obtained (fluoroscopy) in order to check the ducts and look for blocked or constricted sections.
The doctor may insert more instruments via the endoscope to do a biopsy, replace or remove an existing stent, remove stones through an incision created to enlarge the duct as it reaches the duodenum, and put tiny tubes, known as stents, in these locations to keep them open. A doctor may also install temporary stents in order to block bile leaks that may develop following gallbladder surgery.
Depending on how intricate the operation is, it might take anywhere from 30 to 90 minutes.
After Procedure:
The doctor will describe your procedure's outcomes. It typically takes a few days for the results of a biopsy to be ready.
Until the sedated drug wears off, you could be asked to stay. After the surgery, you may feel alert, but your judgement and reflexes can be clouded for the remainder of the day. Therefore, you need a driver and a companion.
Due to air that was inserted during the endoscopy, you might have a little bloating feeling. Additionally, a sore throat and cramps are possible.
As per your doctor's advice, you will be advised to begin eating.
You will be issued a prescription if a stent is inserted in your pancreatic duct or bile duct, as necessary, to have it removed or changed out for another stent.
Complications
- When carried out by medical professionals with specialised training and expertise in the process, ERCP is a well-tolerated surgery.
- Hospitalization-related problems are rare, although they can happen.
- Due to the proximity of the bile ducts and pancreas, pancreatitis may result.
- Bleeding, particularly when an incision is required
- Biliary or pancreatic duct perforation
- Infection of the gallbladder, pancreatic ducts, and liver.
- A strange reaction to the sedative, such as breathing or heart difficulties
Symptoms
- Fever
- Intense stomach discomfort
- Breathing difficulties, swallowing issues, or worsening throat pain
- Vomiting, especially if it is red or resembles coffee grounds
- Tar-colored or bloody or black stools