What is ERCP?

Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope—a long, flexible, lighted tube.
MGM Hospital CBD offers ERCP as a procedure to their patients.

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Symptoms

Should you observe any of the following ercp indications, kindly inform us at the above number right once:

  • Bloody or black, tar-colored stool.
  • Chest pain.
  • Fever.
  • Pain in your abdomen that gets worse.
  • Problems breathing.
  • Problems swallowing or throat pain that gets worse.

Risks

In our hospital,healthcare staff to take essential efforts to reduce the following risks about the ercp:

  • Pancreatitis
  • Infection of the bile ducts or gallbladder
  • Excessive bleeding, called hemorrhage
  • An abnormal reaction to the sedative, including respiratory or cardiac problems
  • Perforation in the bile or pancreatic ducts, or in the duodenum near the opening where the bile and pancreatic ducts empty into it
  • Tissue damage from x-ray exposure
  • Death, although this complication is rare

Prevention

Our hospital provides regarding the pre treatment in the following ways:

  • To see your upper GI tract clearly, you doctor will most likely ask you not to eat, drink, smoke, or chew gum during the 8 hours before ERCP.
  • Choose an experienced doctor.
  • Provide accurate medical history.
  • Follow pre-procedure instructions.
  • Be aware of the risks.
  • Follow post-procedure instructions.
  • Avoid unnecessary ERCP.
  • Discuss the need for prophylactic antibiotics.

Steps Of ERCP

  • Preparation: Before the procedure, the patient may be given a sedative to help them relax. They may also be asked to fast for a certain period of time before the procedure.
  • Endoscope insertion: A flexible endoscope, which is a long, thin tube with a light and camera at the end, is inserted through the mouth and down the esophagus into the stomach and small intestine.
  • Dye injection: Once the endoscope is in place, a small catheter is inserted through the endoscope and into the bile duct or pancreatic duct. A contrast dye is then injected into the ducts to make them visible on X-ray imaging.
  • Imaging: X-ray imaging is used to visualize the bile ducts or pancreatic duct and identify any abnormalities, such as gallstones, tumors, or strictures.
  • Treatment: If an abnormality is identified during the imaging, the doctor may perform a procedure to address it. For example, if gallstones are present in the bile duct, the doctor may use a small wire basket to remove them.
  • Completion: Once the procedure is complete, the endoscope and catheter are removed. The patient is usually monitored for a short period of time after the procedure before being discharged.
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What care should be taken after ERCP?

Rest: You should rest for the remainder of the day after the procedure, and avoid strenuous physical activity for at least a day or two.

Drink plenty of fluids: Drinking plenty of fluids can help flush out the contrast dye used during the procedure and reduce the risk of complications.

Pain management: You may experience mild discomfort or cramping after the procedure. Your doctor may prescribe pain medication to help manage the pain.

Monitor for complications: It is important to monitor for any signs of complications, such as severe abdominal pain, fever, chills, or vomiting, and contact your doctor immediately if you experience any of these symptoms.

Follow dietary instructions: Your doctor may provide specific dietary instructions, such as avoiding solid foods for a certain period of time after the procedure.

Follow medication instructions: Your doctor may adjust your medication regimen after the procedure. It is important to follow their instructions carefully.

Follow-up appointments: Your doctor may schedule a follow-up appointment to monitor your progress and ensure that you are healing properly.

X-ray

(Fluoroscopy)X-ray pictures are taken after the dye injection and displayed on a monitor so the endoscopist can examine the bile ducts and pancreatic duct. Depending on what the endoscopist sees during the ERCP, they may perform a variety of procedures or treatments

Endoscopic

The ERCP procedure is an endoscopic exam during which a small catheter or wire is placed into the bile duct from the point at which it connects to the small intestine. During such a procedure a stent can then be placed to help drain the bile across the site of blockage, and thereby treat your jaundice.

Our Experts

Dr. Deepak Ahire

Gastroenterology
11 Years Experience

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Dr. Amey Sonavane

Gastroenterologist
14 Years Experience

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Dr. Raosahab Rathod

Gastrotrologist
6 Years Experience

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