What is ERCP?
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a specialized procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions affecting the bile ducts, gallbladder, and pancreas. A flexible tube with a camera (endoscope) is inserted through the mouth and guided to the duodenum. A contrast dye is then injected into the bile and pancreatic ducts to visualize any blockages, stones, or abnormalities on X-ray images. This minimally invasive technique is crucial for diagnosing and managing complex biliary and pancreatic diseases, providing both diagnostic and therapeutic benefits in a single procedure.
How Does It Help?
Diagnosis and Treatment of Bile Duct Stones
Diagnosis and Treatment of Bile Duct Stones
ERCP can identify and remove stones in the bile duct, alleviating blockages and preventing complications like jaundice or pancreatitis. The procedure allows direct visualization and extraction of stones, ensuring immediate relief.
Management of Biliary and Pancreatic Strictures
Management of Biliary and Pancreatic Strictures
ERCP helps diagnose strictures (narrowing) in the bile or pancreatic ducts. It allows for the placement of stents to keep the ducts open, ensuring proper drainage and preventing further complications.
Detection and Treatment of Tumors
Detection and Treatment of Tumors
ERCP is instrumental in diagnosing tumors within the bile ducts, pancreas, or gallbladder. Biopsies can be taken during the procedure, and therapeutic interventions like stent placement can be performed to manage symptoms
How Is It Done?
ERCP is a highly effective technique for managing biliary and pancreatic conditions. It provides both diagnostic and therapeutic capabilities, reducing the need for multiple procedures.
Preparation
Preparation
Patients are usually instructed to fast for at least 6 hours before the procedure. Medications may need to be adjusted or stopped temporarily. A thorough medical history and examination are conducted.
Procedure
Procedure
During ERCP, a sedative is administered for patient comfort. The endoscope is carefully guided through the digestive tract to the bile and pancreatic ducts. Contrast dye is injected, and X-rays are taken to identify and treat any abnormalities.
Post-Treatment
Post-Treatment
After ERCP, patients are monitored for any immediate complications. Instructions on diet, activity, and medications are provided. Follow-up appointments are scheduled to assess the success of the treatment and plan any additional care if needed