ERCP
ERCP (Endoscopic Retrograde Cholangio – Pancreatography)
It is procedure of examining bile duct/pancreatic duct under fluoroscopic guidance and treating any pathology. Common bile duct is the tube carrying bile from gall bladder and liver to the duodenum. Pancreatic duct is the tube carrying pancreatic juice from the pancreas to the duodenum.
Our area of clinical expertise include:
Indications
❖ Removal of bile duct stone
❖ pancreatic duct stones in chronic pancreatitis
❖ Dilatation of strictures
❖ Placement of SEMS (self-expandable metal stents) in bile duct cancer or in other cancer with obstruction of bile duct causing jaundice
❖ Liver Cirrhosis Patient
❖ Cholangitis – Urgent removal of bile duct obstruction is required
❖ Worms in Bile/Pancreatic Duct
Pre-procedure preparation:
Stop drinking and eating 8 hours before the endoscopic examination. Plain water can be taken up to 4 hours before the procedure. Do not anti-diabetic medicines in the morning of ERCP.
Method
Dedicated side viewing scope is inserted through mouth after sedating patient in left lateral position. Ampulla (common opening site of common bile and pancreatic duct in duodenum) is visualised and CBD/PD cannulated using accessories and checked radiologically after injecting contrast. Sphincterotomy (small incision using cautery over sphincter of Oddi) is done and pathology is treated. After ERCP, patient is asked to stay in hospital for 24 hours.
Complications & Drawbacks: RARE
DEPT OF MEDICAL GASTROENTEROLOGY
DR. K. K RAWAL (MD, DM – GASTRO)
DR. AVVAL . K SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H . KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M . MORI (MD,DNB – GASTRO)
