ERCP
Overview
Why it's done
Diagnostic Evaluation: ERCP is a valuable tool for diagnosing various conditions affecting the bile ducts and pancreatic duct. It allows for the visualization of the anatomy, detecting abnormalities such as gallstones, strictures, tumors, or other obstructions.
Treatment of Gallstones: ERCP can be used therapeutically to remove gallstones that may be causing obstruction in the bile ducts. This is often done by extracting the stones using specialized tools during the procedure.
Stricture Dilatation: In cases where there is a narrowing (stricture) in the bile or pancreatic ducts, ERCP can be used to dilate or widen the strictures. This helps in restoring the normal flow of bile and pancreatic juices.
Stent Placement: ERCP allows for the placement of stents in the bile or pancreatic ducts. Stents are tube-like structures that help in keeping the ducts open and ensuring the proper drainage of fluids.
Biopsy: Tissue samples (biopsies) can be obtained during ERCP for further analysis. This is particularly useful in cases where there is suspicion of tumors or other abnormal tissue growth in the bile or pancreatic ducts.
Treatment of Pancreatic Disorders: ERCP is used to address certain pancreatic conditions, including chronic pancreatitis. It allows for the examination and intervention in the pancreatic duct.
Treatment of Biliary Disorders: Various biliary disorders, such as primary sclerosing cholangitis (PSC) or biliary leaks, can be managed through ERCP interventions.
Risk
- Pancreatitis
- Infection
- Bleeding
- Perforation
- Allergic reaction
- Cardiopulmonary complications
- Reaction to sedation or anesthesia
How do I get ready for ERCP surgery?
Medical History and Consultation:
- Provide your healthcare provider with a detailed medical history, including information about any allergies, current medications, and pre-existing medical conditions.
- Inform your healthcare team if you are pregnant or may be pregnant.
Fasting:
- Typically, you will be instructed not to eat or drink anything for a certain period before the procedure. This fasting period helps ensure a clear view during the ERCP and reduces the risk of complications.
Medication Review:
- Discuss with your healthcare provider whether you should continue taking your regular medications, especially blood thinners or antiplatelet drugs. In some cases, adjustments may be necessary.
Allergies:
- If you have a known allergy to contrast dye, inform your healthcare team. They may take precautions or use alternative substances.
Consent:
- Before the procedure, you will be asked to sign a consent form indicating that you understand the nature of the procedure, potential risks, and alternatives.
Arrange for Transportation:
- Since ERCP is performed under sedation or anesthesia, you will likely be advised not to drive after the procedure. Arrange for someone to drive you home.
Postpone Eating and Drinking After Midnight:
- Follow specific instructions regarding the duration of fasting before the procedure. Typically, you will be asked to refrain from eating or drinking after midnight on the night before the ERCP.
Wear Comfortable Clothing:
- Wear loose, comfortable clothing to the hospital or clinic, as you may be asked to change into a gown before the procedure.
Personal Belongings:
- Leave valuables and jewelry at home. You may be asked to remove contact lenses, dentures, or glasses before the procedure.
Inform the Healthcare Team:
- Notify your healthcare team if you experience any changes in your health, such as the onset of illness or fever, leading up to the scheduled ERCP.
