ERCP or endoscopic retrograde cholangio-pancreatography procedure is the endoscopic diagnosis and treatment of biliary tract, pancreatic diseases, cases of EMERGENCY, life-saving, risk of operation where endoscopy and radiology are used together. Endoscopic diagnosis and treatment process requires high processing skills and experience. Using endoscopy and scopy devices we can preform some diagnoses and treatments such as removal of the stone, which causes the biliary tracts and pancreatic duct. also causing jaundice in the canal, opening, enlarging the bile duct stenosis, in some cases, taking a stent, taking a biopsy in case of tumor suspicion.
ERCP procedure is a method used in the diagnosis and treatment of diseases of the biliary tract and pancreas, especially diseases that cause obstruction in the bile ducts. Although illnesses require urgent diagnosis and treatment, ERCP procedure is far from being accessible overtime due to insufficient number of specialists and incomplete equipment. however, our ERCP unit operates 24 hours a day, 7 days a week.
Emergency situations that require ERCP
Bile ducts can be blocked in cases such as stones, tumors or calcification (sphincter of Oddi).Choledochal (Main Biliary Tract) Stone:
Pancreatitis: Suddenly developing (acute) inflammations of the pancreatic organ cause up to 90% of gallstones to block the mouth of the bile and pancreatic ducts. In such cases, opening the pancreas and bile duct mouths with ERCP and removing stones from that area is very useful for the treatment of the disease.
Cholangitis: Due to bacterial growth in bile that accumulates in the bile duct after clogging of the biliary tract by stone or tumor, fever exceeding 38 C with tremor, pain and jaundice symptoms in the upper right abdomen may have serious consequences. In order to restore the stagnant bile flow, to open the occluded part of the bile duct, the bile flow must be reopened with the papillotomy procedure performed with ERCP.
What are the complications of the ERCP process?
Generally, after ERCP procedure, a complication rate of 5-10% is encountered.
Development of pancreatitis
Bleeding: often from the papilla region where the stones are taken, in some cases the bleeding stops spontaneously, sometimes it may be necessary to give blood or burn to the bleeding site (cauterization or sclerotherapy) by endoscopy.
Perforation: duodenum or biliary perforation
Infection: A bile duct infection called cholangitis may develop. This may be due to the side effect of the drug given to view the biliary tract or due to insufficient supply of bile flow in the biliary tract. the patient is given Antibiotics.
What to do after the ERCP procedure?
You should not drive due to the sedative medication given after the ERCP procedure.
During the procedure, air is given inside to open the intestine adequately, so there will be some feeling of bloating and gas after the procedure. There may be changes in the stool and bowel habits for several days.
A few hours after the procedure, ask your doctor for food intake.
It is important to inform your doctor in cases such as rectal bleeding, stool coming in tar color, vomiting, severe abdominal pain, weakness and dizziness, and fever above 37.5 C.