X

ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a specialized medical procedure combining endoscopy and fluoroscopy to diagnose and treat conditions of the biliary and pancreatic ducts. During ERCP at Best gastro hospital for ERCP in Vijayawada, a flexible tube called an endoscope is inserted through the mouth, esophagus, and stomach into the duodenum, the first part of the small intestine. A small catheter is then guided into the bile and pancreatic ducts, allowing the physician to inject contrast dye to visualize these structures under X-ray imaging. ERCP is commonly used to identify and remove gallstones, diagnose obstructions, strictures, or tumors, and obtain tissue biopsies. Additionally, therapeutic interventions such as stone extraction, stent placement, or dilation of strictures as well as Endoscopic bile duct treatment in Vijayawada can be performed during the procedure. While ERCP is highly effective, it carries risks including pancreatitis, infections, bleeding, and perforation. It requires skilled endoscopists and is generally performed in specialized centers. Advances in technology and technique continue to improve its safety and efficacy, making ERCP an essential tool in the management of complex biliary and pancreatic diseases.

ERCP in Vijayawada

When is ERCP suggested:

Endoscopic Retrograde Cholangiopancreatography (ERCP) is primarily suggested by ERCP specialist in Vijayawada when there is a suspected or confirmed pathology involving the biliary or pancreatic ducts that requires both diagnostic and therapeutic intervention. It is commonly indicated in cases of obstructive jaundice to remove gallstones by using ERCP for gallstones in Vijayawada from the common bile duct, in patients with cholangitis to facilitate biliary drainage, and for the diagnosis of biliary or pancreatic duct strictures and tumors. ERCP is also recommended for managing pancreatic pseudocysts, removing migrated biliary stents, and diagnosing certain conditions like sphincter of Oddi dysfunction. Prior to ERCP treatment in Vijayawada, imaging studies such as ultrasound, MRCP (Magnetic Resonance Cholangiopancreatography), or CT scans are typically performed to confirm ductal dilatation or obstruction. The decision to proceed with ERCP balances its diagnostic and therapeutic benefits against potential risks, including pancreatitis, infections, bleeding, and perforation. It is especially valuable when less invasive imaging fails to definitively identify the cause of ductal obstruction or when immediate therapeutic intervention is necessary. Overall, ERCP by Best gastroenterologist for ERCP in Vijayawada is a crucial tool in the management of complex biliary and pancreatic diseases, with its use tailored to individual patient needs and clinical scenarios.

Preparing for an ERCP:

  1. Schedule a consultation with your doctor to understand the procedure and address any concerns.
  2. Inform your physician of all medications you're taking, especially blood thinners, anticoagulants, or insulin, as adjustments may be needed.
  3. Avoid eating or drinking for at least 6-8 hours before the procedure to ensure your stomach is empty, reducing the risk of aspiration.
  4. Arrange for someone to drive you home afterward, as sedation is typically administered.
  5. Follow specific instructions regarding bowel preparation if advised, though often no bowel prep is needed.
  6. Disclose any allergies, especially to anesthesia or contrast dye, to your healthcare team.
  7. Inform your doctor if you have a pacemaker, defibrillator, or other medical devices.
  8. On the day of the procedure, arrive early for pre-procedure assessments and to complete necessary paperwork.
  9. After the ERCP, plan to rest and avoid strenuous activities for the remainder of the day, and follow your doctor’s post-procedure care instructions.

Dr. Sreedevi Atluri, who is a specialities of ERCP at American-Gastro care in Vijayawada include, with and without spy cholangioscopy to treat gall stones in the bile duct / acute cholecystitis / cholangiocarcinoma evaluation / bile leak / biliary and pancreatic stricture therapy.