Question 1

what causes elevated bilirubin and liver enzymes after gallbladder removal with ercp and stent placement after?

Accepted Answer

ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP.

Question 2

elevated liver enzyme , mrcp indicated mild intrahepatic ductal dilatation, mild splenomegaly, normal ercp, what causes that, how it treated?

Accepted Answer

Inflammation: Ductal dilation can be obstructive or non obstructive. Causes of obstruction such as stones, stricture, tumor etc to be ruled out. Usually when not obstructed mild dilation can be related to inflammation or cholangitis. These inflammatory processes usually treated medically.

Question 3

3ercps (stenosis after) in 3yrs for sod. follow diet & take enzymes but frequent pancreatitis attacks persist. 4th ercp on hold. typical outlook?

Accepted Answer

Not "typical": Your cause is complicated and definitely not "typical". So no good predictions could possibly be given without a lot more information, and even then it would be tricky. The specialists who have been providing your care are in the best position to guide you. Good luck.

Question 4

referred pain in back (liver, gb, pancreas)and feeling poisoned if eat fat. ef=91%  have had every study except ercp and serum enzyme levels. what next?

Accepted Answer

Need further testing: You are absolutely correct, pain in your back and a generalized bad feeling after a fatty meal may mean there is a problem with your digestive system.  Given all of your symptoms it would be best to see your primary care doctor for consideration of more blood work and possibly further testing.

Question 5

for years fluctuating elevated lipase (1-2x out of range to normal, sometimes mild) normal amylase. ct & mrcp normal. no pain or nausea. gastro says benign, wont approve eus or ercp. 2nd opinion?

Accepted Answer

Chasing a number: Why did you have lipase checked in the first place?  Were you having abdominal pain?  Not sure i would want an ERCP when ct already normal, not an easy test and has been known to cause pancreatitis.  If feeling fine, i would let it lie, especially with nl testing otherwise.

Question 6

slightly elevated bilirubin (1.7) with elevated wbc (12.6) and rbc (5.35). history of ercp and gall bladder removal. is this cause for concern?

Accepted Answer

Fevers?: Are you having fevers or chills? Do you know what your bilirubin was before?  These labs warrant further investigation especially if you have any symptoms.

Question 7

fluctuating lipase numbers, negative mrcp, ercp, ct scan. numbers mainly normal but sometimes elevated for no reason. lung cancer?

Accepted Answer

What diagnosis: Are you searching?  Do you have any symptoms?  Is there a real reason you think you have lung cancer.  Why are you having so many lab and imaging studies?

Question 8

what are some possible complications of ercp?

Accepted Answer

Several potential: The main ones are related to sedation risk, bleeding, infection, perforation, pancreatitis.  Risks can vary with experience of the operator, and complexity of the case.

Question 9

can i be sedated for my ercp?

Accepted Answer

Mild sedation: Typically for procedures like an ercp, they use conscious sedation, which uses a mild sedative to help you relax and an anesthetic to lessen the pain.  You are still awake during the procedure.  Depending on the circumstances, the physician may make exceptions and do the procedure under general anesthesia.  Check with your gastroenterologist doing the procedure.

Question 10

why is mrcp better than ercp?

Accepted Answer

Not necessarily...: Mrcp is less invasive and carries a lower risk for complications compared to ercp.

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Doctor answers about:

Elevated enzyme after ercp

A member asked:

What causes elevated bilirubin and liver enzymes after gallbladder removal with ercp and stent placement after?

A member asked:

Elevated liver enzyme , mrcp indicated mild intrahepatic ductal dilatation, mild splenomegaly, normal ercp, what causes that, how it treated?

A member asked:

3ercps (stenosis after) in 3yrs for sod. follow diet & take enzymes but frequent pancreatitis attacks persist. 4th ercp on hold. typical outlook?

A member asked:

Referred pain in back (liver, gb, pancreas)and feeling poisoned if eat fat. ef=91% have had every study except ercp and serum enzyme levels. what next?

A member asked:

For years fluctuating elevated lipase (1-2x out of range to normal, sometimes mild) normal amylase. ct & mrcp normal. no pain or nausea. gastro says benign, wont approve eus or ercp. 2nd opinion?

A member asked:

Slightly elevated bilirubin (1.7) with elevated wbc (12.6) and rbc (5.35). history of ercp and gall bladder removal. is this cause for concern?

A member asked:

Fluctuating lipase numbers, negative mrcp, ercp, ct scan. numbers mainly normal but sometimes elevated for no reason. lung cancer?

A member asked:

What are some possible complications of ercp?

A member asked:

Can i be sedated for my ercp?

A member asked:

Why is mrcp better than ercp?

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