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Doctor insights on: Reasons Performing Ercp

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Dr. Jonathan Ricker
118 doctors shared insights

Endoscopic Retrograde Cholangiopancreatography (Definition)

Tube inserted orally or nasally, down esophagus, through stomach to duodenum, then slight turn into the commond duct so that a pictures can be taken and/or contrast injected into the ductwork to see if there are blockages of the common duct (from gall bladder) or ...Read more


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What are the routine tests performed before bariatric surgery?

What are the routine tests performed before bariatric surgery?

Depends: Blood work. Some like to check for stones in the gallbladder - some like cardiac work up if indicated. ...Read more

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What treatments can be done through an ercp scope?

What treatments can be done through an ercp scope?

Many: Treatment probably includes diagnosis as well as therapy. Structures can be 'illuminated', tissue can be obtained (biopsies for pathologist to examine), bleeding can be halted, stones removed, areas of narrowing opened. How's that for starters? It can also be done as a complement to other studies to complete the evaluation process. If you've been offered one, you must discuss the rationale... ...Read more

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Who is minimally invasive heart surgery performed on?

Who is minimally invasive heart surgery performed on?

Depends : Test would be done to determine if you’re a candidate for minimally invasive heart surgery. Some deciding factors may include medical history, age, type of heart disease and lifestyle. Generally, someone who has had heart surgery prior would not be a candidate. Some surgeries include ASD and PFO repairs, removal of tumors, valve, bypass and a-fib surgeries. ...Read more

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Age63, f, remove 1 stone from bile duct during ercp.What r the possible reasons 2 remove gallbladder?Can this be avoided?

Age63, f, remove 1 stone from bile duct during ercp.What r the possible reasons 2 remove gallbladder?Can this be avoided?

Gallbladder: The stone removed from the bile duct came from your gallbladder. If you don't get your gallbladder removed you will be at risk of having the same problem again. ...Read more

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ERCP done, post procedure was SOD2P w/mild pancreatic duct dilatation. ? Does SOD2P mean? They did a stent also.

ERCP done, post procedure was SOD2P w/mild pancreatic duct dilatation. ? Does SOD2P mean? They did a stent also.

Probably : that abbreviation probably refers to sphincter of Oddi dysfunction, type 2, which is an abnormal squeezing of the sphincter at the end of the bile duct. It sounds like your endoscopist treated it with a stent. Hopefully that will help. Good luck. ...Read more

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I'm having RUQ pain after gallbladder removal. I'm scheduled for exploratory surgery next week. Will this show a sphincter of oddi dysfunction?

I'm having RUQ pain after gallbladder removal.  I'm scheduled for exploratory surgery next week. Will this show a sphincter of oddi dysfunction?

I do not think so.: In present time , GI work up is less invasive . Considering your age Expl Surgery is not standard of care for sphinctre dysfunction , which is rare and can create more problems in future . ...Read more

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Could the breathing exercises, performed during pulmonary function test, be done routinely?

Could the breathing exercises, performed during pulmonary function test, be done routinely?

Yes, no benifit : There is no benefit to do them to increase lung function. The best way is to build endurance is through a structured physical therapy program. Nothing can really increase lung capacity either. This is a matter of conditioning. You can do the exercise but no real gain. If you want to measure during exercise then a cardiopulmonary stress test is better. This is a dynamic test on a bike. ...Read more

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

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. ...Read more

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What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

Variety of causes: Anastomotic leaks can occur for a variety of reasons and are a known complication of GI surgery. The primary concern with anatomic leak is the passage of stool into the abdomen with the formation of abscesses and possibly systemic infections. The treatment for this is often to operate, find the leak, and wash out any stool that may have collected in the process. ...Read more

Dr. James Lin Dr. Lin
2 doctors agreed:
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Where can you get an endoscopic retrograde cholangio pancreatography (ercp)?

Dr. James Lin Dr. Lin
2 doctors agreed:

Be done in...: Of course, ERCP can be done in the facilities with the needed scopes and setting for gastroenterologist to perform it. So, check the area hospital so to decide. Meanwhile, your existing doctor should be able to help you to locate one if you clinically need this procedure. ...Read more

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Is a doctor performs HIV test before performing any operation in hospital?

Is a doctor performs HIV test before performing any operation in hospital?

Yes: HIV tests are performed before any surgical procedure for your protection and the protection of the health providers. ...Read more

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Dilated bile & pancreatic ducts.Ercp scheduled. Previous ercp caused pancreatitis. What are the chances this will happen again?

Dilated bile & pancreatic ducts.Ercp scheduled. Previous ercp caused pancreatitis. What are the chances this will happen again?

Known risk: Often depends on amount of manipulation of ducts involved / extent of procedure, and to lesser extent the meds used for procedure and meds you are on chronically. Talk to your GI dr pre-procedure to see if able to limit risk. ...Read more

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What surgeons perform sex change operations?

What surgeons perform sex change operations?

Various surgeons: Plastic surgeons, general surgeons, urological and gynecological surgeons perform these operations. Both procedures are about the same in degree of patient satisfaction. It requires an excellent team of surgeons and psychological preparation for patients undergoing these procedures, as the emotional impact and acceptance of changes are a crutial part of these cases. ...Read more

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How invasive is an ERCP endoscopy? If an EU was preformed but nothing of note showed up what are the chances of being scheduled an ERCP if issues with the liver gallbladder and bile ducts are suspected? Is gallbladder removal more common than ERCP?

It's invasive: It's not as invasive as surgery but it can have some significant complications therefore it's done only if indicated. MRCP is often used as first test in place of ERCP and is not an invasive test. Most of the patients with gallstones have gallbladder removed without a need for ERCP ...Read more

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Why are some painful medical procedures done without anesthesia or sedation?

Why are some painful medical procedures done without anesthesia or sedation?

Risk vs benefit: Everybody has a different pain tolerance. Some people are too sick to receive much sedation. Keep in mind that sedation during procedures requires special training and increased risk from meds and added cost. Local numbing anesthesia alone is often the safest, cost-effective technique. If you feel that you need more, you can request to be scheduled. ...Read more

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What are the possible reasons for performing ercp?

Reasons for ERCP: Possibilities: jaundice with the suggestion of blockage in the bile system, many other sources of pancreatic or biliary disease - eg gallstones in duct, pancreatic cancer, chronic pancreatitis, pseudocyst formation, evaluation of the sphincter between intestine and bile or pancreaitc ducts... In general, this invasive test with real possible side-effects, should only be done for a sound reason. ...Read more

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Fluctuating lipase numbers, negative mrcp, ercp, CT scan. Numbers mainly normal but sometimes elevated for no reason. Lung cancer?

Fluctuating lipase numbers, negative mrcp, ercp, CT scan. Numbers mainly normal but sometimes elevated for no reason. Lung cancer?

Not likely: Elevated lipase does not suggest lung cancer.If amylase is normal and all the tests you describe are normal.What that means is you do not have gall bladder disease, pancreatitis .If lipase is elevated sometimes only i will not worry follow up with your doctor/gi specialist. ...Read more

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Is it a good idea to perform an elective ercp on a patient that is septic and not being treated?

Is it a good idea to perform an elective ercp on a patient that is septic and not being treated?

ERCP: If the patient has sepsis from biliary origin , ERCP should be performed asap , as well as prompt treatment with antibiotherapy. Please select your ERCP doctor carefully. You need someone with skills. ...Read more

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In the case of suspected active acute or chronic pancreatitis, do the doctors normally perform ERCP?

In the case of suspected active acute or chronic pancreatitis, do the doctors normally perform ERCP?

Absolutely: ERCP is a test that gives a picture of the "pancreatic duct", which is a tube that drains fluid from the pancreas into the intestines. Blockage of this duct often causes pancreatitis and the ERCP test is designed to show what is wrong. In some cases the ERCP can also relieve a blockage, leading to improvement in the pancreatitis. ...Read more

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Largue blood clot inside biliary duct since 3 weeks ago. Doctors giving time to dissolve before performing ERCP. Can I excercise without risks?

Largue blood clot inside biliary duct since 3 weeks ago. Doctors giving time to dissolve before performing ERCP. Can I excercise without risks?

Although I: truly doubt that it would "hurt" I would recommend that you don't..Exercise would increase your blood pressure and encourage bleeding if it is still "leaking" Since its an "unusual" place o bleed a blood clotting evaluation may be appropriate...Hope this is helpful Dr Z ...Read more

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How invasive is an ERCP endoscopy? If an EU was preformed but nothing of note showed up what are the chances of being scheduled an ERCP if issues with the liver gallbladder and bile ducts are suspected? Is gallbladder removal more common than ERCP?

It's invasive: It's not as invasive as surgery but it can have some significant complications therefore it's done only if indicated. MRCP is often used as first test in place of ERCP and is not an invasive test. Most of the patients with gallstones have gallbladder removed without a need for ERCP ...Read more

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What is an ercp like?

What is an ercp like?

Ercp: It is an endoscopic procedure where a small catheter is inserted in your bile duct or pancreatic duct to diagnosed or treat , stones , strictures or blockage. You need to select an expert to perform that procedure. ...Read more

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What is an ercp procedure?

What is an ERCP?: Ercp=endoscopic retrograde cholangiopancreatography. This is an endoscopic test by which a small catheter is inserted into the papilla (opening of pancreatic & bile ducts) from the duodenum, thru which radiographic dye is injected. X-rays are taken to image the bile & pancreatic ducts. The technique permits stone extraction, sphincter enlargement, stent placement, more. ...Read more

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How many are to many ercp?

How many are to many ercp?

It depends: Repeated ercps can sometimes be required to deal with recurrent or difficult-to-treat problems (i.e. Recurrent bile duct stones or a slow-to-improve narrowing in the bile duct). So, in certain settings, numerous ercps may be required to definitively treat a problem. In most cases, however, ERCP is a one-time procedure to address a specific problem. ...Read more

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What can I expect after ercp?

Quick Recovery: Most patients experience only a small amount of pain and bloating in the immediate recovery period. The procedure is generally tolerated very well. Some people with have a sore throat, nausea or vomiting and a very small number will develop pancreatitis as a result of the procedure, but this complication is relatively unlikely. ...Read more

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What is the procedure known as ercp?

What is the procedure known as ercp?

A type of endoscopy: An ERCP is a specialised type of interventional endoscopy for visualising and managing biliary and pancreatic duct pathology.

It involves a per-oral scope and a combination of endoscopic and radiological visualisation of the biliary and/or pancreatic ducts.

Various interventions for tissue and cell sampling, management of obstruction and removal of ductal stones are possible. ...Read more

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What preparation is required for ercp?

What preparation is required for ercp?

ERCP: My god, yes. There is ine GI in the area that does them with few indications. Complications are bleeding, pancreatitis, infection, perforation and death. ...Read more

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Are there any known complications from ercp?

Yes: The most common complication associated with endoscopic retrograde cholangiopancreatography (ERCP) is the development of pancreatitis after the procedure. This complication occurs in about 5% of people who undergo the procedure. Other complications include damage to the intestines, bleeding, and problems with the contrast dye or anesthesia used. ...Read more

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What are some possible complications of ercp?

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. ...Read more

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Will I feel normal immediately after my ercp?

Sedation lasts a bit: It will take some time for the sedatives given for the procedure to wear off. You might be groggy for the rest of the day. ...Read more

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I am having an ercp procedure in the next few days. What should I expect?

Sedation: If you are sedated appropriately, the procedure should be comfortable and you will likely not remember it. You should feel 100% comfortable knowing the risk and benefits of undergoing this procedure before having it done. Talk to your GI specialist if you have any questions before the procedure. ...Read more

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Dr. Vivek Huilgol
157 doctors shared insights

Ercp (Definition)

Endoscopic retrograde cholangio pancreatography. ...Read more