Doctor insights on:
Diagnose vs. therapy: Mrcp (magnetic resonance cholangiopancreatography) or eus (endoscopic ultrasound) are sensitive alternatives to finding biliary stones. However, when it comes to removing stones in the bile ducts, a procedure is needed: ERCP (as you already know), percutaneous techniques via interventional radiology, or surgical duct exploration & stone extraction. When choosing, consider your age & comorbidities. ...Read more
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
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
Check it out: Ask your doc as may bay based on the particles of your disease. ...Read more
Cholecystomy monday for diseased gallbladder&sludge. Symtoms and inflammation. Will i stay 24hrs, will lap be conv to open. Sludge is huge and gb infl?
Its possible: If you had a temporizing procedure, the cholecystomy, and now going for surgery to remove the diseased gallbladder, you are in a higher risk category. However, please understand that without the cholecystomy, your risk would be even higher. Your surgeon will give you the details, usually after the procedure. If all goes well, you will likely remain in the outpatient category. Good luck. ...Read more
ERCP done, post procedure was SOD2P w/mild pancreatic duct dilatation. ? Does SOD2P mean? They did a stent also.
Can a general surgeon do the following procedure: endoscopic retrograde cholangiopancreatography (ercp)?
Upper/lower?: Upper=stomach endoscopy, usually no prep except not eating/drinking x 4 hrs, then sedation via iv, and doc puts scope through mouth and throat into stomach, looks and biopsies if needed. Lower=colonoscopy, prep by flushing system with strong prep laxatives, then sedation via iv, and scope enters via anus and looks at 5 feet of colon, biopsies etc. ...Read more
No effective way: Gallstones can't be removed or dissolved well with any medications or even lithotrypsy such as is used to break up kidney stones. Actigall (ursodiol) is one medicine used to decrease the likelihood of forming stones but it doesn't work to get rid of stones that are already formed in the gallbladder. Minimally invasive laparoscopic cholecystectomy cures the problem. It's an outpatient surgery. ...Read moreSee 1 more doctor answer
For some times: Raised bilirubin causes jaundice, or yellow pigment on sclera ( eye) both due to obstruction of ducts as in stones or due to liver diseases. After removal obstruction eye remained stained for a while due to tissue stain , by Albumin bound delta bilirubin . Since Albumin has half life of 20 days , so it takes time to clear jaundice completely even though blood levels are normal. ...Read moreSee 1 more doctor answer
During cholecytomy for gallbladder sludge removal, will doctors see or find anything new? Did sludge cause cyst in liver
Will a person loose wt easier after cholecystectomy? If gallbladder removed -- surgeon said covered with adhesions. Cause?
Unfortunately not...: A common wive's tale is that one gains weight after gb surgery. In fact, gb removal doesn't directly affect weight; but, if one has been avoiding fatty foods prior to surgery and they can now tolerate these foods after surgery, some people do gain weight. As far as those adhesions, that reflects many prior attacks--the gb gets "sticky" when inflamed; neighboring structures can adhere to it. ...Read moreSee 1 more doctor answer
Magic: Short of surgery there is no way to remove stone. Depending on type of stone it is possible to dissolve with medication, but medication must taken life-long. I would discuss this with a gastroenterologist. ...Read more
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 moreSee 1 more doctor answer
No.: For most people, removing the gallbladder has no effect on the ability to diet. Some people will have (transient) malabsorption of fats which can contribute to weight loss. Others will actually gain weight since the (fatty) foods that used to cause pain can now be tolerated. Bottom line: do not undergo surgery with the expectation to lose weight. ...Read more
Is one more likely to have acute pancreatitis after endoscopic ultrasound if they had AP after ERCP? Or EUS does not cause AP like ERCP?
Rare after EUS: This incidence of pancreatitis after EUS with pancreatic biopsy is reported as less than 1% making it a rare complication. Symptomatic post-ERCP pancreatitis occurs in about 5% of people undergoing the procedure. There has not yet been a good study looking at the development of post-EUS pancreatitis in people who developed pancreatitis after ERCP. ...Read more
Gallbladder: In some cases, a patient with an infected gallbladder(GB) may be too sick to undergo immediate surgery. A drain can be placed through the skin into the GB by a radiologist using ultrasound or CT guidance. This will allow for drainage of the infection and time for antibiotics to work while the patient recovers in the hospital. The GB can be removed after full recovery, usually 4-6 weeks later. ...Read more
7-10 days: In my experience most people will return to work in 7-10 days, however I have seen people return as soon as 3-4 days or as long as 2-3 weeks, especially if the work requires strenuous activity. ...Read more