ERCP In Delhi

ERCP In Delhi

ERCP In Delhi

Endoscopic Retrograde Cholangiopancreatography, commonly known as ERCP, is a diagnostic and therapeutic procedure used to examine and treat conditions affecting the bile ducts and pancreas. This minimally invasive procedure combines endoscopy and fluoroscopy to visualize the biliary and pancreatic ducts, allowing for the detection and treatment of various disorders. In this article, we delve into the essentials of ERCP, including its procedure, uses, and associated risks.


Understanding the Procedure:

ERCP is typically performed by gastroenterologists or interventional endoscopists in a specialized endoscopy unit or operating room equipped with fluoroscopy. The procedure involves the following steps:

  1. Preparation: Before the procedure, patients are usually given sedatives and local anesthetics to minimize discomfort. They are instructed to fast for several hours to ensure a clear view of the gastrointestinal tract.
  2. Endoscopic Insertion: A thin, flexible tube called an endoscope is inserted through the mouth, down the esophagus, and into the stomach and duodenum. The endoscope contains a camera and a light source, allowing the physician to visualize the interior of the digestive tract.
  3. Contrast Injection: Once the endoscope reaches the duodenum, a catheter is passed through it and into the bile duct or pancreatic duct. A contrast dye is then injected through the catheter, outlining the ducts on fluoroscopic images.
  4. Imaging: Fluoroscopy, a real-time X-ray imaging technique, is used to capture images of the contrast-filled ducts. These images help identify any abnormalities such as stones, strictures, or tumors.
  5. Therapeutic Interventions: If abnormalities are detected during the procedure, various therapeutic interventions can be performed immediately. These may include removing bile duct or pancreatic duct stones, dilating strictures, or placing stents to relieve blockages.
  6. Completion: Once the necessary diagnostic and therapeutic interventions are completed, the endoscope is carefully removed, and the patient is monitored for any post-procedure complications.

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