Ercp is an endoscopy procedure for the purpose of evaluating and. Endoscopic retrograde cholangiopancreatography, or ercp, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. Endoscopic retrograde cholangiopancreatography ercp is a therapeutic procedure used to treat problems associated with biliary and pancreatic diseases. A procedure done to diagnose and treat problems in the bile ducts for example gallstones stuck in bile ducts, inflammatory strictures, leaks from trauma and surgery,bile duct and pancreatic duct cancer. Endoscopic retrograde cholangiopancreatography clinical gate. Endoscopic retrograde cholangiopancreatography is a procedure that combines upper gastrointestinal gi endoscopy and x rays to treat problems of the bile and pancreatic ducts. Endoscopic retrograde cholangiopancreatography ercp is a procedure used to treat and diagnose problems in the liver, gallbladder, bile ducts, and pancreas.
Ercp combines the use of xrays and an endoscope a long, flexible, lighted tube. The main objectives of endoscopic retrograde cholangiopancreatography ercp are to gain access to the biliary system or the pancreatic duct via the major duodenal papilla in the second portion of the duodenum, to obtain fluoroscopic images of either the biliary tree or the pancreatic duct after injection of a radiopaque contrast agent, to interpret those images in real. Ercp endoscopic retrograde cholangiopancreatography youtube. Endoscopic retrograde cholangiopancreatography ercp is. Obtaining such pictures requires that an endoscope be placed in the mouth through the esophagus and stomach, then into the duodenum. You may notice a brief, sharp burning or stinging when the iv is started in your arm. Laparoscopic endoscopic retrograde cholangiopancreatography ercp ercp is a procedure that enables your physician to examine the pancreatic and bile ducts.
Endoscopic retrograde cholangiopancreatography ercp during ercp a sideviewing endoscope is passed through the mouth to the duodenum, the ampulla of vater is identified and cannulated with a thin plastic catheter, and radiographic contrast material is injected into the bile duct and pancreatic duct under fluoroscopic guidance fig. An endoscopy is the use of a special scope with a camera to view the throat, stomach, and upper intestine. Consensus and association guidelines are available and can be found in the further reading section. An ercp endoscopic retrograde cholangiopancreatography is a procedure for diagnosing diseases of the gallbladder, bile system, pancreas, and liver. The dye enters the ducts through a small hollow tube catheter passed through the endoscope. It is essential that an endoscopic retrograde cholangiopancreatography ercp is undertaken for an appropriate indication. Structural abnormalities suspected by symptoms, physical examination, laboratory tests, or xrays can be shown in detail and biopsies of. Endoscopic procedures advanced therapeutic endoscopy for digestive disorders capsule endoscopy colonoscopy and colon cancer screening endoscopic retrograde cholangiopancreatography ercp endoscopic ultrasound fecal microbial transplant flexible sigmoidoscopy nutritional services for gastrointestinal disorders. About endoscopic retrograde cholangiopancreatography ercp ercp has been used for the diagnosis and treatment of pancreatic diseases for over 20 years. An endoscope thin, flexible tube with a light will be used for the procedure. Endoscopic retrograde cholangiopancreatography ercp adh.
An endoscopic retrograde cholangiopancreatogram ercp is a test that combines the use of a flexible, lighted scope endoscope with xray pictures to examine the tubes that drain the liver, gallbladder, and pancreas. Video atlas of gastrointestinal endoscopy clinical gate. The procedure is performed by boardcertified gastroenterologists stomach and liver specialists or by their trainees also known as fellows who work under their direct supervision. Endoscopic retrograde cholangiopancreatography ercp is a technique that uses xray to view the patients bile and pancreatic ducts. Endoscopic retrograde cholangiopancreatography lahey health. This animation describes endoscopic retrograde cholangiopancreatography ercp, an endoscopic procedure used to examine and treat a. By staying true to this belief, our doctors are able to use accurate screenings like endoscopic retrograde cholangiopancreatography to determine the causes of a wide range of. Endoscopic retrograde cholangiopancreatography ercp is a diagnostic test to examine. The pancreatic duct is the drainage channel from the pancreas. Ercp stands for endoscopic retrograde cholangiopancreatography.
Endoscopic retrograde cholangiopancreatography ercp is a procedure. What you need to know about endoscopic retrograde cholangiopancreatography ercp. Endoscopic retrograde cholangiopancreatography ercp niddk. This procedure is performed on an outpatient basis under sedation rarely under general anesthesia. The pancreas care center at cincinnati childrens offers endoscopic retrograde cholangiopancreatography ercp as a treatment option to correct pancreatic complications. Endoscopic retrograde cholangiopancreatography ercp is probably the most challenging procedure in endoscopy. Here the author demonstrates the technique of positioning the sideviewing endoscope in the duodenum, and cannulating the common bile duct and the pancreatic duct in a patient referred for ercp for abdominal colic. Ercp may also be used to open blocked ducts, or to diagnose problems with your pancreas or gallbladder. The functions of the common bile duct and the pancreatic duct are to drain the gallbladder, liver, and pancreas. The liver produces bile, which can be stored in the gallbladder, and the pancreas makes approximately onehalf liter of fluid a day. An ercp is a procedure that looks at the lining of the esophagus, stomach, duodenum, pancreatic duct and bile duct. It combines xray and the use of an endoscopea long, flexible, lighted tube. What is an endoscopic retrograde cholangiopancreaticography. A small camera mounted on the endoscope will send a video image to a monitor.
Endoscopic retrograde cholangiopancreatography ercp is a procedure that combines upper gastrointestinal gi endoscopy and xrays to treat problems of the bile and pancreatic ducts. Your browser does not currently recognize any of the video formats available. Endoscopic retrograde cholangiopancreatography ercp is a procedure to examine and treat diseases of the drainage system of the liver and gall bladder bile ducts and the pancreas pancreatic duct. Endoscopic retrograde cholangiopancreatography ercp uses a dye to highlight the bile ducts on xray images. An endoscopic retrograde cholangiopancreatography ercp is used to study, diagnose and treat abnormalities of the ducts of the gallbladder, pancreas and liver. Endoscopy is the examination of an internal body part with an instrument called an endoscope. An endoscopic retrograde cholangiopancreatography ercp is a specialized technique used to study the ducts of the gallbladder, pancreas, and liver. Pictures are sent to a television monitor as the scope goes down. Endoscopic retrograde cholangiopancreatography, or ercp, is a specialized technique used to study the bile ducts, pancreatic duct and gallbladder.
Here the author demonstrates the technique of positioning the sideviewing. Watch dr dinesh kini, director, gastroenterology and hepatology, sakra world hospital, explain ercp, also showing a metal triple billiary stenting output v1. A thin, flexible tube endoscope with a camera on the end is passed down your throat and into your small intestine. An endoscopic retrograde cholangiopancreatography ercp is used to diagnose and treat problems in the pancreas using a special narrow, flexible tube endoscope that has a video camera attached. Endoscopic retrograde cholangiopancreatography ercp what is an ercp.
A bendable, lighted tube endoscope about the thickness of your index finger is placed through your mouth and into your stomach and first part of the small intestine duodenum. The local anesthetic sprayed into your throat usually tastes slightly bitter. There are several things that will happen as you begin your ercp, which this video clip explains. Ercp endoscopic retrograde cholangiopancreatography. Endoscopic retrograde cholangiopancreatography ercp. Endoscopic retrograde cholangiopancreatography ercp ercp is both a diagnostic and therapeutic procedure that uses a lighted flexible tube and xray to examine the bile and pancreatic ducts that drain the liver, pancreas and gallbladder into the small intestine.
Ercp is also used to diagnose problems, but the availability of noninvasive tests such as magnetic resonance cholangiography has allowed ercp to be used primarily for cases in. Endoscopic retrograde cholangiopancreatography providence. The doctor injects contrast dye into the bile system while xrays are taken. Ercp is considered relatively safe and can be performed in children, adolescents, adults and the elderly.
The commonest cause of litigation in ercp is that the procedure was not indicated. An endoscopic retrograde cholangiopancreatogram ercp is usually done by a gastroenterologist. Endoscopic retrograde cholangiopancreatography ercp oncolex. The doctor looks inside using a thin video camera and tube called a scope.
An ercp is an examination of the bile system drainage routes of the gallbladder, liver, and pancreas with a flexible, lighted tube called an endoscope. These ducts act as drainage channels for these organs and are sometimes called bile ducts or biliary ducts. Ercp is a valuable tool that is used for diagnosing many diseases of the pancreas, bile ducts, liver, and gallbladder. Normal endoscopic retrograde cholangiopancreatography. This procedure uses a flexible tube with a light and camera plus xrays to. Endoscopic retrograde cholangiopancreatography ercp is a specialized technique used to study the ducts of the gallbladder, pancreas and liver. Endoscopic retrograde cholangiopancreatography precare. This involves the passage of a specially designed upper endoscope that can be guided to the opening of the biliary and pancreatic ducts in the duodenum, and the usage of a. Cincinnati childrens is one of only a few pediatric medical centers in the country that offers this special procedure performed by a pediatric endoscopist. Endoscopic retrograde cholangio pancreatography ercp procedure is a realtime radiolgraphic examination of the bile ducts small draining tubes, gallbladder andor pancreatic duct. Ercp can often be used to treat problems in these parts of the digestive system. Ercp or endoscopic retrograde cholangiopancreatography is an invasive endoscopic procedure to inspect and remedy problems occurring in the gall bladder, liver, and pancreas. The liver is a large organ that, among other things, makes a liquid called bile that helps with digestion.
Endoscopic retrograde cholangiopancreatography ercp is a test used to diagnose and treat conditions of the liver, gallbladder, bile ducts, pancreas and pancreatic duct. What happens during the ercp endoscopic retrograde cholangiopancreatography procedure after you have received sedation medication to make you drowsy, a gastroenterologist a doctor who specializes in the gastrointestinal system uses a special endoscope a long, flexible tube with a light and camera at the end to examine the inside of the digestive system. Ercp endoscopic retrograde cholangiopancreatography test. Ercp endoscopic retrograde cholangiopancreatography is used to. We provide tips in this video to make your ercp procedure go as. Ercp is used to diagnose and treat problems in your liver, gallbladder, bile ducts, and. What is endoscopic retrograde cholangiopancreatography ercp. The endoscope is inserted through the mouth and gently moved down the throat into the esophagus, stomach, and duodenum until it reaches. The benefits of ercp over surgical treatment are well documented. This procedure enables a physician to diagnose problems in the liver, gallbladder, bile ducts and pancreas. Introduction endoscopic retrograde cholangiopancreatography ercp is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of. Endoscopic retrograde cholangiopancreatography, or ercp, is a combined endoscopical and radiological procedure to study the bile duct.
Endoscopic retrograde cholangiopancreatography ercp is a procedure to examine the ducts of your pancreas or gallbladder. Endoscopic retrograde cholangiopancreatography ercp during this procedure an xray is taken of the pancreatic duct and bile ducts. Watch dr dinesh kini, director, gastroenterology and hepatology, sakra world hospital, explain ercp, also showing a metal triple billiary stenting output v1 surgery being performed. A thin, flexible fibreoptic endoscope scope is used. Ercp is a procedure to examine the ducts of your pancreas or gallbladder. Your healthcare provider guides the scope through your mouth and throat, then down the esophagus, stomach, and. Endoscopic retrograde cholangiopancreatography ercp at providence, we believe in providing the most precise diagnostic procedures in a caring and empathetic environment. These ducts drain secretions from the pancreas and liver respectively. Ercp endoscopic retrograde cholangiopancreatography factdr. This is a doctor who has special training in diseases of the digestive system. Definition of endoscopic retrograde cholangiopancreatography. Endoscopic retrograde cholangiopancreatogram, gastroenterology. Endoscopic retrograde cholangiopancreatography ercp for.
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