Yelale Hospital, Latur - 413531
Yelale Hospital, Latur - 413531
   
 

ERCP : Theraputic


ERCP : Theraputic 

for the stone disease of biliary canal this procewdure is gold standared .A guide wire is passed in the CBD and access gained .with the help of sphincterotome ampulla of vater is incised and with help of ballon stones in the CBD are removed .for this procedure patient should fast for overnight .under the sedation this procedure is done .and patient should fast for 6 hrs .and can go home on second day .many times second procedure is required in the form of removal of gall bladder {laparoscopic cholecystectomy }when gall bladder also contains stone.the procedure can be done on the second or third day or if infection is there after the infection is controlled .Before ERCP antibiotic coverage is given .In the setting of cholangitis and obstruction of CBD good antibiotic coverage is must and ERCP is planed .

At least in 70 to 90 % of cases canulation is possible and ERCP is successful .

complications of ERCP:1. haemorrhage can be there 2.perforation of duodenum 3. pancreatitis 4.cholangitis . 

 

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Yelale Hospital, Latur - 413531