ERCP for hepatobiliary and pancreatic diseases

  If you suffer from jaundice and abdominal pain caused by stones in the common bile duct, acute suppurative cholangitis, cholangitis of biliary origin, chronic pancreatitis, biliary and pancreatic duct strictures due to benign and malignant tumors, a rapid, non-surgical treatment option – therapeutic ERCP – is now at hand.  What is ERCP? ERCP is the acronym for Endoscopic Retrograde Cholangio-Pancreatography (ERCP), which is an endoscopic technique for retrograde visualization of the pancreaticobiliary duct by injecting a contrast agent through the duodenal papilla and is currently recognized as the gold standard for the diagnosis of pancreaticobiliary diseases. ERCP is the gold standard for the diagnosis of pancreaticobiliary duct disease. On the basis of ERCP, interventions such as duodenal papillary sphincterotomy (EST), endoscopic nasobiliary drainage (ENBD) and endoscopic endobiliary stent drainage (ERBD) can be performed, which have the advantages of no anesthesia, no abdomen opening, less risk, less trauma, faster recovery and fewer complications, and the hospital stay is also greatly shortened, which is popular among patients.  Is ERCP surgery treatment expensive?  No, although ERCP surgery requires some high-tech expensive medical equipment, but the hospitalization time is very short, recovery is also very fast, so compared with the traditional surgery, the cost can be slightly lower than the traditional open surgery, mainly because ERCP surgery and traditional open surgery can greatly reduce the patient’s hospitalization time, so the cost is relatively low, but also can significantly reduce the cost of drug treatment used.  ERCP treatment for common bile duct stones and acute septic cholangitis is performed under the duodenoscope using a high-frequency electric papillotomy knife to cut open the papillary muscle and remove the stones with a mechanical lithotripter and a mesh basket, which is less painful, less invasive, and does not require general anesthesia. obstruction, treat or avoid purulent cholangitis, infectious shock and multi-organ failure.  2, ERCP treatment of obstructive jaundice Obstructive jaundice caused by benign or malignant stenosis of the biliary tract, the use of balloon dilation or dilated duct expansion, stent placement, can effectively improve the patient’s quality of life, obstructive jaundice by ERCP biliary stent placement (plastic internal stent and metal memory alloy stent), can effectively drain bile, reduce siltation liver damage, improve the patient’s symptoms, its less invasive, good results. It is less invasive and more effective. For example, if obstructive jaundice is caused by cholangiocarcinoma, hilar cholangiocarcinoma, hepatocellular carcinoma and other malignant tumor metastasis and compression, ERCP can be used to place plastic stents or metal stents to restore the original lumen shape of the bile duct and reopen it, relieving or eliminating jaundice and creating opportunities for further treatment of the tumor.  3, ERCP treatment of pancreatic diseases Biliary pancreatitis caused by common bile duct stones, obstructive jaundice caused by pancreatic cancer, chronic pancreatitis caused by pancreatic duct stones or stenosis and pancreatic pseudocysts, using balloon dilation or dilated duct dilation, stent placement or nasobiliary drainage, can effectively cure the patient or improve the quality of survival of the patient. Stent placement and nasopancreatic duct drainage via ERCP biliary or pancreatic duct can effectively drain bile or pancreatic fluid and improve patients’ symptoms rapidly, which is less invasive and effective.  What should I pay attention to after ERCP?  1.Rest and water fasting for 24 hours, observe for bleeding and other complications.  2.Retest blood routine, blood and urine amylase.  3.Anti-inflammatory, hemostatic and rehydration treatment.  5 reasons for choosing ERCP?  1.No incision, less trauma, less patient pain.  2.Small risk, fast recovery, not only eliminate the lesion, but also leave no trace.  3, relatively low cost and reduced hospitalization time.  4, ERCP technology is a new technology for diagnosis and treatment by endoscopy, the accuracy of diagnosis of bile duct and pancreatic diseases is higher than that of ultrasound and CT, and the treatment can be carried out through minimally invasive surgical techniques at the same time of diagnosis.  5. The operation is not complicated, with rapid results and repeatability.  ERCP enables patients to take the least risk, endure the least pain, and obtain the best treatment results!