ERCP (Endoscopic Retrograde cholangio pancreatography);
ERCP, abbreviated by using the initials of the words endoscopic retrograde cholangiopancreatography, is a special endoscopy method used in the diagnosis and treatment of biliary tract and pancreatic diseases. In this method, a special endoscopy device called a duodenoscope with a lighted camera system at the end is entered through the mouth, and the esophagus and stomach are passed. In the duodenum, there is a structure called papilla where the bile duct and pancreatic duct open jointly. Contrast material (colored substance) is given to the bile duct and, if necessary, to the pancreatic duct, by entering through this millimeter hole with devices called fine-tipped catheters. Imaging is provided with a device called C-arm and using X-rays. After the diagnosis is made, some treatments for the disease can be applied if necessary. It is sufficient for the patient to fast for at least 6-8 hours before the procedure. Before the procedure, patients should inform the doctor about their diseases, especially the blood thinners they use, and the drugs they are allergic to before. Before the procedure, vascular access is opened and the patient is provided to sleep and not feel pain (sedoanalgesia) during the procedure. The procedure takes an average of 30-60 minutes. If there is no side effect after the procedure, the patient can be discharged from the hospital on the same day.
In Which Situations Is ERCP Done?
ERCP is most commonly used to remove stones that have fallen into the biliary tract. Apart from this, it can be used in cases such as the treatment of benign or malignant diseases of the biliary tract and pancreatic duct with balloon or stent, and the treatment of bile leaks after gallbladder operations.