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Endoscopic Retrograde Cholangiopancreatography (ERCP)

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a specialized medical procedure that combines endoscopy and fluoroscopic imaging to diagnose and treat conditions of the bile ducts, pancreas, and gallbladder. Using a flexible tube with a camera, doctors guide instruments through the digestive tract to access the bile and pancreatic ducts. ERCP not only helps in diagnosing blockages, stones, and strictures but also allows therapeutic interventions like stone removal and stent placement, making it a vital tool in gastroenterology.

Common Treatments Provided

  • Removal of bile duct and pancreatic duct stones
  • Placement of stents to relieve blockages
  • Dilation of strictures (narrowed ducts)
  • Drainage of infected bile ducts (cholangitis)
  • Biopsy or sampling for suspected cancers
  • Relief of jaundice caused by obstruction

Common Conditions Managed

  • Choledocholithiasis (bile duct stones)
  • Gallstone-related pancreatitis
  • Bile duct strictures (benign or malignant)
  • Cholangitis (infection of the bile ducts)
  • Pancreatic duct disorders
  • Biliary or pancreatic cancers
  • Obstructive jaundice

Symptoms That May Require ERCP

  • Severe abdominal pain (especially upper abdomen)
  • Jaundice (yellowing of eyes and skin)
  • Nausea and vomiting
  • Fever and chills (suggesting infection)
  • Unexplained weight loss
  • Persistent abnormal liver function tests
  • History of gallstones with complications

Prevention & Lifestyle Measures

  • Maintain a healthy weight to reduce risk of gallstones
  • Eat a balanced diet rich in fruits, vegetables, and fiber
  • Avoid high-fat, fried, and processed foods
  • Limit alcohol intake to protect liver and pancreas
  • Stay physically active and exercise regularly
  • Get timely medical check-ups for liver and gallbladder health
  • Manage diabetes and cholesterol, which increase stone risk
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