What is CBD in ERCP?
Common bile duct (CBD) stones are the most common indication for endoscopic retrograde cholangiopancreatography (ERCP) in clinical practice. Most CBD stones can be removed by extraction with balloon and/or dormia basket following endoscopic sphincterotomy, and clearance of the biliary system is achieved [1.
What is ERCP with Papillotomy?
This is a procedure that helps your GI physician detect problems of the bile and pancreatic ducts. An incision is made between the common bile duct and the pancreatic duct that allows the drainage of bile.
What is the difference between ERCP and MRCP?
MRCP was developed in 1991 and techniques are continuing to improve. A major feature of MRCP is that it is not a therapeutic procedure, while in contrast ERCP is used for both diagnosis and treatment. MRCP also does not have the small but definite morbidity and mortality associated with ERCP.
What is Post ERCP pancreatitis?
Post-ERCP pancreatitis is diagnosed when patients develop signs and symptoms of acute pancreatitis (i.e. abdominal pain) in addition to elevation of pancreatic enzymes. But it is important to consider other causes of post-procedural abdominal pain, such as air insufflation and, less commonly, perforation.
What is normal CBD size?
The normal range of CBD diameter was 1.8mm to 5.9 mm. However, 65% of the study participants had a common bile duct diameter of < 4 mm. The majority of the patients irrespective of the age group had the diameter which ranges from 2–3.9 mm.
Is ERCP safe?
ERCP is a safe procedure and serious complications are uncommon. If complications do occur, they are usually mild, and may include the following: Pancreatitis (inflammation of the pancreas) is the most frequent complication, occurring in about 3 to 5 percent of people undergoing ERCP.
Why stent is used in ERCP?
Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to drain the gallbladder and pancreatic fluid …
What is PTC surgery?
Percutaneous transhepatic cholangiography (PTC), an x-ray procedure that involves the injection of a contrast material directly into the bile ducts inside the liver to produce pictures of the bile ducts. This procedure is usually performed by an interventional radiologist.
What is the most common complication of ERCP?
Pancreatitis (inflammation of the pancreas) is the most frequent complication, occurring in about 3 to 5 percent of people undergoing ERCP. When it occurs, it is usually mild, causing abdominal pain and nausea, which resolve after a few days in the hospital. Rarely pancreatitis may be more severe.
Can ERCP remove gallstones?
A stent is a drainage tube that is placed in the bile duct or the pancreatic duct to hold the duct open and allow it to drain. Gallstone(s) removal. ERCP can remove gallstones from the bile duct, but not from the gallbladder itself.