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Complicated ERCP procedure in Ranchi at Manipal Hospitals

ERCP Complicated Procedure

Complicated ERCP Procedure in Ranchi

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a technique utilised to identify and treat various conditions affecting the liver, gallbladder, bile ducts and pancreas. It uses a combination of X-ray technology and an endoscope (which is a long, flexible tube containing a light and a camera). A flexible endoscope is advanced through the mouth into the duodenum, and contrast dye is injected into the ducts to evaluate any abnormalities identified on X-ray. 

At Manipal Hospitals, Complicated ERCP Procedure in Ranchi is emphasised and utilised to treat complicated ductal obstructions and strictures and postoperative complications.

Why is Complicated ERCP Performed?

Common biliary duct disorders that can be evaluated and treated with the ERCP include:

  • Acute or chronic cholangitis

  • Biliary strictures due to scarring or malignancy

  • Gallstones lodged in the common bile duct (choledocholithiasis)

  • Gallstone-induced pancreatitis

  • Bile duct injuries or postoperative leaks

  • Suspected tumours or malignancies of the bile duct

What to Expect before a Complicated ERCP?

Patients are assessed and evaluated before the procedure. The instructions given are as follows:

  • Refrain from eating, chewing gum, smoking, and consuming any liquids other than water for eight hours before the procedure

  • Patients must make sure to talk with the specialists about their current medical conditions and medications ahead of time

  • They might ask to discontinue certain medications on the day of the procedure, such as blood thinners

  • Provide information on previous reactions or allergic reactions to the contrast agent they use for the test or anaesthesia

  • Arrange for transportation to home following the treatment, as sedation takes 24 hours to wear off

What to Expect During the Procedure?

Complicated ERCP in Ranchi is performed under sedation or general anaesthesia by an anaesthesiologist present throughout the procedure:

  • The opening to the bile and pancreatic ducts within the duodenum is identified

  • A tiny catheter is used to inject contrast dye into the ducts

  • Fluoroscopy is a 2-D visualiser used to evaluate ductal structures in real time

  • They will check for problems that could affect the ducts, such as obstructions, swelling, or leaks.

When the issue is identified during the procedure, the endoscopist may take the following actions:

  • Break apart and remove gallstones.

  • Remove tumours or tissue samples for biopsy.

  • Dilate or stretch narrowed ducts to open them.

  • Insert a stent inside to keep the duct open.

  • Repair a leak or injury in a duct.

What to Expect After the Procedure?

Post-complicated ERCP in Ranchi, pain, bleeding, or fever are monitored in a postoperative recovery area. The patients are then observed for any complications for between 1 and 2 hours while being slowly reintroduced to fluids and food. Most individuals are discharged the same day, with instructions on symptom monitoring and follow-up given.

Benefits and Potential Risks of Complicated ERCP

Therapeutic ERCP in Ranchi offers the advantage of directly accessing the biliary and pancreatic ducts, and it is immediate and has a therapeutic effect. ERCP has the greatest advantages concerning emergencies like cholangitis or obstructive jaundice. It is less invasive than surgery, and it has improved safety and efficacy with skilled operators.

Complicated ERCP carries certain risks.

  • Pancreatitis (5–10% incidence)

  • Bleeding, especially after sphincterotomy

  • Perforation of the duodenum or bile ducts

  • Infection or cholangitis

  • Sedation-related adverse events

  • Rare allergic reactions to contrast dye

At Manipal Hospitals, potential risks associated with therapeutic ERCP in Ranchi are proactively managed by experienced gastroenterologists through continuous intra- and post-procedural monitoring. They have dedicated care teams ensuring timely intervention and personalised recovery support.

Expert care for complicated ERCP procedure in Ranchi. Advanced technology, skilled specialists, and patient-focused treatment for complex biliary issues.

FAQ's

A Gastroenterologist trained in advanced endoscopy usually performs ERCP. The procedure is conducted by specialists experienced in therapeutic interventions.
 

Bleeding may occur during the Sphincterotomy or placement of the stent. Minor bleeding often resolves on its own. Significant bleeding may require Endoscopic therapy, Transfusion or Surgery. 
 

Perforation is a rare but serious complication of ERCP that can happen in either the duodenum or the bile duct. Symptoms may include abdominal pain and infection. Management should include antibiotics and drainage, but surgical intervention may also be required if perforation is serious.
 

Generally, recovery is quick for uncomplicated cases. Patients usually go home the same day. In complicated cases, patients may require short-term hospitalisation for observation and supportive care.
 

One should contact their provider if severe or unusual symptoms occur after ERCP, including: 

  • Severe abdominal pain or swelling. 

  • Chest pains or trouble breathing. 

  • Fever, vomiting or other signs of infection. 

  • Rectal bleeding or black, tarry stools.

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