ERCP . Dr David Scott Gastroenterologist Tamworth Base Hospital. ERCP. What is it? When is it recommended? How is it performed? What are the complications? What’s new in ERCP?. What is ERCP?. Endoscopic Retrograde Cholangiopancreatogram Essentially it is a radiological procedure
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Dr David Scott
Tamworth Base Hospital
What is it?
When is it recommended?
How is it performed?
What are the complications?
What’s new in ERCP?
Endoscopic Retrograde Cholangiopancreatogram
Essentially it is a
performed via an endoscope
to diagnose and treat
conditions of the bile and pancreatic ducts
Gall stones in the bile duct
Malignant bile duct obstruction
Bile duct leak post cholecystectomy
Benign bile duct obstructions
Tissue sampling of bile duct lesion
Sphincter of Oddi Dysfunction (type 1)
Pancreatic duct stones and obstruction
(pain and fever
but normal BR)
(pain and fever
and raised BR)
PAIN AND JAUNDICE
Platelet count and coagulation profile
Pre-procedure imaging has revolutionised ERCP
Similar to a Gastroscopy
NBM for 6 hours prior (no bowel prep)
IV sedation (not usually intubated)
Left lateral position (sometimes prone)
NOT sterile – just clean
Different to a Gastroscopy
Side viewing endoscope
Portable image intensifier used
Diagnostic and therapeutic equipment
About 30 minutes
Biliary sphincter is like a valve
Needs to be cut to allow most interventions to relieve biliary obstruction
Highest risk part of standard ERCP
Assistant * VERY IMPORTANT ROLE *
Anaesthetics / Recovery
More like interventional radiology than endoscopy
Patient selection important
Needs Teamwork and Communication