ERCP For Pancreatic Cancer
1 AnswerBeth A. Schrope, MD, Endocrinology, Diabetes & Metabolism, answered on behalf of Columbia University Department of SurgeryDue to the sedation, you will not be able to drive yourself home after the procedure and should arrange for someone to pick you up. About 5-7% of patients experience pancreatitis after ERCP. While in most cases the pancreatitis is mild, serious pancreatitis can occur. Gastrointestinal bleeding, infection, and adverse reactions to the sedative anesthesia are other, rare complications associated with ERCP. Some patients may be allergic to the contrast dye used to visualize the ducts. If you have any known allergies to contrast dyes, iodine, or shellfish, you should alert your physician before undergoing the procedure.
1 AnswerJohns Hopkins Medicine answered
An endoscopic retrograde cholangiopancreatography (ERCP) is a special procedure that allows your doctor to determine whether there is a tumor in the bile ducts. You will be sedated and your doctor will insert a fiberoptic endoscope, or visual instrument, into your mouth, down your esophagus, and into your stomach and small bowel. Your doctor will then pass a smaller tube through the endoscope into your bile ducts. This tube injects dye into your bile ducts that allows your doctor to take an X-ray. The X-ray helps your doctor determine the presence of a bile duct tumor.
4 AnswersNewYork-Presbyterian Hospital answered
Endoscopic retrograde cholangiopancreatography is a test used to diagnose abdominal pain and to evaluate the ducts of the gallbladder, pancreas, and liver. This technology can even be used as an interventional technology to treat biliary obstructions and tumors of the bile duct, or to treat pain related to pancreatic cancer.
ERCP (endoscopic retrograde cholangiopancreatography) is a safe procedure. Serious complications are uncommon.
Potential complications include:
- Pancreatitis (inflammation of the pancreas) occurs in approximately 5 percent of patients. If it occurs, pancreatitis is usually mild and manifests with abdominal pain and nausea. Symptoms typically resolve after a few days in the hospital. Rarely pancreatitis may be more severe.
- Internal bleeding occurs in less than 1 % of patients. Bleeding may occur immediately and can be stopped quickly during the procedure. Other times bleeding is delayed and can happen during the days following the procedure. This delayed bleeding may require a repeat procedure to stop the bleeding.
- Perforation or puncture of the intestine is a rare occurrence. If a perforation occurs surgical repair if often required.
- Cholangitis (Infection of the bile ducts) is a rare occurrence.
- Heart or lung complications are a rare occurrence.
Signs that you may have had a complication:
- Severe abdominal pain
- A firm, distended abdomen
- Fever or chills
- Difficulty in swallowing or a severe sore throat
- Chest pain
- Black tar-like stools
2 AnswersDeborah Davis, DNP, Obstetrics & Gynecology, answeredDuring an ERCP, your doctor might apply a local anesthetic to your throat and/or give you a sedative to make you more comfortable. Your doctor might even ask an anesthesiologist to administer sedation if your procedure is complex or lengthy. Some patients also receive antibiotics before the procedure. You will lie on your abdomen on an X-ray table. Your doctor will pass an endoscope through your mouth, esophagus and stomach into the duodenum (first part of the small intestine). An endoscope is a thin, flexible tube that lets your doctor see inside your bowels. The instrument does not interfere with breathing, but you might feel a bloating sensation because of the air introduced through the instrument. After the doctor sees the common opening to the ducts from the liver and pancreas, call the major duodenal papilla, your doctor will pass a narrow plastic tube called a catheter through the endoscope and into the ducts. You doctor will inject a contrast material (dye) into the pancreatic or biliary ducts and will take X-rays.
2 AnswersIf you have endoscopic retrograde cholangio-pancreatography (ERCP) as an outpatient, you will be observed for complications until most of the effects of the medications have worn off before being sent home. You might experience bloating or pass gas because of the air introduced during the examination. You can resume your usual diet unless you are instructed otherwise. Someone must accompany you home from the procedure because of the sedatives used during the examination. Even if you feel alert after the procedure, the sedatives can affect your judgment and reflexes for the rest of the day.