ERCP (Endoscopic Retrograde Cholangiopancreatography) in Turkey

ERCP is applied for both diagnostic and therapeutic purposes. It is used to visualize and diagnose conditions affecting the bile ducts and pancreas, such as stones, strictures, tumors, and inflammation, which may not be adequately assessed through other imaging techniques.

Additionally, ERCP allows for the removal of gallstones, insertion of stents to open blocked ducts, drainage of fluid collections, and obtaining tissue samples for biopsy during the procedure itself, offering a minimally invasive and effective approach to treating various gastrointestinal disorders.

How is ERCP Applied?

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a valuable medical procedure that allows physicians to visualize, diagnose, and treat disorders of the bile ducts and pancreas. By combining endoscopy and fluoroscopy, ERCP offers a minimally invasive and effective approach to address a range of gastrointestinal issues, ultimately helping patients achieve better health outcomes.

The procedure involves the use of an endoscope, a long, flexible tube with a light and camera at its tip. The endoscope is inserted through the mouth and guided down the esophagus, stomach, and into the duodenum (the first part of the small intestine). Once in place, a smaller catheter or cannula is passed through the endoscope and gently advanced into the bile duct or pancreatic duct.

Who Needs ERCP?

ERCP is recommended for people who have specific medical conditions or symptoms related to the bile ducts and pancreas. Some common indications for ERCP include:

Suspected Bile Duct or Pancreatic Duct Blockage: If a patient presents with symptoms such as jaundice (yellowing of the skin and eyes), unexplained abdominal pain, or abnormal liver function tests, ERCP may be used to investigate and potentially remove obstructions in the ducts.

Gallstones in the Bile Duct: When gallstones migrate from the gallbladder to the bile ducts, they can cause blockages, leading to severe pain, infection, or pancreatitis. ERCP can be used to locate and remove these stones.

Biliary or Pancreatic Duct Strictures: Narrowing of the bile ducts or pancreatic ducts can cause complications and hinder the flow of bile or digestive enzymes. ERCP can help diagnose and treat these strictures by inserting stents or performing balloon dilation to widen the narrowed areas.

Pancreatitis: In cases of acute or chronic pancreatitis, ERCP may be used to identify the underlying cause and provide appropriate treatment.

Tumors or growths: ERCP can assist in diagnosing and staging tumors or growths in the bile ducts or pancreas and may be followed by other interventions like biopsies or stent placement.

Suspected Biliary or Pancreatic Leaks: In some cases, ERCP can be used to identify and treat leaks or abnormal connections between the bile ducts or pancreas and nearby organs.

Unexplained Abnormal Findings on Imaging: If imaging studies like CT scans or MRIs reveal abnormalities in the bile ducts or pancreas, ERCP may be used to further investigate and obtain a clearer diagnosis.

It's important to note that ERCP is an invasive procedure and is not suitable for everyone. The decision to undergo ERCP should be made by a gastroenterologist or a specialized healthcare professional after carefully considering the patient's medical history, symptoms, and other relevant factors.

Which Medical Field Applies to ERCP?

ERCP (Endoscopic Retrograde Cholangiopancreatography) is a specialized procedure that falls under the domain of gastroenterology. Gastroenterology is a medical field that focuses on the diagnosis and treatment of diseases and disorders related to the digestive system, which includes the esophagus, stomach, intestines, liver, gallbladder, and pancreas.

Gastroenterologists are physicians who specialize in gastroenterology and are trained to perform endoscopic procedures like ERCP. They have expertise in using endoscopes and other advanced techniques to visualize and treat conditions affecting the digestive system.