Endoscopic retrograde cholangiopancreatography

What is Endoscopic retrograde cholangiopancreatography?

A method of cholangiopancreatography using an endoscope to inspect and cannulate the ampulla of Vater, with injection of contrast medium for radiographic examination of the pancreatic, hepatic, and common bile ducts.The procedure is helpful in determining the cause of jaundice.

Questions and answers on "Endoscopic retrograde cholangiopancreatography"

1 year ago now, i started getting heart flutters about 10 a day, felt like my heart rythem was all over the place would last few seconds sometimes a minute, would happen 10-15 times a day. then just faded out now i get them once a week- once twice a day.
then i got pain in my laynx that has never left for a year now, i had electric shock type pains in between shoulder blades, and lft side of chest, and mid back. after few months of this i had nausea, vomiting which had streaks of blood in it. then horendous upper abdominal pain that lasted a month, which radiated through to my shoulders... now have constant upper back pain shoulderblades hurt to take a deep breath pain in left side at night and in morning, fades more thoughout day, pain in right side under ribs, which makes right shoulder ache, also liver function tests are slightly high ( always been normal till pain occured on right side then they were high) alt 85, then bk to normal on recheck, then high again, and so on..... im convinced i have pancreatic cancer, which a tumor is pressing on my vagus nerve... hence the throat pain, oh and flashes of ear pain in both ears mainly left, and the heart palps i was having st the begining. iv had ultrasound, ct to look for aortic disection, which noted pancreas as normal, mri, on pancreas and liver. and an endoscopy, to look at stomach.
all normal. my problem is iv read tumors in pancreas are hard to see on imaging studys due to location. and that ct has to be a 3 phase pancreas ct.
my doc went back over my scans, as things are always getting worse for me and he said my pancreas looks on the plump side, after he did a blood test to check for autoammune pancreatitis which came back clear, he said it can be plump if thrres s lot of healthy tissue.
im not buying that after all the pain and ongoing and new symptoms over a year. im convinced i have pancreatic cancer. i know im young 35 but i have read lots of things about people in their 30 getting it! (someones gotta be unlucky so "odds" mean nothing to me)
and if its a endocrine tumor the age range is 30 onwards anyway. my pancreas duct is not dilated or any abrupt cut off, but what if tumor is in the islet part of pancreas? my theory is i have a tumor in the pancreas tgats pressing on my vagus nerve causing all my odd symptoms, and constant upper back and left sided pain. i can nolonger work due to pain, iv never been docs for anything in the past other than s chest infection and 2 pregnancys, im not a hypochondriac. somthings very very wrong. if it was vagus nerve causing throat, heart and ear symptoms... would it be constant? my thriat pain is constant but my flashes of ear pains come and go, i can go for weeks without and then have days of it bugging me. and heart flutters are not what they were they seemed to have gone apart from the odd one or two now and again.
a year prior to my 1st symptom i had a suspected blood clot in my leg... i did a physical weekend challenge, which behind my knee started aching on day one I put this down to the fact I had runners knee in the past. after the weekend I woke up and my leg was twice the size with a red colouring on the back of my calf. I was sent to hospital where they did blood test for a blood clot which came back positive. I was given heprin injections until I could have a scan in two days time. when I had the scan I was told there was no clot. after about 2 to 3 weeks my leg got back to normal. I assumed it was just a lot of inflammation but now I'm thinking maybe it was a clot and was missed on the scan. as I know that clots in legs are linked to the pancreas cancer.
i've done a lot of research on the Internet as to why tumours would not show on a scan, i've read that sometimes the tumour can blend in with the normal tissue. is this correct?
also after the last few days I've been experiencing the same sort of flashes of pain in my joints like my knee and my elbows, mainly on my right side but sometimes on my left it could also be in my ankles my hips and sometimes my toes I don't know if this is all nerve linked this is all very strange. no weight loss as of yet.

doctor1 MD

Brief Answer:
PET scan and blood test for ca 19.9

Detailed Answer:
Hi

I have gone through your history.

I would advise you to do 2 further tests.

1) PET scan

2) Blood test for pancreatic tumour marker Ca 19.9.

Sometimes tumours such as pancreatic tumours are not detected in normal scan and can be...

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what is the procedure involve to check the pressure in the gall bladder I believe its similar to an upper endoscopy but is surgery needed to correct this problem if it is causing spasm's and much discomfort/?I have recently had an upper endoscopy last week and everything looks good all testing came back normal as well as blood work and ct scan and abdominal sonogram...but I am still experiencing spasm's and gripping cramp like pain upon bending or lifting and with certain movement

doctor1 MD

Brief Answer:
endoscopic retrograde cholangiopancreatography (ERCP).

Detailed Answer:
Hello,
Welcome to HCM.
I am Dr Rakesh Sharma answering your query.
I can understand your concern.
If your doctor has advised you to go through gall bladder pressure test then it is
test to rule out functional,...

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Had gallbladder out 7 years ago. still on occasion have upper right quadrant pain. recently after stressfull two months. Had another episode only it is going on much longer. Have had diarrhea, then mucousy stuff. Got Metamucil three days ago and seemed to bulk up the watery stool to very soft. However, now have lower back ache on both sides above hip bones. I was also diagnosed with a lot of bile in stomach after surgery along with gastritis of aterum. What the heck is going on? Im getting scared

doctor1 MD

Brief Answer:
Please provide the following medical data....

Detailed Answer:
Hi there,

I have gone through your medical history and feel sorry for the situation you are in.

Before running into final conclusions, I'd like to know:
- if diarrhea started immediately after surgery or recently?
- do...

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My son had his gallbladder removed today, but the doctor said there are three gall stones he didn't get and plans to go through the esophagus tomorrow to alleviate the problem. Does that sound reasonable?

doctor1 MD

Brief Answer:
He may remove the stones by ERCP.

Detailed Answer:
Hi
Once the gallbladder is removed, all the stones in it would have come out.
I think there were stones left in the Common bile duct (CBD) which can be removed by ERCP (Endoscopic Retrograde cholangiopancreatography).Here,a...

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I continue to have abdominal pain and have been on this site for many months. My history is evident. I have more abdominal pain after weight lifting. I have always suspected some inflammation of the pancreas. Although, in the last months I have had all the imaging exams and numerous blood panel tests. Nothing indicates pancreatitis and a pancreatic specialist, after reviewing all the reports also feels no pancreatitis. But I think I could have spincter of Oddi dysfunction and this cause the pancreas to inflame. Something is wrong and I am not healing.. I don't drink anymore, but never drank that much. My exercise routine was very rigorous and I know I did something to cause this on going abdominal pain. I have mild gastritis, but I really believe the pancreas is causing some of this pain. I have lost 3 pounds since January and have no oily stool. I do have a weak appetitie. When I lift weights the pain is worse. please advise.

doctor1 MD

Brief Answer:
MRI of the thoracic spine

Detailed Answer:
Hi.
Thanks for your query.

Noted and re-read the history.

The pain is at a fixed area it seems.
It is increased after weight lifting.
All the investigations done till now related to this problem are negative.
Sphincter of Oddi dysfunction...

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What is Dilated common bil duct obstraction?

doctor1 MD

Brief Answer:
Dilated common bile duct and obstruction explained

Detailed Answer:
Hi Viviane004,
Thanks for writing in to us.

I have read through your query in detail.
Please let me explain this in detail from basics.

The gall bladder stores bile which helps in digestion. The bile exits the gall...

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Hello,
I believe I have SOD and maybe CP, as all my symptoms match. I also have GERD and Barretts. I am having difficulty finding a doctor that understands the SOD and CP. They all want to treat me for GERD only. Can you recommend a doctor ion MA?

doctor1 MD

Brief Answer:
SOD needs management, CP needs long term care

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Sphincter of oddi dysfunction is common in people with gastric discomforts like gastritis, GERD and XXXXXXX esophagus in your case. Also pancreas...

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I have very excessive belching despite taking medication (prescription and otc)
Know I have gallstones, but no pain and nothing showed up on ultrasound or upper gi series to indicate gall bladder problems.
This has been going on daily for over two months, Most days it is almost nonstop. No food or drink seems to make it better or worse. After laying down for a few minutes it sometimes gets a little better.
What should I do from here as I now keep a sore throat and my voice gets very hoarse.

doctor1 MD

Brief Answer:
needs ent consultation,interventions.

Detailed Answer:
Hi,

I had gone through your question and understand your concerns.

I would like to ask some more questions related to your belching like abdominal pain or nausea.

Root cause for belching is hiatus hernia. you need to follow...

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I have been recently diagnosed with mild gastritis, and during a MRI, two 1cm side branch IPMN lesions in the pancreas were found. I want to add L- Glutamime supplements to help heal the gastritis. Could this supplement aid in any growth of these cysts?

doctor1 MD

Brief Answer:
Please upload your MRI reports...

Detailed Answer:
Hi,

I have read your medical history and understood your concerns.

You are saying that IPMN lesions have been found in the pancreas during a recent MRI. I'd like to have the MRI report as further clarification for their origin is...

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-I had my gallbladder out last XXXXXXX
-I went to my MD 5/5/17 with a problem with my foot. With this I was also feeling fatigued, with chills and a slight fever earlier in the week.
-He thought I had jondis. He tested liver enzymes, lupus, uric acid along with other things.
-Liver enzymes were 4.1 (don't remember name of enzyme something with beli).
-Uric acid was 7.6. He believes I have gout.
-Lupus negative.
-Was called back to Dr on 5/8 to test for hepatitis. and redo liver enzyme test.
-Hepatitis negative.
-Liver enzyme was down to 2.0.
-Went back to MD today (5/22) for test results and questions.
-He thought the jondis was caused by a bile duct obstruction.
-When I had my gallbladder removed I had a stone in the duct. On a Friday I had an ERCP to remove stone see page 5 of attached report. I did not have my gallbladder removed until the following Monday.
Questions:
1. Could my symptoms been caused by and old stone.
2. What can cause gallstones with the gallbladder removed. ( I don't eat fatty foods)
3. Was prescribed allopurinol and colchicine for gout, is there any potential problem with these meds if I have anther bile duct obstruction.

doctor1 MD

Brief Answer:
Details are as below.

Detailed Answer:
Hello,
I am a Gastroenterologist and would be answering your query.
Firstly Thank you for choosing HealthcareMagic for you query.
As per your query answers are-
1)Definitely yes an impacted stone in common bile duct can cause symptoms of...

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Recent questions on  Endoscopic retrograde cholangiopancreatography

doctor1 MD

I am a 58yo causian women with Hx of adv stage 3 Parkinson's disease , Chronic bronchitis COPD, adult onset Asthma, diabetes. Type 2(insulin dependent ), hypothyroidism , HTN, Wt. 180lbs; Fibromyalgia , scoliosis with degenerative spine& hypertrophic bilateral hips; CFS(Epstein Barr) . Recent ERCP in Feb 2010 & Feb 2011 for bile duct blockage (stent placement & removal. Acute PP Pancreatisis on 2010. Recent 2 weeks c/o upper abdominal pain. Intermittently sharp right side & achey from left to right constant with intensity wax & wane ! Ct shows cirrhosis (mild) first without contrast showed questionable mass; 2nd CT/contrast reveal no mass & cirrhosis . This week in ER . Acute 3 day after pain stated with swollen upper and I woke up with 4+ edema with slight pitting bilateral lower EXT's & face + under chin ! Gone by next day. 7 days later I now have rectal bleeding. With clots. Blood work on ER ; low protein , low platelets, low RBC's, low H&H, slightly elevated SGOT.glucose 331; what is going on can you tell me?

doctor1 MD

My 98 year old mother was diagnosed with mitral valve regurgitation. She was placed on lasix and after 4 weeks became dehydrated as evidenced by an unexplained rash and itchiness on scalp and chest. Went to a dermatologist and the physician did not find any bug source, being that my mother resides in a nursing home. My mother s BUN rate was 90 but after being hospitalized for the past 2 days and hydrated with an IV is lowering now to 50. Her creatine level is normal as well as her glucose leves. Blood pressure is normal -146/72. They discovered a UTI for which the doctors are administering rocephin until they specify the exact bacterium. Results should be back today. She is on Celexa for mood elevation - which is questionable as to its efficacy (40mg daily for the past 2 years). A catscan yesterday revealed an enlarged liver which is pressing on the pancreas. They want to do an ercp scope to rule out gall stones - which she has no history of - what other tests should we run.

doctor1 MD

have had pancreatitis off and on for over two years now...had gallbladder removed 3 years ago...sphinter of oddi disfunction, biliary diskenesia, i cannot eat without throwing up everytime, i have chronic diahrea, i was just admitted to the hospital with severe pain in my abdomen which was constant right side of my belly button and radiated to my right side and was burning. No fever. No white blood cell elevation..ct scan showed no bowel obstruction or inflammation and blood work showed no pancreatic elevation. They said nothing was wrong with me and sent me home...SOMETHING is wrong. I asked for a CT of my appendix and they did CT without contrast looking for kidney stones. No stones. Never redid CT for appendix. What should i do and what might this be?

doctor1 MD

Hi, Our Son, now 33 years of age was diagnosed with Neurofibromatosis type NF2, when he was 16.Since then has had several spine, and acoustic surgeries to remove these tumors.Also underwent Medicinal Trial at NYU with Lapatanib, Avastin, and Affinator, alongwith 15 other candidates but did not help. He had Spine Surgeries in April ( T6-T7 ), and October ( T9-T-10), December (Gall Bladder removed ), January 2014 (ERCP to remove stricture in CBD), February 2014 Debaulking of Acoustic Tumor in the left side of Brain/ear, Cymetra injection in his vocal cord in April, 14.Has Swallowing problem now, and has been having severe abdominal pain since 4 years.April he had blood test and Capsule Endoscopy done and results were normal, but has soft tissue on his duodenum. Please advise

doctor1 MD

-I had my gallbladder out last XXXXXXX -I went to my MD 5/5/17 with a problem with my foot. With this I was also feeling fatigued, with chills and a slight fever earlier in the week. -He thought I had jondis. He tested liver enzymes, lupus, uric...

doctor1 MD

My son had his gallbladder removed today, but the doctor said there are three gall stones he didn't get and plans to go through the esophagus tomorrow to alleviate the problem. Does that sound reasonable?

doctor1 MD

A 28 Years male patient hospitalizaed with complaints of severe pain in abdomen with irregular Bowels since 2 days and diagnosed to have? Acute pancreatitis with Fatty Liver . As per Investigations – Serum Urea 20 mg/dl, Serum Bilirubin – 2.93...

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