A NEW SERVICE FROM SANKO UNIVERSITY HOSPITAL

SANKO University Hospital continues to expand its service network with modern technologies. ERCP (Endoscopic Retrograde Cholangio Pancreotagraphy) device was started to be used in the diagnosis and treatment of pancreatic and biliary tract diseases.

With ERCP, an endoscopic method, bile duct stones can be removed without the need for surgery, and bile duct stenosis and associated obstructive jaundice can be treated.

SANKO University Faculty of Medicine Department of Internal Medicine Gastroenterology Department Lecturer Assoc. Dr. Nimet Yılmaz said that with ERCP, which is a method used for both diagnosis and treatment, it is possible to diagnose and treat the patient with a single procedure.

Assoc. Dr. Yılmaz, ERCP procedure is used in the "clearing of gallstones and sludge in the bile duct", "Expanding the stenosis of the bile duct", "In the diagnosis of some liver diseases such as Sclerosing Cholangitis", "Providing normal bile flow and eliminating jaundice by placing a stent in cancers narrowing or obstructing the bile duct". ”, “Diagnosis and treatment of cancer and stones that cause pancreatic duct obstructions” and “parasitic diseases of the bile duct”.

PREPARATIONS BEFORE ERCP PROCESS

Emphasizing that the names of the drugs used continuously before the ERCP procedure should be conveyed to the doctor, Assoc. Dr. Yılmaz said, “There should be 6-8 hours of fasting before the ERCP procedure. If there are drugs that increase the risk of bleeding among these drugs, they will need to be discontinued beforehand. The procedure is performed under anaesthesia.

HOW IS THE ERCP PROCESS DONE?

Assoc. Dr. Yılmaz summarized the use of the ERCP device, which provides both diagnosis and treatment without the need for surgery, and the procedure as follows:

“The papilla in the duodenum, where the bile duct and the pancreatic duct are opened jointly, is reached by entering through the mouth with a side-view endoscope device called a duodenoscope with a lighted camera system at the end.

This millimeter-sized orifice (hole) is entered with a millimetric catheter, and the bile duct is reached, contrast material is administered, and that area is visualized. During the procedure, the physician also uses x-rays, called fluoroscopy, to see the channels.

PROCESS AFTER ERCP PROCESS Stating that the patient who underwent ERCP procedure was kept under observation until the effect of the given anesthetic drugs wore off, Assoc. Dr. Yılmaz said, “Because air is given during the procedure,

There may be a feeling of bloating and gas. As long as there is no abdominal pain, he can eat his normal food after observation. However, if abdominal pain, fever, chills and chills occur after the procedure, the relevant physician should be informed.

Assoc. Dr. Yılmaz said, “Plastic stents usually stay in the canal for 2-3 months. At the end of this period, the patient must go for a check-up and the stent must be removed. If the patient needs to wear a stent for a longer period of time, plastic stents should be replaced with new ones at regular intervals.

Assoc. Dr. Yılmaz said, “With ERCP, which we have successfully applied at SANKO University Hospital, the bile and pancreatic ducts can be reached without the need for surgery. Since there is no open surgical procedure, the patient is discharged on the day after the procedure or the next day.”