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RE: Re: ERCP Question Please Help

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Doesn't seem right to me - way too fast. He should be observed for at least an hour or two, after he wakes up. There is a fairly significant (say, 10-30%) risk of pancreatitis, which is not something you treat with home care. It is a medical emergency. I had pancreatitis for the first two (of three) ERCPs, both time resulting in an extension of my hospital stay by 5 days. Pancreatitis was evident within an hour of the ERCP the first time, two hours the second.

My first ERCP was done by a local GI (Minneapolis). The next two were done by a specialist at Mayo, Rochester. If he experiences extreme left quadrant pain (just below the ribs), that's a pretty sure sign. Treatment is nothing by mouth and pain medication. I had IV antibiotics prior to the ERCP all three times. Pancreatitis is not typically related to infection.

Keep a close watch on him, and don't hesitate to take him to the closest ER. Take care.

Arne

56 - UC 1977, PSC 2000

Alive and well in Minnesota

________________________________

From: [mailto: ] On Behalf Of megasam2

My husband was diagnosed two years ago (5/06). And this ercp was done by the same doctor as the first. I guess my biggest concern is did his doctor brush this off because he said that since things didn't look too bad he didn't want to mess with it. Has anyone else ever had a similar situation? From the time that my husband was taken back for the ercp to the time that we walked into our house, which is a 25 minute drive from the hospital, was two hours and 10 minutes. Does that seem right?

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I do very much agree with Arne. Myself, too had pacreatitis on one or two

ERCP's. But on those i was kept that night because i do tend to get sick with

vomiting and nuasea, afterwards. But then my stays were extended, ofcourse. But

on a different ERCP 2 or 3yrs, ago what i feared did happen. I cannot forget

that horrible night. When i did not get sick as always for about a couple of

hours after the procedure, the doctor thought i would be o.k. and he insisted

that i am fine and that i can leave. It was a journey of such misery and pain,

including the whole night. There is about 1 to 11/2hrs between the hospital and

our house. Shortly after we left i have to use the restroom. So my husband has

to stop more than once. terrible. And by the time i reached home, the other

symptoms, soon began. vomiting, nuasea, abdominal pain and continous bowel

movements. A little after dawn i was back in the hospital for 8 to 10 more days!

That was my last appt with that ERCP doctor. And since that time i have decided

that i will not by any means agree to leave on that same day. And i do take

antibiotics ~3days prior and they will give me an antibiotic IV, but

pancreatitis can still happen.

I do hope that everything would be o.k. for your husband, and as Arne mentioned,

the ER would be best if he start to show any signs of sickness.

Subject: RE: Re: ERCP Question Please Help

To:

Date: Tuesday, April 29, 2008, 2:20 AM

Doesn't seem right to me - way too fast. He should be observed for at least an

hour or two, after he wakes up. There is a fairly significant (say, 10-30%)

risk of pancreatitis, which is not something you treat with home care. It is a

medical emergency. I had pancreatitis for the first two (of three) ERCPs, both

time resulting in an extension of my hospital stay by 5 days. Pancreatitis was

evident within an hour of the ERCP the first time, two hours the second.

My first ERCP was done by a local GI (Minneapolis) . The next two were done by

a specialist at Mayo, Rochester. If he experiences extreme left quadrant pain

(just below the ribs), that's a pretty sure sign. Treatment is nothing by mouth

and pain medication. I had IV antibiotics prior to the ERCP all three times.

Pancreatitis is not typically related to infection.

Keep a close watch on him, and don't hesitate to take him to the closest ER.

Take care.

Arne

56 - UC 1977, PSC 2000

Alive and well in Minnesota

____________ _________ _________ __

From: @ yahoogroups. com [mailto:@ yahoogroups. com] On

Behalf Of megasam2

My husband was diagnosed two years ago (5/06). And this ercp was done by the

same doctor as the first. I guess my biggest concern is did his doctor brush

this off because he said that since things didn't look too bad he didn't want to

mess with it. Has anyone else ever had a similar situation? From the time that

my husband was taken back for the ercp to the time that we walked into our

house, which is a 25 minute drive from the hospital, was two hours and 10

minutes. Does that seem right?

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