Guest guest Posted February 27, 2009 Report Share Posted February 27, 2009 I also have never heard of an ERCP nicking something, but I don't know much about them as I have only had two and no longer am able to have them. I know Beading is a key marker for PSC on MRCP's. There is also a Cholangiogram but they are invasive and if you have small duct PSC they are not diagnostic. I have had two biopsies, both saying PSC, 6 MRCP saying PSC, but several doctors have said those tests are wrong that it's something else. My last biopsy was sent to Mayo because of this. If my lab's say PSC, I have a negative AMA test, have seen a Hepatologist that is knowledgable of PSC and there is still a question I would ask that my records be sent to Mayo for a consult. Just a suggestion, though. Welcome to our group Dawn > > , > > I don't know if a duct can get nicked in an ERCP. I have had 11 and that has never happened to me although I have had pancreatitis twice so I feel your pain. I'm sure someone else in the group can answer that question for you. Sometimes the weekends are quiet but I'm sure others will respond to your questions soon. > > I know that beaded ducts is a classic PSC symptom. So that wouldn't be an unusual finding for someone with PSC. > My dr's also went back and forth on my PSC diagnosis for about 6 months. It was a frustrating time for me. Later I found out a lot of the waivering was because my first endoscopist didn't want me to have something incurable and he was trying to come up with a better or any other scenario. Eventually we all got on the same page and all the docs agreed on a diagnosis. > > As far as other testing, ERCP's and MRCP's are the main ways to see the ducts. A liver biopsy can also be done but it may not show much since your liver can have good or bad spots. Just kind of depends on the area they get in the biopsy. > > Liver transplants are definitely possible. There are quite a few post-transplant members in the group. > > Hope you get answers to all your questions. > > Darcy > PSC 07 > Sent from my Verizon Wireless BlackBerry > > what can cause secondary PSC > > > I hope you guys approve me soon, I really need to talk to someone, > my Dr. is not convinced it is PSC, can one of your intraheptic ducts > get damaged due to a very invasive ercp?? > > The reason I ask this is 2 months prior to the ercp I had ct scan that > showed dilated ducts, so I go and get checked out every 6 months!! > > I wanted another ercp since I had not had one in 14 months, I got > severe acute pancreatitis, and was hospitilized for 10 days!! Worse > then any other pain-migraines childbirth, toothaches!! Anyway, a day > after the ercp when I was admitted they did an ct scan and said the bile > duct looked like it may have been " nicked " ?? Is this possible. > > So 2 weeks ago I had mrcp which showed new finding of beaded left > hepatic duct? What other investigating besides another ercp can be > done? Oh my email is georgie430 hotmail.com of course the @ sign goes > in between 430 and hotmail. I even edited my email, I dont know why my > old email is still up?? > > Please somebody email me!! > > Thanks, > Scared in N.Y. > P.S. Is a liver transplant really an option for this disease?? > > Sincerely, > > Quote Link to comment Share on other sites More sharing options...
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