Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Hi Richelle, I will give it a try. I am no doctor, but I think I understand what is written. Week 1. The technician/doctor was unable to insert the ERCP probe into the common bile duct (CBD). They did manage to insert the probe in the pancreatic duct. They did not manage to insert enough contrast fluid into the CBD to get a clear picture of the entire biliary tree even after trying for 80 minutes. They cut the sphincter of Odii to make it easier to insert the probe next time around. Week 2. Nothing out of the ordinary in the CBD and in the bile ducts outside the liver was found. The biliary tree inside the liver shows multiple narrow places in the bile ducts (beading as we call it on the forum) which made it hard to insert the contrast fluid. They think you have small duct PSC (a less common form of PSC). They made the hole in the sphincter of Odii larger to make it easier to insert the probe next time around (they apparently think/assume there will be) and they took some samples of bile duct tissue to check for bile duct cancer (this is routine). I hope it makes more sense this way. I just wish to add that this is almost exactly what happened to me when I was diagnosed with ERCP. After trying to enter several times the technician had to abort the ERCP because the probing stirred up too much sludge so he couldn't see anything anymore. He also cut the sphincter and made it easier for the next time. The second time a more experienced doctor performed the ERCP and she managed to " cannulate " as they call it. I was diagnosed with large duct PSC. Regards, Chaim Boermeester, Israel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Hi Richelle, I agree with Chaim's comments. I cannot have ERCP's anymore, as I have to mucg scar tissue at the point that the billiary system enters into the intestine, at least that's how they explained it to me. I am followed with MRCP's and earlier this year I had a cholangiogram done. The Dr.'s said that I might come home with a tube sticking out of my side to allow bile to drain better; however, once they got in there it was determined that this was not needed because my main duct was just begining tp develop strictures; however, I had lost a lot of my smaller ducts. The correct term that they use was that the smaller ducts were oblitterated. I just thought that I would through that out there in case you need to have something done in the future. I hope you are feeling better. Dawn > > Hi Richelle, > > > > I will give it a try. I am no doctor, but I think I understand what is > written. > > > > Week 1. > > The technician/doctor was unable to insert the ERCP probe into the common > bile duct (CBD). They did manage to insert the probe in the pancreatic duct. > They did not manage to insert enough contrast fluid into the CBD to get a > clear picture of the entire biliary tree even after trying for 80 minutes. > They cut the sphincter of Odii to make it easier to insert the probe next > time around. > > > > Week 2. > > Nothing out of the ordinary in the CBD and in the bile ducts outside the > liver was found. The biliary tree inside the liver shows multiple narrow > places in the bile ducts (beading as we call it on the forum) which made it > hard to insert the contrast fluid. They think you have small duct PSC (a > less common form of PSC). They made the hole in the sphincter of Odii larger > to make it easier to insert the probe next time around (they apparently > think/assume there will be) and they took some samples of bile duct tissue > to check for bile duct cancer (this is routine). > > > > I hope it makes more sense this way. > > > > I just wish to add that this is almost exactly what happened to me when I > was diagnosed with ERCP. After trying to enter several times the technician > had to abort the ERCP because the probing stirred up too much sludge so he > couldn't see anything anymore. He also cut the sphincter and made it easier > for the next time. > > > > The second time a more experienced doctor performed the ERCP and she managed > to " cannulate " as they call it. I was diagnosed with large duct PSC. > > > > Regards, > > > > Chaim Boermeester, Israel > Quote Link to comment Share on other sites More sharing options...
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