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 Thanks for the replies. I don't know why the doctors can't just write what you guys have, it would make things so much easier. Dawn, I too went in to have the drain put in my side but that was another unsuccessful operation. After four holes in my stomach and losing a lot of blood they had to abandon that procedure as well. I also forgot to mention that after my last operation in Auckland my itchiness went into overdrive, particularly on the soles of my feet. It lasted for about four days and is now back at my more bareable level again. Richelle Christchurch, New Zealand > > > > 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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