RE: Interpretation please

[Guest guest]

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