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ERCP Rick

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It is a relatively simple procedure used to look at the ducts and

sphincters of the pancreas. A measurement of the sphincter can be

taken and this is called manometry. A normal pressure should be 15

or less. If the pressure is too high the doctor can loosen up the

sphincter with a little; this is call a sphinterotomy and my put in

a small stent to keep it open. The stent will stay in place for

about 3 weeks until it migrates out on its own with a BM. Most

stents do; there are some different types used. You will be told to

not have any thing by mouth for several hours before the procedure.

When they take you back to get ready you will need to remove your

clothing but you canstill keep on your underware. A nurse will come

in a put an IV line in and may draw some blood samples too. Some

ercp are done under concious sedation, that is when the patiet is

awake but really doesn't care. Versed is a drug of choice for that

because it has a very good amnesthiac effect..you wont remember

much. Some ercp are done under MAC which is Monitored Anesthia

Control, There will be an anesthesiolgy and a nurse anestetist to

sedate you. You will need to lie on your stomach. Most ercps take

less then 30 minutes and they can also take pictures of the pancreas

and ducts while they are in there. Sometimes people stay over night

and sometimes people get to go home. Make sure you have somebody to

drive you.

I hope this helps

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