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Advanced Endoscopy (ERCP & EUS)
Advanced endoscopy is used to diagnose and treat problems of the bile and pancreatic ducts providing detailed imagery of the digestive tract and surrounding organs.
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Advanced endoscopy is a group of specialized procedures that use endoscopes, thin, flexible tubes with cameras, to examine and treat conditions of the digestive system. Two common types of advanced endoscopy are endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS).

    ERCP

    ERCP is used to diagnose and treat problems of the bile and pancreatic ducts, the tubes that carry digestive juices from the liver, pancreas, and gallbladder into the small intestine. ERCP can be used to:

    • Remove gallstones from the bile duct
    • Drain bile or pancreatic fluid from blocked ducts
    • Treat inflammation or narrowing of the bile or pancreatic ducts
    • Place stents, small tubes, to keep bile or pancreatic ducts open

    EUS

    EUS combines endoscopy with ultrasound to produce detailed images of the digestive tract and surrounding organs. EUS can be used to:

    • Diagnose and stage cancer of the pancreas, bile ducts, and esophagus
    • Guide biopsy needles to collect tissue samples from suspicious areas
    • Drain abscesses and pseudocysts (collections of fluid) in the pancreas
    • Place stents in blocked bile ducts

    Why do people need an Advanced Endoscopy (ERCP & EUS)?

    There are many reasons why someone might need advanced endoscopy. Some of the most common reasons include:

    • Gallstones
    • Pancreatitis
    • Blockage of the bile or pancreatic ducts
    • Cancer of the pancreas, bile ducts, or esophagus
    • Unexplained abdominal pain
    • Jaundice (yellowing of the skin and eyes)

    Who can have an Advanced Endoscopy (ERCP & EUS)?

    Advanced endoscopy is generally safe for people of all ages. However, it is not appropriate for everyone. Some people who may not be good candidates for advanced endoscopy include those with:

    • Severe heart disease
    • Uncontrolled bleeding disorders
    • Recent abdominal surgery
    • Severe allergy to contrast dye

    What are the benefits of an Advanced Endoscopy (ERCP & EUS)?

    Advanced endoscopy can provide several benefits, including:

    • Accurate diagnosis of digestive system disorders
    • Minimally invasive treatment of many digestive system conditions
    • Avoidance of more invasive surgery in some cases
    • Improved quality of life for people with digestive system disorders
    Mr Raj Veeramootoo Upper GI Consultant Frimley performing endoscopy

    The Procedure

    ERCP

    During ERCP, you will receive medication to make you sleepy and comfortable. A thin, flexible tube with a camera and light will be inserted down your throat and into your esophagus, stomach, and small intestine. The doctor will then use the endoscope to find the opening to the bile and pancreatic ducts. Contrast dye will be injected into the ducts to make them visible on X-ray images. The doctor will then use a variety of instruments to remove gallstones, drain blocked ducts, or place stents.

    EUS

    During EUS, you will receive medication to make you sleepy and comfortable. A thin, flexible tube with a camera and ultrasound probe will be inserted down your throat and into your esophagus, stomach, and small intestine. The doctor will use the ultrasound probe to create detailed images of the digestive tract and surrounding organs. The doctor may also use EUS to guide biopsy needles to collect tissue samples from suspicious areas.

    After the Procedure

    After ERCP or EUS, you will be monitored in the recovery room for a short period of time. You may have some mild soreness or bloating in your throat or abdomen. You may also be given medication to relieve nausea or pain. Most people are able to go home the same day after the procedure.

    Patient Advice

    Pre-Procedure

    • Tell Mr Veeramootoo about all medications you are taking, including herbal supplements and over-the-counter drugs.
    • Do not eat or drink anything after midnight before the procedure.
    • Arrange for someone to drive you home after the procedure.

    Post-Procedure

    • Rest your throat and abdomen for the first few days after the procedure.
    • Drink plenty of fluids to help flush out the contrast dye.
    • Avoid strenuous activity for the first few days after the procedure.
    • If you have any pain, bloating, or other side effects, contact Mr Veeramootoo.

    Next Steps

    After advanced endoscopy, Mr Veeramootoo will discuss the results of the procedure with you and recommend any follow-up care. If you have had treatment for a condition, Mr Veeramootoo will monitor your progress to make sure that the treatment was successful.

    Upper GI Consultant Raj Veeramootoo consultations for a range of Upper GI condtions in Surrey

    Get in touch today for fast, effective diagnosis and treatment with Upper GI Consultant Mr Veeramootoo

    Call 0300 6132634Get in touch online
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