effect on body part
- Immediate relief of symptoms
- Reduced risk of pancreatitis
- Preservation of pancreatic and bile duct integrity
- Improved liver function
What is ERCP Stone Removal And Stenting ?
ERCP (endoscopic retrograde cholangiopancreatography) stone removal is a procedure that combines endoscopy and X-rays to remove stones from the bile ducts or pancreatic ducts. During the procedure, a thin, flexible tube called an endoscope is inserted through the mouth and down the esophagus, stomach, and duodenum (the first part of the small intestine). The endoscope has a camera on the end that allows the doctor to see the inside of the digestive tract. Once the endoscope reaches the bile ducts or pancreatic ducts, the doctor can use a small basket or balloon to remove the stones.
ERCP stenting is a procedure that involves placing a small stent in the bile ducts or pancreatic ducts to keep them open. Stents are typically used to treat blockages caused by tumors, scarring, or other conditions. During the procedure, the doctor inserts a stent into the bile ducts or pancreatic ducts using an endoscope. The stent is made of a thin, flexible material that is designed to expand and keep the ducts open. Stents can be temporary or permanent, depending on the underlying condition.
effect on body part
- Immediate relief of symptoms
- Reduced risk of pancreatitis
- Preservation of pancreatic and bile duct integrity
- Improved liver function
What is ERCP Stone Removal And Stenting ?
ERCP (endoscopic retrograde cholangiopancreatography) stone removal is a procedure that combines endoscopy and X-rays to remove stones from the bile ducts or pancreatic ducts. During the procedure, a thin, flexible tube called an endoscope is inserted through the mouth and down the esophagus, stomach, and duodenum (the first part of the small intestine). The endoscope has a camera on the end that allows the doctor to see the inside of the digestive tract. Once the endoscope reaches the bile ducts or pancreatic ducts, the doctor can use a small basket or balloon to remove the stones.
ERCP stenting is a procedure that involves placing a small stent in the bile ducts or pancreatic ducts to keep them open. Stents are typically used to treat blockages caused by tumors, scarring, or other conditions. During the procedure, the doctor inserts a stent into the bile ducts or pancreatic ducts using an endoscope. The stent is made of a thin, flexible material that is designed to expand and keep the ducts open. Stents can be temporary or permanent, depending on the underlying condition.
Types Of ERCP Stone Removal And Stenting
Mechanical Lithotripsy
Uses a basket or balloon to crush the stone and remove it.
Suitable for small to medium-sized stones.
Laser Lithotripsy
Employs a laser to break down the stone into smaller fragments that can be Effective for larger, harder stones.
Electrohydraulic Lithotripsy
Generates electrical sparks underwater to shock and fragment the stone.
Suitable for very hard stones.
Endoscopic Sphincterotomy
Involves cutting the sphincter muscle at the opening of the bile duct to allow the passage of stones and stents.
Used to facilitate stone removal in cases of sphincter spasm.
Stent Placement
Inserts a small tube (stent) into the bile duct or pancreatic duct to keep it open and prevent stone recurrence.
Can be used as a temporary or permanent solution.
Cholangioscopy
Widening of the bile duct using a balloon or stent to improve bile flow and prevent stone formation.
Suitable for patients with strictures or narrowing’s in the bile duct.
Types Of ERCP Stone Removal And Stenting
Mechanical Lithotripsy
Uses a basket or balloon to crush the stone and remove it.
Suitable for small to medium-sized stones.
Laser Lithotripsy
Employs a laser to break down the stone into smaller fragments that can be Effective for larger, harder stones.
Electrohydraulic Lithotripsy
Generates electrical sparks underwater to shock and fragment the stone.
Suitable for very hard stones.
Endoscopic Sphincterotomy
Involves cutting the sphincter muscle at the opening of the bile duct to allow the passage of stones and stents.
Used to facilitate stone removal in cases of sphincter spasm.
Stent Placement
Inserts a small tube (stent) into the bile duct or pancreatic duct to keep it open and prevent stone recurrence.
Can be used as a temporary or permanent solution.
Cholangioscopy
Widening of the bile duct using a balloon or stent to improve bile flow and prevent stone formation.
Suitable for patients with strictures or narrowing’s in the bile duct.
Treatment Approaches at Gastroworld Clinic
Side View Endoscopy
This advanced endoscopic procedure allows for thorough examination and treatment of the gastrointestinal tract, particularly focusing on areas that may be difficult to visualize with traditional forward-viewing endoscopes.
Sphincterotomy
Gastroworld provide a Sphincterotomy is a surgical procedure that involves cutting the sphincter of Oddi, a muscle that controls the flow of bile and pancreatic juice from the liver and pancreas into the small intestine.
Balloon Dilatation
Balloon dilation, a minimally invasive gastro treatment, is particularly beneficial for patients with bile duct or pancreatic duct obstructions, as it effectively widens the ducts to facilitate the removal of stones.
Endoscopic Retrograde Cholangiopancreatography
A specialized procedure used to diagnose and treat conditions affecting the bile ducts and pancreas. Our team are highly skilled in performing ERCP with precision and care, using state-of-the-art endoscopic techniques.
Stone Extraction
Using specialized instruments such as baskets or forceps, the stones are retrieved and removed through the endoscope. In gastro treatment, stone extraction is a crucial procedure, often performed endoscopically, to remove gallstones.
Stent Placement
Stent Placement is the bile ducts or pancreatic duct is narrowed or blocked, a stent may be placed to keep the passageway open. Stents are small, hollow tubes that are inserted into the duct to allow bile and pancreatic juice to flow properly.
Treatment Approaches at Gastroworld Clinic
Side View Endoscopy
This advanced endoscopic procedure allows for thorough examination and treatment of the gastrointestinal tract, particularly focusing on areas that may be difficult to visualize with traditional forward-viewing endoscopes.
Sphincterotomy
Gastroworld provide a Sphincterotomy is a surgical procedure that involves cutting the sphincter of Oddi, a muscle that controls the flow of bile and pancreatic juice from the liver and pancreas into the small intestine.
Balloon Dilatation
Balloon dilation, a minimally invasive gastro treatment, is particularly beneficial for patients with bile duct or pancreatic duct obstructions, as it effectively widens the ducts to facilitate the removal of stones.
Endoscopic Retrograde Cholangiopancreatography
A specialized procedure used to diagnose and treat conditions affecting the bile ducts and pancreas. Our team are highly skilled in performing ERCP with precision and care, using state-of-the-art endoscopic techniques.
Stone Extraction
Using specialized instruments such as baskets or forceps, the stones are retrieved and removed through the endoscope. In gastro treatment, stone extraction is a crucial procedure, often performed endoscopically, to remove gallstones.
Stent Placement
Stent Placement is the bile ducts or pancreatic duct is narrowed or blocked, a stent may be placed to keep the passageway open. Stents are small, hollow tubes that are inserted into the duct to allow bile and pancreatic juice to flow properly.
Frequently Asked Questions
ERCP, or Endoscopic Retrograde Cholangiopancreatography, is a medical procedure that combines endoscopy and fluoroscopy to diagnose and treat problems in the bile and pancreatic ducts. It is used for stone removal and stenting because it allows the physician to visualize the ducts, remove stones, and place stents to ensure proper drainage.
Common symptoms that may indicate the need for ERCP stone removal and stenting include severe abdominal pain, jaundice (yellowing of the skin and eyes), fever, nausea, and vomiting. These symptoms may suggest the presence of gallstones or other blockages in the bile ducts.
During an ERCP, the patient is sedated, and the physician inserts an endoscope through the mouth, down the esophagus, and into the small intestine. The physician then injects a contrast dye and uses X-ray imaging to visualize the bile and pancreatic ducts. If stones are present, the physician can use various tools to remove them and place a stent if necessary. After the procedure, the patient is monitored for a few hours and may experience mild discomfort, bloating, or nausea. They are usually able to resume a normal diet and activities within a day or two.
ERCP stone removal and stenting are highly effective in treating bile duct problems, with success rates typically ranging from 85% to 95%. The procedure can provide immediate relief from symptoms and prevent complications such as infection and liver damage.
In some cases, alternative treatments may be considered for bile duct problems. These may include medications to dissolve gallstones, lithotripsy (a procedure that uses shock waves to break up stones), or surgery to remove the gallbladder or bile duct stones. However, ERCP is often the preferred method due to its high success rate, minimally invasive nature, and ability to provide immediate relief.
