CANNULATION / SPHINCTEROTOMY
Endoscopic retrograde cholangiopancreatography (ERCP) also known as endoscopic cholangiography, is one of the most versatile and most helpful studies, both diagnostic and therapeutic, the problem is identified and solved) in the armamentarium of the surgeon and of physicians in general.
It is of vital importance to diagnose alterations, injuries and / or postoperative complications of the biliary and pancreatic ducts, from the presence of stones, leaks or biliary fistulas, to tumors of the pancreas, via biliary, duodenum and ampulla.
Having the great advantage of being able to resolve these complications during the same procedure, or mitigate injuries that are no longer curable such as cancer (improve quality of life), since we can perform the extraction of stones present in the bile ducts, close biliary leaks caused by injuries or postoperative complications (gallbladder surgery) and placing prostheses in the bile ducts either plastic or metal to close these leaks or pass tumor areas that were obstructing the exit of the bile, achieving the natural drainage of the same , thus resolving the leakage of bile and improving the quality of life of patients with cancer, who are out of any medical and / or surgical treatment.
In the cases of pancreatic alterations, such as chronic pancreatitis, for its management, extraction of stones, placement of prostheses and duct dilatations are performed.
The diagnosis and management of congenital malformations (pancreas divisum) is also performed.
The study is usually ambulatory, is performed under sedation with the support of anesthesiologist (the patient does not feel any discomfort during the procedure), in the x-ray service, since we are looking at radiological images while we perform the procedure, to diagnose it and in its case to see the resolution of the problem (extracted stones, biliary leaks resolved, prosthesis placed, etc.). The patient has a hospital stay of approximately 2 hours, depending on the type of pathology.
If you have doubts about any of the pancreatobiliary pathologies that can be managed through this procedure, we will gladly resolve them, send us an email or call our telephones directly.