After the procedure the doctor will talk with families. They will discuss what was found, the treatment that was done, and answer any questions.
The doctor will talk about anticipated recovery time and future plan of care, which may include the need for a repeat ERCP. After an ERCP, most children are able to eat and drink normally soon after recovering from the sedation anesthesia. Most children will stay in the hospital overnight for observation and are allowed to go home the next day.
Some children may develop temporary complications. The most common is ERCP-related pancreatitis, a temporary inflammation of the pancreas. This can require a longer hospital stay of between two and five days to recover. If a blockage in the bile duct causes yellow jaundice or pain, it can be relieved by sphincterotomy or stent placement. A temporary, mild sore throat sometimes occurs after the exam.
Serious risks with ERCP, however, are uncommon. One such risk is excessive bleeding, especially when electrocautery is used to open a blocked duct. In rare instances, a perforation or tear in the intestinal wall can occur. Inflammation of the pancreas also can develop. These complications may require hospitalization and, rarely, surgery.
Due to the sedation, the patient should not drive or operate machinery for the remainder of the day following the exam. For this reason, a driver should accompany the patient to the exam. ERCP is an outpatient exam that is performed with the patient sedated. The procedure provides significant information upon which specific treatment can be given. In certain cases, therapy can be administered directly through the endoscope. Serious complications rarely occur from an ERCP.
The physician can answer any questions you have. For more information on any physician: Call Interventional radiology is a branch of medicine that uses X-ray guidance to diagnose and treat patients using minimally invasive techniques.
Providing a Variety of Diagnostic Procedures. Committed to the Latest Clinical Advances. The Department of Surgery is an academic program that combines the latest clinical advances in patient care, teaching, and research. An Expert Academic Program. The Laboratory performs over 1. Testing, Outreach, and More. Some patients also receive antibiotics before the procedure.
You will lie on your abdomen on an X-ray table. The instrument does not interfere with breathing, but you might feel a bloating sensation because of the air introduced through the instrument. ERCP is a well-tolerated procedure when performed by doctors who are specially trained and experienced in the technique. Although complications requiring hospitalization can occur, they are uncommon.
Complications can include pancreatitis inflammation of the pancreas , infections, bowel perforation and bleeding. Some patients can have an adverse reaction to the sedative used. Sometimes the procedure cannot be completed for technical reasons. Risks vary, depending on why the test is performed, what is found during the procedure, what therapeutic intervention is undertaken, and whether a patient has major medical problems.
Your doctor will discuss your likelihood of complications before you undergo the test. If you have ERCP as an outpatient, you will be observed for complications until most of the effects of the medications have worn off before being sent home.
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