pancreatitis treatment ercp

My question is does this mean I have chronic pancreatitis or can you not tell on a MRCP? Does the duct dilatation set off an inflamation of the liver and pancreas and cause the pancreatitis pain? Also can the duct dilatation heal on its own in time? I have no desire to undergo an ERCP as I've heard such nightmare stories from people who have undergone but yet I'm so tired of not feeling good and having pain and just would like to feel good again. Thanks for your help.

My niece is scheduled to have an ERCP to discover the reason for abdominal pain and pancreatitis, She has told the family that her doctor told her this test is very dangerous and there is a 20% fatality rate. After researching this test, I can't believe this test is as dangerous as she says her doctor says it is. The entire family is scared to death for her very life! Does anyone agree with me that this doctor seems to have exagerated the dangers in having this test?

My current gastroenterologist in Australia is reluctant to perform the ERCP due to the high risks of post ERCP Pancreatitis. I do understand this rationale, but surely elevated GGT and ALT and regular pain attacks also carries risks if left undiagnosed. Can you please tell me what these risks are and why after a second opinion from the UK is my doctor hesitant to perform the ERCP??? I am serioiusly considering going back to the UK for treatment as I really do not want another pain attack.

I had EUS to diagnose the chronic pancreatitis after they saw a hint of it with ERCP. They say I have "mild" chronic pancreatitis, but the pain is sometimes unbearable. I'm wondering why your mom had to have a whipple procedure. I've heard of it but do not know what it is. Also, does your mom have any type of gastroparesis with this? Does she take enzymes, etc. I just returned from Mayo but they didn't give me much info. other than I suffer from IBS as well.

Like all types of ERCP examination, there are risks, particularly the chance of suffering an attack of pancreatitis. For this reason, ERCP in this context is usually done only after other simpler tests have been exhausted. TREATMENT OF SOD Mild forms of SOD can be managed by anti-spasm medicines. When attacks of pain cause considerable disturbance with life activities, a decision has to be made whether to cut the sphincter (sphincterotomy), during ERCP.

MY DAUGHTER IS HAVING RECURRENT STROKES OF ACUTE PANCREATITIS. NOW SHE IS 12 YEARS OLD AND HAVING THE PROBLEM FOR LAST 2 YRS. THE ATTACKS HAVE LESSEND A BIT THIS YEAR IN TERMS OF RECURRANCES. SHE HAS BEEN ADVISED SONOGRAPHY REPEATEDLY BUT GENERALLY EVERY TIME ONLY A BULGE IN THE TAIL OF PANCREAS IS FOUND. ERCP HAS BEEN DONE AND THE DUCTS ARE NOT DILATED. SO SCHRINTOMY WAS NOT POSSIBLE. PLEASE SUGGEST TREATMENT AND WHETHER AT ALL THIS IS CURABLE.

I was in the HSP for 30 days because of severe pancreatitis. I had ERCP and a stent placed in my common bile duct. Now I am going completely bald. Any help for me ???

Like all types of ERCP examination, there are risks, particularly the chance of suffering an attack of pancreatitis. For this reason, ERCP in this context is usually done only after other simpler tests have been exhausted. TREATMENT OF SOD Mild forms of SOD can be managed by anti-spasm medicines. When attacks of pain cause considerable disturbance with life activities, a decision has to be made whether to cut the sphincter (sphincterotomy), during ERCP.

I had ERCP done in March of this year, after an initial bout of acute pancreatitis I was well for about three month after which the pain started to return. My Doctors are now looking to do another ERCP with stent replacement (I still have my gall bladder), has this happened to anyone else, did the second op resolve the problem? I hate the idea of having this done again when it mught be better to have my gall bladder removed, afterall too many op's has to be risky.

Cotton in emails, I think in the long run I am going to end up in one of his trials. I spoke to my doctor today it is not the Pancreatitis he thinks the ERCP was not helpful so we are going to try meds again. I do not know if the pressure was measured, I am sure it was I have an excellent doctors, I went to many doctors before choosing him. I did have the sphincter cut, and I did feel better today is a week, and I feel pain again.

This discussion is related to <a href='http://www.medhelp.org/posts/show/233997'>Is it possible to have gallstones after having the gallbladder removed?</a>. I am reading all of these comments and am so suprised at the variation in the things everyone has been told. I myself have been going through this pain. I just spent 6 days in the hospital with what they called panreatitis. I have the same pain it sounds like that ya'll have had.

no evidence of masses or pancreatitis, the absence of the pancreatic body and tail, no pancreatic ductal dilation, difficulty in visualizing the pancreatic duct, and hypodense areas in both lobes of the liver. A previous ERCP showed pancreas divisum. Liver biopsies showed missing small bile ducts, but the ERCP showed normal major bile ducts. Could these CT results be the source of my daughter's chronic pain? Would an ERCP procedure to correct the pancreas divisum provide relief?

When you discuss this procedure with your doctor, ask him about his personal incidence of post-ERCP pancreatitis. There are so many conflicting statistics on this on the internet - anywhere from 3% to 15% - but the most important statistic is with your own doctor. From what you've written about your case, it sounds as if you really have no choice but to go through with the procedure.

With repeated bouts of acute pancreatitis, damage to the pancreas can occur and lead to chronic pancreatitis. Scar tissue may form in the pancreas, causing loss of function. A poorly functioning pancreas can cause digestion problems and diabetes.

In pancreatitis both lipase and amylase are usually elevated. Other tests (CT, MRI) are needed to confirm pancreatitis. But elevated lipase doesn't mean you have pancreatitis. Or, lipase level doesn't necessary correlate with severity of inflammation. ERCP was probably suggested because a small stone, either from gallbladder or pancreas can block pancrteatic duct - what results in pancreatitis. There's another, noninvasive investigation - MRCP, which could be done instead of ERCP.

Can a person develop chronic pancreatitis after having acute pancreatitis that resulted from having an ERCP? I have developed abdominal pain that radiates to my side and back that is relieved when I lean forward and worsens when I lean back. No nausea or vomiting, no fever. Should I follow up with my doctor? I had the acute pancreatitis around 2004. Thanks for your response.

The dr he referred me to is the dr that brough ercp to the US in the 70s and he deals with only SOD and pancreatitis. He is one of the best. He is running trials in the states on SOD treatment and you get free treatment if you sign up to the group. Its called EPISOD. You can google it. He told me he is sure its sod because everything else is ruled out, my enzymes were elevated, I had the typical pain and vomiting and I have bad attacks with narcotics.

I have known many people to have problems with ERCP and pancreatitis following - unfortunately, its a high risk. Also, ERCP is rarely a permament cure. Scar tissue can form following sphincterotomies, that is one of the main reasons the SO closes back up so quickly. The doc should have placed temporary stents in your bilary duct following the ERCPs that would have come out on their own - did you have that?

If it is the bile ducts you can have stents put in. Bile duct problems can cause pancreatitis or vice versa. I am a long time sufferer from pancreatitis and sod. If you have problems with backed up bile ducts it could certainly have caused the sepsis you had. IT will push toxins in to the blood stream and make you sick. An ultrasound will be better in finding a blockage in your duct. But the best way is an ercp.

They recently diagnosed me with pancreatitis due to possible spincter of oddi dysfunction or SOD. What is your experience with the ERCP? Do you feel better? Are you normal again? Any advice would be appreciated.

although for me my gallbladder was very sluggish so the GI told him its better we take out the gallbladder and will go from there... ERCP many times can cause pancreatitis so they rarely do them. Usually its something to do with the gallbladder causing problems with the bile ducts. Once my gallbladder was out all my symptoms diappeared so i did not need an ERCP. Maybe get another surgeons opinion?

I have been having tenderness (approaching pain) under my right ribs and sometimes radiating to the back right at the same level. I understand that this may point to pancreatitis? However, I have seen a number of posts from people that said that an ERCP procedure made their pain worse. Is ERCP a last-resort procedure? Should I decline it if my doctor suggests it? Thanks. This discussion is related to <a href='/posts/show/228299'>chronic Pancreas pain.</a>.

When I went to the hospital I was also jaundiced and my urine was a rusty color and after having a cat scan and blood work they treated me for pancreatitis and did the ERCP.. They thought the Stone had passed by the time I had the ERCP cause they couldn't find it.

They admitted him and after several more tests and his symptoms they said that he had Schpincter of Oddi and needed to have an ERCP done. Tomorrow will be 5 days since the porcedure, but he still feels no real relief. Is this normal? How long until he will feel no pain in his stomach?

Interview a number of them and see how many of their patients have developed post ERCP pancreatitis. When done in good hands, your risk of post-ERCP pancreatitis is very, very small. Good luck.

I had my gallbladder removed over one year ago. One week after having it removed I began to have abdominal pain that hurt through to my back. It is very painful and nothing helps. I've had multiple tests done and 2 ERCP's. After the first ERCP the pain stayed gone for 2 months and then returned. After 2nd ERCP, I ended up in the hospital with pain and fever. My CT scan was normal and so were my A&L levels.

She was in serious pain before her ercp. She had pancreatitis for about 2 weeks before the procedure. After the procedure she was pain free, not even a tylenol needed. The doctor said she had narrow bile ducts and a cyst on her common bile duct. Has anyone experience this? 1 week later she is smytom free with no pain. 5 years ago she was diagnosed with ulcerative colitis, but could not take any med for the disease because any med gave her pancreatitis.

Pancreatitis treatment ercp

Common Questions and Answers about Pancreatitis treatment ercp

pancreatitis