Pancreatitis treatment ercp

Common Questions and Answers about Pancreatitis treatment ercp


Avatar n tn 10 days later, I was admitted into the hospital with severe pain that turned out to be acute pancreatitis from retained stones in the common bile duct. While hospitalized, I had an ERCP to remove the stones, and was told "the stones are gone." After going home, I continued to experience chronic pain in the upper right quadrant that was sometimes a mild ache, sometimes a sharp stabbing pain.
Avatar f tn I wish you the best of luck with your breast cancer and treatment. I can comment on the ERCP questions - it sounds like your doc suspects that you have Sphincter of Oddi Dysfunction and they are talking about doing an ERCP with manometry (to measure the pressure of that muscle) and a sphincterotomy which is the cutting to relieve the pressure.
Avatar n tn The idea of an ERCP probably is frightening to anyone facing the issue. If you have to have an ERCP, please make sure it's WITH a manometry step to measure the pressure in the duct and at the sphincter. You want to find out if the condition could possibly be SOD, sphincter of Oddi dysfunction. Also talk to the doc - if an ERCP has to be done - about stenting the ducts. Not a nice thought, I know, but stenting can cut down on the possibility of setting off an attack.
Avatar n tn The only time I remember having pains like this was when I was hospitalized with Pancreatitis after having an ERCP done last November. I went to my primary care physician yesterday. He seems to think that it might be pancreatitis and that I should go back to my gastrointerologist. Could a pancreatic attack happen out of the clear blue sky? Does anyone think this is what it might be??? I'm anxious to hear from others. Thanks for your time. Have a WONDERFUL Day!!!
82861 tn?1333457511 My own Public Service Announcement to anyone else reading this post - giving your dog "people food" and a diet with too much fat just might result in pancreatitis and kill your dog. I thought I was being generous allowing my dog to have a couple of half-gnawed pork ribs. Yeah, "generous" - I killed my dog. <stepping off soap box!
Avatar n tn I was diagnosed with chronic pancreatitis this am and schedualed for a ERCP for friday. I have some concerns about this diagnosis and this test. I have not been hospitalized for this condition at all, not even ER. it has taken me over a month to get diagnosis and still no relief from discomfort. Just more tests to take. I look like a junkie from all the blood they have taken and they want more. My almase and lipase levels have continued to rise over the course of the past fourteen days.
Avatar m tn 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>.
Avatar n tn I have been diagnosed with Chronic Pancreatitis and since then have seen a gastro doctor. He is recommending that I have my gallbladder removed, or as he stated "yank it out". He has me on Urso 250mg @ 3 times a day; Nexium @ 40mgs; and Viokase 8 tab 5 times a day then given me percocet for when I am in pain. First off, I am very concerned about removal of my gallbladder as a cure-all, it seems drastic.
Avatar n tn I have had terrible pain in my front right & left ribs & in my sides that wraps about midways in my back somethime under both shoulderblades on both sides for the last 2 years after eating with weight loss that has leveled off some. I have had one mild elevation of Amylase around 135 at the beggining of 2006. I had high triglycerides which are now normal.I have had continual elevations of Lipase around 320 throughout the last 2 years.
158939 tn?1274918797 You may need to have an x-ray in a couple of weeks to see if they have fallen out on their own. Has your doctor talked to you about the risks of pancreatitis after an ERCP? Are they looking for SOD, or just to clean out your bile duct? If you want to talk to more people about this stuff, please feel free to come to: we'll gladly get you added as a member of our group! Good luck and please keep us posted!
Avatar f tn 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?
1264088 tn?1279484422 I just do not want to get pancreatitis or make things worse which unfortunately sometimes happens after ERCP. Some people get ercp and then have to keep getting it every few months until they cant anymore since nothing is left of the muscle. Some people start getting CP with their SOD after they have an ERCP. Unfortunately this is the only real test that can officialy diagnose sod and some pancreas issues.
Avatar n tn I have been fighting Chronic Pancreatitis for 5 years ever sence I had my gallbladder out. I have 3 Drs. primarea, Gastro, and ERCP specialist. I have had 5 ERCP,s done with Sphincterotomies done each time and stints put in. this gives me 3-5 months relief. I have had 2 EUS showing abnormalities and scaring in the hed tail and body of pancreas. But it allways comes back, now I have weekly pain. Most of the Pain is on the left side upper rib cage. My question is Drs.
Avatar f tn This causes the enzymes to irritate the cells of your pancreas, causing inflammation and the signs and symptoms associated with pancreatitis. 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.
Avatar n tn however, recently i felt very sick, nausea but no vomiting, upper abodominal pain, weakness and i went to the hospital for treatment. the hospital performed an ECG to check my heart, the ECG confirmed my heart was normal. i was given an enema, which helped relieve stools from my bowel & i felt much better. the hospital also performed all the following tests, Endoscopy examination, X-RAYS, CT SCAN, MRCP SCANS.
1453931 tn?1285188953 I had a bile leak and when they preformed a ERCP I got acute pancreatitis. It is a risk associated with the ERCP. Anyway after my amylase and lipase went down to normal I was checked out of the hospital. However since then I have had horrible nocturnal abdominal pain and it also happens when on an empty stomach longer than 4 hours.
902019 tn?1249865014 I was diagnosed 2 years ago with AIP, have a 25 year history of autoimmune disorders (eosinophilic vasculitis, mild Sjogren's). Usually have done well with prednisone for the various flare-ups but with AIP, still recurring symptoms and the elevated IgG4 periodically. Next step may be Imuran. Is there anyone out there who has had good results with Imuran for autoimmune pancreatitis?
406419 tn?1244914764 If sludge or stones are identified, the procedure is converted to ERCP which is the treatment for getting rid of all that junk. If the sphincter muscles are clenched too tightly, the doctor can perform a sphincterotomy at this time. A sphincterotomy means those tiny little muscles located where the common bile duct empties into the duodenum, are cut away. I have had this procedure done myself, and it's little different from having an endoscopy.
Avatar n tn It's very extreme, but they are past the point of no return at that point. There are risks to ERCP, there are significant chances of ending up with pancreatitis following the procedure, but you have to weigh those risks against what you are already dealing with. Not to mention prolonging treatment, as you mentioned, can also cause damage to the pancreas. I hope you are able to go to a specialist who focuses on SOD and diseases of the pancreas.
Avatar n tn Your husband is receiving the standard medical treatment for a severe acute pancreatitis attack. Often severe cases can take several weeks to subside. The doctors are controlling his nausea and replacing his fluids and allowing the pancreas total rest by restricting solid food. The antibiotics were given as a safeguard in case any infection resulted from his attack. This, too, is standard procedure after an acute attack.
Avatar n tn My mother is 66 years of age, recently discharged from hospital, present weight is 62 lbs, diagnosis of chronic pancreatitis, pseudocyst and tumor tail of the pancreas detected by C.T scan, my mother is booked forERCP,I'm very worried as she is very frail, is there any risk in doing this test with someone so malnurished.Internist says she is not srong enough for a biopsy,therfore we don't know if the tumor is malignant, is there any other way of finding out,?ultrasound.
Avatar n tn If the doc is very experienced in doing this procedure, you shouldn't have a problem. I suppose you could ask your doc about the incidents of post-ERCP pancreatitis he has personally seen is his own practice? While I did not get full-blown pancreatitis following my ERCP & sphincterotomy, I have to say I felt pretty darn sick and in pain for about 3 weeks after, and Lord only knows why. Once I got over that, it was clear sailing.
Avatar f tn I hope someone out there can help me. For 14 years, I have suffered abdominal attacks in my diaframe very high up in the area between my rib cages. The pain mimics pancreatic pain. The pain is so horrible that I almost wish I could die. It usually lasts 20 to 30 minutes, but can be longer. I am paralized during these attacks & can't move. They usually occur 4 to 6 times a year with milder attacks in between the more serious attacks. Lately, they are becoming more frequent.
Avatar n tn The location of your pain sounds very much like where mine was located before my first attack of acute pancreatitis. I now have chronic pancreatitis. I also had the yellow stools, either fatty or so oily that they would float. Also had the weight loss and inability to eat. Back ache is also a common complaint, but not everyone gets it. You need a second opinion.
Avatar n tn Doc did say that a big gush of bile came out when he did the spincterotomy. Have been fine since then - no more pain. Nationally, the incidence of post ERCP pancreatitis is 5%, my doc claimed his was 3%......the key is to have someone do it that does a lot of them. I was lucky as I work in a hospital and got consistant recommendations from a number of various sources that all said this doc was the best. Hope this helps.
Avatar f tn And that would mean exhausting all other tests and all other meds (because she still has her gallbladder) before a doc would even consider something like an ERCP. The ERCP carries with it a real risk of pancreatitis and other 'wonderful' side-effects such as damage to the common bile duct and pancreas. So it's not something to take lightly.
Avatar n tn SHOULD I HAVE BEEN TREATED WITH INTERFERON AFTER PANCREATITIS DIAGNOSIS? The interferon made the pancreatitis much worse. I was hospitalized frequently due to pancreatitic attacks (was originally treated for hep C, NOT pancreatitis). Because of the pancreatitis, I SHOULD NOT have been given interferon. It has partially destroyed my pancreas and this is a known side affect of interferon. When given my Hep C diagnosis, the hcvpcr viral overload was 750,000.
Avatar n tn I did not feel pain until I went through the Interferon/Ribavarin treatment for 9 months, after the treatment I started feeling pain and I have had the pain for 10 years with no stopage of that pain, as a matter a fact, just recently after another CT Scan was done, the pain increased somewhat.
Avatar n tn bile duct stricture, alcohol, systemic disease) continues without appropriate treatment then the possibility of chronic pancreatitis increases. Your concerns can be discussed with your personal physician. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case. Kevin, M.D.