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doctor talking with patient about ercp

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ERCP Procedure for Gallbladder and Pancreatic Stones

Granite Peaks Gastroenterology of Utah

ERCP Procedure for Gallbladder and Pancreatic Stones

By Dr. Andrew Heiner, MD

Endoscopic retrograde cholangiopancreatography is an endoscopic technique used by gastroenterologists to view and treat specific issues within the gallbladder and the pancreatic and bile ducts. The ducts drain bile from the liver, gallbladder and pancreas, respectively, and feed that into the duodenum, the beginning of the small intestine.

Reasons an ERCP may be necessary:

• Remove gallstones stuck within the bile duct
• Remove pancreatic stones
• Investigate cause of persistent pain in the upper abdomen
• Find cause of acute pancreatitis
• Alleviate obstruction of bile duct such as those caused by tumors
• Determine reason for weight loss
• Determine reason for jaundice
• If an ultrasound or MRCP shows blockage or stones

What Can Patients Expect When Having an ERCP?
Your gastroenterologist will determine whether this procedure is appropriate for your particular situation. It is similar to having an upper endoscopy in that you will be sedated and a flexible tube with a camera will be gently guided down your throat, through your stomach to the duodenum where the bile duct (known as the papilla) connects. A thin tube is threaded through the scope and into the papilla and ducts. Contrast dye aids x-ray imaging used to shows the location of any stones, blockages (such as tumors) or irregularities of the ducts. From this information, the doctor can make repairs to the area or treat the problem including removing stones, placing a stent, or other surgical techniques to improve function.

This procedure is performed in a hospital setting and the doctors at Granite Peaks are qualified to perform this procedure at various hospitals in the area.

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