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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure to diagnose and treat problems of the bile and pancreatic duct by combining upper gastrointestinal endoscopy and X-rays. For diagnostic purposes, the procedure is performed to find the cause of obstructive jaundice, chronic pancreatitis, and pancreatic tumor. For therapeutic purposes, the procedure can be performed to extract gallstones or other biliary debris, to treat the sphincter of Oddi (endoscopic sphincterotomy), to insert a stent into the common bile duct and/or the pancreatic duct, and to dilate the strictures.
Most of ERCP are carried out under local anesthetic, but in some cases, you may receive a general anesthetic. Your doctor inserts the endoscope (a long flexible tube with light and camera on its end) through your mouth and down to the esophagus, stomach, and the first part of the small intestine. Then, your doctor passes a tube through the endoscope and injects a dye, which will highlight the organ on the X-ray.
You can leave the hospital on the same day of the procedure or you may need to stay overnight. You’ll likely discuss the result of the diagnosis once you regained consciousness or the next day of the procedure. Plan to stay in Estonia for 2 to 3 days to allow for a recovery period.
You must rest for at least 24 hours and you should be able to resume your normal activities the next day after the surgery, but make sure to take things easy for a couple of days.
You will need to avoid strenuous activities for several days and follow a special diet during your recovery period. Your doctor will give you instructions on how to care for yourself after the procedure.
ECRP is safe and effective. However, it has been estimated that the procedure carries around 3.5 to 5 percent risk of post-ERCP pancreatitis (PEP). Other side effects and risks associated with ECRP include infection of the gallbladder or the bile duct, excessive bleeding (hemorrhage), perforation in the pancreatic or bile ducts, tissue damage from X-ray exposure, and an abnormal reaction to the sedative. Complications occur in about 5 to 10 percent of all ERCP procedures.
If ERCP is not the right procedure for you, your alternatives include endoscopic ultrasound, CT Scan, and MRI or MRCP (a special MRI of the bile ducts).
The result of ERCP will help your doctor confirm their diagnosis about your health problem, which will help them consider the best treatment option for you.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Estonia is a country situated on the eastern coast of the Baltic Sea in Northern Europe. Tourism in this country is often overlooked, but those who have visited agree that the country is filled with historical wonders and hidden attractions. Today, Estonia has become a popular medical tourism destination, with a growing number of people coming from Sweden, Finland, Norway, and the UK. Foreign patients usually come for orthopedic, weight loss, or plastic surgery. What attracts medical tourists to have their treatment in Estonia is the country’s affordable and high-quality healthcare. With skilled surgeons, excellent medical centers, and incredible vacation opportunities, it is easy to see why Estonia is becoming more and more popular. Many of the board-certified surgeons in the country continue their training abroad and the private hospitals are armed with advanced technology.
The capital of Estonia is Tallinn and it charms visitors with its lively yet peaceful vibe, UNESCO-listed Old Town, photogenic sights, ancient churches, and medieval streetscapes. The city is perfect for those looking for some relaxation and pampering as it has a number of Day Spas. In addition, Tallinn is filled with delightful food and vibrant modern culture, making it the perfect place to visit. Besides Tallinn, another popular place to visit is Tartu, which is the second-largest city in the country. As a premier university town, this city is the place where Estonian doctors and surgeons study medicine. Tartu is a very historic city and also has a vibrant nightlife.
Tallinn International Airport is the largest airport in Estonia that serves flights to and from major cities in Europe and the Middle East, such as London, Copenhagen, and Dubai. Getting around Estonia can be done by bus or train. While the rail network is limited and affordable, buses are fast and efficient. Big cities in the country have an efficient public transportation system and taxis are widely available. It is also worth pointing out that the whole country is bicycle-friendly.
Since Estonia is a member state of the Schengen Area, holders of passports from 62 countries, including the US, the UAE, Japan, and Australia can enter without a visa for up to 90 days. Other countries not listed in the visa waiver agreement need to apply for a Schengen visa to enter.
The summer months of June to August have the highest temperatures, with sunny and long daylight days. Spring (March to May) and autumn (September to October) is a great time to visit the country as the weather is very pleasant. Winter, from November to February, can be freezing as the temperatures plummet and the snow starts to fall. The weather in this country is very changeable.