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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 Ireland 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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Ireland, also known as the Republic of Ireland, is a country located in north-western Europe that occupies 26 of 32 counties on the island of Ireland. The country’s breath-taking landscape, wonderful people, and fascinating history have made it an unforgettable destination for many visitors. Aside from its beauty, more and more people also come to Ireland for high-quality healthcare. The country is a newcomer to the medical tourism market. However, it’s seen as an increasingly attractive destination due to the reasonably priced and high standard of clinical care available in the country. Most foreign patients come for cosmetic surgery and dental treatments, but many hospitals and clinics in the country offer a wide variety of services, such as cardiology, pathology, pulmonary, and gynecology. Also, the Joint Commission International has accredited several hospitals in the country, most of which are located in Dublin.
Ireland’s capital and largest city, Dublin, is the most popular tourist destination within the country. In fact, it’s the fourth most visited European capital. It’s filled with excellent pubs serving the perfect pint of Guinness, amazing Georgian architecture, and layers of fascinating history. Tourists in this city usually visit the Guinness Storehouse Factory, tour the Old Jameson Distillery, admire the Spire of Dublin, explore Dublin Castle, and marvel at the beauty of St. Patrick’s Cathedral. Another famous city is Cork, which is the second-largest city in the country. It’s a youthful cosmopolitan city packed with artisan coffee bars and snug pubs. Tourists usually come to kiss the Blarney Stone for good luck, enjoy the coastal landscape in Mizen Head, or hike around Gougane Barra. Other popular cities and towns include Galway, Killarney, Kilkenny, and Letterkenny.
The main airport in Ireland is Dublin Airport. It connects the country with numerous cities around the world, including New York, Abu Dhabi, and Hong Kong. Trains and buses are available to travel around the country. However, public transportation is generally sparse in rural areas. Therefore, renting a car is the best mode of transport. Taxis and Uber are available to travel inside major cities.
Ireland has opted out of the Schengen Area. The country allows all EU citizens, as well as citizens of 56 other countries (such as the UAE and the US), to stay without a visa for up to 90 days. Citizens of other countries are required to apply for a visa in advance.
Summer (June – September) provides plenty of sunshine and lower levels of rainfall, with an average temperature of 14°C - 16°C. Winter (October – February) is chilly, with ample rainfall and some snow. Spring and autumn are generally pleasant, with warmer temperatures and more sunshine.