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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 Lebanon 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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Lebanon, a country on the eastern shore of the Mediterranean Sea, is one of the smallest sovereign states. The country boasts a fascinating mixture of the Middle East and the West, Christianity, and Islam, and tradition and modernity. It has everything from golden beaches and World Heritage Sites to energetic nightlife and delicious cuisine. Among other countries in the Middle East, Lebanon appears to be one of the most popular medical tourism destinations. Over 10% of the tourists visiting the country, particularly from neighboring countries, come to receive medical care. Many hospitals and clinics in the country are accredited to the ISO:9000 standard and offer world-class specialist services in spine treatment, orthopedics, organ transplant, and other complex surgeries, as well as advanced cancer treatments. Cosmetic and reconstructive surgery are also popular.
Beirut, the capital and largest city of Lebanon, is filled with historic landmarks and natural wonders. The most famous attractions in the city are the National Museum of Beirut, the Corniche and Pigeon Rocks, Sursock Museum, and Mohammed Al Amin Mosque. Many people also come to Lebanon to visit the port town of Sidon. Once a rich and thriving Phoenician city, it is dotted with historical monuments and ancient remnants, particularly in its Old City. Other popular cities include Tripoly, Baalbek, Byblos, and Tyre.
Lebanon has four seasons: winter (December to March), spring (April to May), summer (June to September), and autumn (October to November). Winter is the rainy season with high precipitation levels and cool temperatures. It is snowy in the mountains, but in some places, such as Beirut, it just rains during this season. Summer is hot, sunny, and dry, and can get very humid in cities located close to the sea. In the summer, the average temperatures are around 28°C to 30°C. Spring and autumn are both warm and pleasant.
The main international airport where visitors fly into and out of Lebanon is Beirut–Rafic Hariri International Airport, which is the only operational commercial airport in the country. It serves international flights to numerous major cities across Europe and the Middle East, including Moscow, Paris, London, and Dubai. Given the small size of the country, there are no internal flights. Intercity buses and minibus are available and have an extensive network, especially in coastal areas. The best way to get around the country is by hiring a car (with a driver) or by using intercity taxis.
All visitors need to obtain a visa to enter and stay in Lebanon unless they come from one of the seven visa-exempt countries (including Kuwait, Bahrain, Qatar, Saudi Arabia, Oman, the United Arab Emirates, and Jordan). Citizens of 81 countries, including all EU countries, Australia, China, Canada, and the United States, are eligible for a visa on arrival for a maximum stay of 30 days. A conditional visa on arrival is available for citizens of 15 countries, including Algeria, Libya, Iraq, and Yemen.