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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 Morocco 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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Morocco is a popular destination, attracting culture lovers, backpackers, adventure travelers, couples, families, foodies, and more to its four imperial cities: Marrakesh, Fes, Meknes, and Rabat. Rabat is the current capital city. Although a modern city at first glance, it has several interesting historical attractions, such as the Kasbah of the Oudaias, the old medina, and the Hassan Tower. The gleaming Royal Mausoleum is also well worth a visit. Known as the Red City, Marrakesh is famous for its old medina, numerous souks, ancient palaces like Badi Palace and Bahia Palace, the striking Koutoubia Mosque, the energetic Djemaa el-Fna, and the Saadian Tombs. The former capital of Fes boasts plenty of stunning architecture, though it is perhaps most known for its large tanneries and for being home to one of the oldest universities in the world. Meknes has one of the most impressive monumental gates in all of Morocco, Bab el-Mansour. Horse-drawn carriages are a great way to explore the charming and relaxed imperial city. Morocco has beaches along both the Mediterranean Sea and the Atlantic Ocean. Popular holiday spots with foreign visitors include Tangier and Agadir, while Asilah attracts mainly locals and Spanish visitors. The vast Sahara Desert is the world’s largest hot desert. There are several places in Morocco from where you can begin expeditions into the desert, and there are plenty of experienced operators offering trips to remember.
The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Medical Tourists travel from all across the globe, particularly from neighboring African countries with an inferior healthcare system. Casablanca and Marrakesh are the popular cities and they mostly cater to dentistry and plastic surgery requirements
Morocco, with a population of over 35 million people, is known to be magical and chaotic. The country is very diverse, from Saharan Dunes, High Atlas, ancient medinas, friendly locals to traditional life; Morocco has everything for every tourist.
Morocco’s climate is generally moderate and subtropical with cool breezes from the Atlantic and the Mediterranean Sea. Temperature varies greatly depending on region and altitude. Summer lasts from June to August and is often really hot. Winter comes in November and ends in January. It is the wettest and coldest season in the country. The best time to visit is in Spring and Autumn where the weather is warm and pleasant.
The coastal regions have nice weather throughout the year, the Winter has mild temperature and although the temperature will rise in the Summer, it’s not too hot. The High Atlas Mountains can be visited all year round but the winter can get really cold. There will be snow on the peaks during Winter. The summer can be a little too hot for any long-distance hike.
Morocco’s main gateway is Casablanca's Mohammed V International Airport. The airport is located in Nouaceur Province and is the busiest airport in the country. It is the hub for Air Arabia Maroc, Royal Air Maroc. It serves domestic and international flights to and from many cities in the Middle East, Europe, and America. Major and budget airlines operate flights from this airport. Other important airports include Menara airport in Marrakesh, Fes–Saïss in Fez, Ibn Batouta International in Tangier.
There are several options for tourists to travel to downtown Casablanca. Buses are affordable, a single ticket costs 20.00 MAD. It will take around 45 minutes to get to the city center. There’s also a bus line that will take tourists to Rabat.
Casablanca Airport has an underground train station that connects to Mers Sultan, Casa Port, Casa-Voyageurs or L’Oasis. The total trip time to downtown Casablanca is 45 minutes. The trains operate from 06.00 am to 10.00 pm.
Taxis are the most convenient mean of transportation, but they’re also more expensive than trains and buses. The base fare is around 250.00 MAD to 300.00 MAD (25 to 30 USD). Always avoid non-authorized taxis because they are known to overcharge. Refuse to board a taxi with broken or turned off meters. Remember that Casablanca official taxis are painted in white.
The most efficient and affordable way to get around Morocco is by the intercity buses. The most popular operators are Supratours, CTM, SATAS, and Ghazala. A ride from Marrakesh to Casablanca is around 4 hours and should cost 90 MAD (9 USD).
Morocco’s national rail network is operated by ONCF and connects major cities like Marrakesh, Casablanca, Fez, and Rabat. The trains are usually on-time and comfortable. First-class tickets cost about 45 MAD (5 USD) per hour and the second class tickets cost around 30 MAD (3 USD).
Citizens of Australia, New Zealand, Canada, the United States, the European Union, Britain, Japan, and South Africa do not need a visa to enter the country. Citizens of 66 countries can enter and stay in Morocco for up to 90 days. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance.
It is recommended to check the current regulations with the Moroccan Embassy or Consulate in your country. All visitors must hold a passport valid for over 6 months at the entry date.