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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 Pakistan 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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The Islamic Republic of Pakistan is a country located in South Asia and it is the fifth-most populous country of the world, with a population exceeding 207.8 million. Although the country has plenty of natural and historical riches, this country is off the radar for most tourists due to political instability. Those who are curious enough to visit the country will find that it is filled with beautiful, from Mughals and mountains to the mighty Karakoram.
A large number of ultra-modern medical centers are available, and they are equipped and facilitated with the most advanced medical technologies. Numerous doctors and surgeons at these medical centers are normally foreign qualified. Large numbers of patients from neighboring countries and the Middle East have traveled to Pakistan to undergo various medical procedures, mainly for organ transplants or fertility treatments.
The capital city of Pakistan is Islamabad. This city was built as a planned city to replace Karachi as the country’s capital. Islamabad is known for its safety, high standards of living, and plenty of green spaces. Here, tourists can admire the symmetry of the Pakistan Monument, check out the Daman-e-Koh viewpoint, visit the Lok Virsa Museum, and stroll around the Faisal Mosque. Karachi, the original capital of the country, is a sprawling metropolis. Most visitors usually come to check out the Quaid Mausoleum and the Tuba Mosque. Another popular city for tourism in Lahore, which is filled with beautiful architecture and interesting museums. The most popular attractions in this city are the Badshahi Mosque, the Lahore Fort, the Sheesh Mahal, and the Delhi Gate.
The busiest airport in Pakistan is the Jinnah International Airport, which is located in Karachi. It serves both domestic and international flights to and from several cities in Europe, Asia, and the Middle East. Taking domestic flights can be a great way to travel around. The rail network is also extensive and comfortable. Taxis and Uber are also available.
Citizens of 5 countries, including Maldives, Nepal, Samoa, Tonga, and Trinidad and Tobago, can visit Pakistan without a visa. Several countries, such as Austria and the UAE, may obtain a visa on arrival if they possess ETA. Citizens of 15 countries, including Armenia and India, are eligible to apply for an online visa.
Summer (March – October) is hot and dry in the northern regions. However, July and August can be rainy, making the weather hot and humid. The temperatures can range from 9°C to 38°C. Winter (November – April) can be really severe and most cities will get frost. Also, the northern part of the country experiences heavy rainfall during this season. The average temperature ranges from 3°C to 25°C.