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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 Philippines 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 Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.
It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.
Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.
The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.
For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center
The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.
The following are some of the most beautiful places to visit in the Philippines:
Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.
The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:
The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)
The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.
Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.
Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.
For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.
Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.
Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.