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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 Romania 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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Situated at the crossroads of Central, Eastern, and Southeastern Europe, Romania is a country of contrasts. From its medieval towns and castles, nature, and wildlife, to its rich cultural heritage and amazing food, this country continues to amaze its visitors. In recent years, Romania has become a flourishing medical tourism destination. Due to its low prices, well-trained medical staff, highly skilled doctors, and amazing medical centers, the country attracts an ever-increasing number of international medical tourists. Dental work is the number one reason medical tourists travel to this country, closely followed by cosmetic surgeries. Most medical tourists come from other European countries, such as the UK, Germany, other Western European countries, and the US.
Almost every city in Romania has its fair share of amazing tourist attractions and skilled specialists. The most popular one is the capital of the country, Bucharest. This dynamic city boasts excellent museums, trendy cafes, and beautiful parks. Tourists usually flock to the Palace of Parliament, the Statue of Emperor Trajan, Cişmigiu Garden, the Romanian Athenaeum, and the Museum of the Romanian Peasant. Besides Bucharest, one of the most popular cities in the country is Brasov which is located in Transylvania; tourists usually come to this city as their base for trips to “Dracula’s castle.” The city is filled with charming medieval streets, great hiking spots, and a beautiful historic center. The second-largest city in Romania, Cluj-Napoca, is also famous for its bohemian cafes, amazing medical centers, and music festivals.
Henri Coandă International Airport is the busiest airport in Romania. It serves flights to various major cities in Europe, Africa, and the Middle East. Getting around Romania with domestic flights is fast, but can be expensive. The most common way to travel is by bus and maxi taxi (minibus), which reaches even the smallest towns.
While Romania is not yet part of the Schengen Area, the country’s visa policy is based on the Schengen acquis. Therefore, citizens of 62 countries, including the US and Australia, can visit and stay in the country for up to 90 days without a visa. Citizens of other countries will need a visa to enter. Those who already have a Schengen visa may enter the country.
Spring from March to May has fairly mild temperatures and pleasant weather. Summer, starting from June to August, is usually dry, sunny and sweltering. Autumn comes in September and ends in November. It brings enjoyable temperatures, but it is also the rainy season in the country. Winter, from December to February, can get quite cold and harsh with frequent snowfall.