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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 Ukraine 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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Ukraine offers a favorable cost of living, which may be a strong draw for why one should consider exploring it. In particular, its capital city of Kiev ranks high among the list of economical European capitals. This affordability impacts various aspects from food, drinks to sightseeing, transport, and accommodations, making it a great option for budget-conscious travelers.
An added intrigue of Ukraine, specifically Kiev, is in how its affordable rates do not compromise the quality of the experience. Rather, it enhances the encounter as it leaves room to sample more of what the city has to offer. Amidst the cost-effectiveness, the country still presents a rich collection of attractions that are worthwhile. These span from convenient transport systems, diverse culinary options, alluring sightseeing spots to suitable lodging facilities. So, not only do you get to save money, but you also extravagant value while navigating through this remarkable city.
Ukraine is a growing magnet for health tourists, with a rise in individuals journeying for Endoscopic Retrograde Cholangiopancreatography (ERCP) services. The option to access private dental care, cosmetic procedures, and a diverse range of medical treatments at a fraction of what they would cost in one's home country makes it incredibly appealing. Further, the absence of extensive waiting lists is another attractive feature.
Added to these, Ukraine's reputation is rapidly gaining traction on the international front as a premier hub for laser eye surgery. The country is carving an image for itself as a pioneer in eye care, offering innovative and state-of-the-art laser vision correction techniques. Thus, the country isn’t just a destination for affordable services, but also for quality specialized treatments at the forefront of modern medical technology.
Boasting a diverse populace of approximately 42.5 million residents, Ukraine stands as an expansive and multicultural nation that happens to be the biggest geographically within Europe’s borders. The country's lush forests create the feeling of an unspoiled, yet to be unveiled paradise. The breathtaking landscape combined with the stunning architectural feats create aesthetically pleasing vistas, which are a key part of Ukraine’s appeal.
It's important to consider that travel advisories from authorities such as the UK Foreign and Commonwealth Office advise against traveling to regions like Crimea, Donetsk, and Lugansk. As a traveler, it's crucial to stay updated on such notifications and follow relevant guidance from your respective government before planning a journey. Ensure you are well-informed about local situations and regulations to ensure your safety and security while traveling.
Ukraine predominantly experiences a moderate climate, with an intriguing exception. The southern coastline of Crimea stands out with its delightful subtropical weather. This distinct climate pattern adds to the region's charm, making it distinct from the broader Ukrainian weather trends.
Ukraine's summers tend to kick off in June and extend until September. During this period, temperatures fluctuate within the range of 19 – 25 °C, underlining agreeable weather conditions. The days are typically long, sunny, and warm, sporadically met with occasional rain showers. With such favorable weather, it comes as no surprise that summer is the peak of tourist activity in Ukraine.
Transitional seasons - spring and autumn - are characterized by mild temperatures. However, they are also the seasons with the most rainfall. Spring, in particular, brings a colorful impact on Ukraine's cities with blossoming plants painting a vibrant landscape.
Winter, on the other hand, introduces a colder climate with notable snowfall, particularly in the northeastern regions. The average temperature ranges from 5 to -3 °C during this time, creating a winter wonderland that contrasts to the warm and vibrant seasons.
Boryspil International Airport is the largest airport in Ukraine. Located 29km east of Kyiv, the airport serves domestic flights and has international connections with major cities in Europe and a few cities in Asia. Boryspil International Airport is the hub for Ukraine International Airlines and serves several budget airlines including Lauda, Ryanair, and SkyUp airlines. There are two other airports that serve international and domestic flights: Lviv Danylo Halytskyi International Airport and Odessa International Airport.
Tourists can take a taxi, bus, or shuttle bus to get to the city center. Airport taxis use meters and are comfortable. Some taxis even accept payment by credit cards. Buses are also a great option to get to the city center, Sky Bus takes tourists from Boryspil International Airport to Kyiv and departs from Terminal D and Terminal B. Sky Bus should cost around 60 UAH or 100 UAH depending on the destination.
To visit different cities, domestic flights are inexpensive and will speed up long distance journeys. The fastest way to get around big cities is the minibusses or subway (known as Metro). Minibusses follow routes that the regular bus travels on. Tourists can flag minibusses and ask them to stop at other places that are not the specified bus stops. The fare is fixed no matter how far your destination is.
Taxis are easily available in big cities. Most taxis don’t use a meter but taxi drivers usually don’t cheat. A long trip in Kyiv usually cost around 70 UAH. Shortstops start from 15 to 20 UAH. Tourists can also order a taxi by phone, although most taxi operators do not speak English. Locals usually are happy to help order a taxi for tourists.
Driving in Ukraine by car or motorcycle is another option to explore the country, but the roads are bad and the signs are written in Ukrainian (Cyrillic alphabet) only. Road policeman is one of the biggest disadvantages as they usually request a small bribe when they stop tourists.
Individuals hailing from countries like the European Union, Canada, and the United States, among others, enjoy the liberty of staying in Ukraine visa-free for a span of up to 90 days. However, citizens of certain other nations like China, India, and Thailand are required to secure a visa prior to setting foot in the country. To defend against any potential misunderstanding or complications, it is wise to verify visa obligations and specifics from the Ministry of Foreign Affairs of Ukraine's website before planning a trip.
Certain provisions are in place for tourists that allow visa-on-arrival options at major airports and seaports. In addition, an e-Visa system is operational for citizens from 52 designated countries, rendering the process more streamlined. It is mandatory for all visitors to possess a passport that remains valid for a minimum of 3 months beyond the expected date of exit from Ukraine. Moreover, this passport should have at least two pages that are devoid of any visas, marks, or stamps. These regulations ensure a smooth immigration process, avoiding any potential complications during travel.
Additional Information about Visas: