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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 United Kingdom 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 United Kingdom is a constitutional monarchy comprising much of the British Isles. This Union is more than 300 years old and comprises four constituent countries: England, Scotland, Wales, and Northern Ireland. It occupies all of the island of Great Britain, the north-eastern portion of the island of Ireland, and most of the remaining British Isles. The UK is an island nation but shares an open land border with Ireland. The UK has a population of 65 million people, the capital and largest city is London.
The United Kingdom welcomes an ever-increasing number of medical tourists each year, many of which travel for Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. The government provides all British citizens free or low-cost care under the NHS, also known as the National Health System, leaving a small private sector for routine operations, which caters to people that do not want to wait in line for elective procedures or are not citizens or residents of the Islands.
Made up of Great Britain and Northern Ireland, the United Kingdom is filled with vibrant cities and tranquil countryside.
The United Kingdom enjoys a temperate climate and has plenty of rain all year round. Tourists can visit any time of year as it does not experience extreme weather. There is a great variety of changeable weather, but the overall weather and seasons are generally the same throughout this sovereign country.
There are plenty of airports in the United Kingdom, but the busiest and the largest airport is the London Heathrow Airport. It is the second busiest airport in the world after Dubai Airport. The airport has international connections with almost every country around the globe, including countries in the Middle East, Asia, Africa, and North America. It also serves domestic flights which provide an easy way to travel around the United Kingdom. There are budget airlines that offer a more affordable option for those who want to get around by plane.
The United Kingdom is very well connected by plane, train, and bus. The train is the most popular mode of transport and one of the most comfortable. Tickets can be booked online and it can be expensive, but most trains are equipped with air conditioning and sometimes Wi-Fi. There are two classes of train, the Standard Class and the First Class. Big cities and towns are usually connected by a regular bus service. The cost can be cheap, but the further you travel away from a city, the more expensive the cost. It is best to invest in an Oyster Card if you wish to travel by bus.
Taxis are available in most cities. There are two types of taxis; the metered taxis (painted in black) and private hire taxis (known as minicabs). The taxis should have a taxi-license displayed on the dashboard. The metered taxis can be hailed directly from the streets, while the minicabs have to be ordered via telephone. The minicabs are usually more affordable than the metered taxis because they operate on fixed prices and sometimes are even open to negotiation.
Citizens of the European Union can enter the United Kingdom without a visa. Additionally, British Nationals who are not European Union citizens and nationals of 56 countries can enter and stay for up to 180 days (90 days if they enter from the Republic of Ireland). Citizens of Kuwait, Oman, Qatar, and the UAE can obtain an online electronic visa waiver (EVW). Other nationals not listed in the visa-exempt for stays in the UK (including China and Russia) need to apply and obtain a visa before entering the country.