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This document outlines the physician's orders for a patient undergoing an Endoscopic Retrograde Cholangiopancreatogram (ERCP) procedure, including medication, pre-procedure protocols, and post-procedure
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How to fill out ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY
01
Prepare the patient by obtaining informed consent and ensuring they have fasted for several hours.
02
Position the patient in a comfortable left lateral decubitus position.
03
Administer sedation and monitor vital signs throughout the procedure.
04
Insert a duodenoscope into the patient's mouth, advancing it through the esophagus and stomach to the duodenum.
05
Identify the ampulla of Vater in the second part of the duodenum.
06
Cannulate the bile duct using a catheter to inject contrast dye for imaging.
07
Perform fluoroscopy to visualize the biliary and pancreatic ducts.
08
Identify and address any obstruction or abnormalities, such as stones or strictures.
09
If sphincterotomy is indicated, use an electrocautery tool to incise the sphincter of Oddi.
10
Remove stones or place stents as necessary.
11
Carefully retract the duodenoscope and monitor the patient during recovery.
Who needs ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
01
Patients with suspected bile duct obstruction or stones.
02
Individuals with pancreatitis due to bile duct issues.
03
Patients with abnormalities seen in imaging studies of the biliary tree.
04
Those experiencing jaundice without a clear diagnosis.
05
Patients needing diagnostic or therapeutic interventions in the biliary or pancreatic ducts.
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People Also Ask about
Is ERCP a major surgery?
Pancreatic sphincterotomy is an endoscopic technique used for various pancreas and pancreas-related diseases. The current standard of practice utilizes two different techniques for performing EPS: a pull-type sphincterotome without prior stent placement, and a needle-knife sphincterotome over a stent.
What does sphincterotomy mean in pancreas?
Possible major (big) complications If you had a small cut in the bottom of your bile duct (a sphincterotomy) during an ERCP, there is a risk of bleeding. This usually stops quickly without treatment. If the bleeding does not stop, you might need an injection of a medicine called adrenalin through the endoscope tube.
What are the risks of a sphincterotomy ERCP?
Most ERCP patients return to work and other activities the next day. If your sore throat persists, continue with soft foods and advance the texture as you feel able. Also, avoid heavy lifting and strenuous exercise routines for a few days.
What is an endoscopic retrograde cholangiopancreatography (ERCP) procedure?
Most ERCP patients return to work and other activities the next day. If your sore throat persists, continue with soft foods and advance the texture as you feel able. Also, avoid heavy lifting and strenuous exercise routines for a few days.
What is an ERCP with sphincterotomy?
What is ERCP? Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and an endoscope—a long, flexible, lighted tube.
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What is ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) is a diagnostic and therapeutic procedure that combines endoscopy and fluoroscopy to evaluate and treat conditions of the bile ducts and pancreas. A sphincterotomy is a surgical procedure that may be performed during ERCP to cut the muscle at the opening of the bile duct, allowing for easier drainage of bile.
Who is required to file ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
Healthcare providers, particularly gastroenterologists, are typically required to document and file the details of an ERCP with possible sphincterotomy in a patient's medical record, especially if the procedure is performed or if it is indicated for further treatment.
How to fill out ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
To fill out the documentation for ERCP with possible sphincterotomy, the healthcare provider should include patient identification details, indication for the procedure, findings during the procedure, interventions performed (including sphincterotomy if applicable), and any complications or follow-up care instructions.
What is the purpose of ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
The purpose of ERCP with possible sphincterotomy is to diagnose and treat conditions affecting the bile ducts and pancreas, such as gallstones, strictures, or tumors. The procedure allows for removal of blockages and alleviation of symptoms associated with these conditions.
What information must be reported on ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP) WITH POSSIBLE SPHINCTEROTOMY?
The report should include patient demographics, clinical history, procedural details (including the specific techniques used), findings (e.g., presence of stones, biliary dilation), interventions performed (e.g., sphincterotomy), and any potential complications or follow-up recommendations.
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