Yu want fɔ no mɔ bɔt di ERCP (Endoscopic Retrograde Cholangiopancreatography) tɛst? Nɔ fred, lɛ wi tɔk!

We yu dɔktɔ tɛl yu se yu nid fɔ gɛt ERCP, yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin i bi, wetin mek dɛn du am, ɛn i go at. Dat na nɔmal tin. Bɔku pipul dɛn kin kray smɔl we dɛn yɛri di nem. Bɔt ERCP nɔto natin fɔ fred. na tru tru wan tεst we rili advans we kin no εn sכmtεm trit sכm prכblεm dεm na yu biliary sistεm εn pankrεas dakt dεm. So, mek wi tok abaut ERCP fo simpul we tide, okay?

Wetin na ERCP (Ɛndoskɔpik Rɛtrogrɛd Kɔlanjiɔpankrɛatografi)?

Dis lɔng nem kin mek yu fil lɛk se yu de ed smɔl, bɔt lɛ wi brok am ɛn ɔndastand am.

Fɔ tɔk am simpul wan, ERCP na spɛshal we aw dɔktɔ dɛn kin yuz fɔ luk insay yu bayl dakt ɛn pankrias dakt . Dɛn dakt ya kin kɛr bayl ɛn pankrias jus, we kin ɛp wi fɔ dayjɛst di it we wi de it.

Na dis nem min dis:

• Ɛndoskopik: Dis kin yuz wan tin we dɛn kɔl ɛndoskop. Na tin we tan lɛk tiub we kin chenj, we gɛt smɔl kamɛra ɛn layt na wan ɛnd. i de insay yu mכt εn pas dכn to di כp pat pan yu intestin (di duodenum). Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ slip, so yu nɔ go fil ɛni prɔblɛm.
• rεtrogrεd: insay dis, dεn de put כda sכm tכb tru di εndoskop εn dεn injεkt wan spεshal fכluid (kכntrast day) insay di bayl dakt dεm εn pankrεas dakt dεm. "Retrograde" min "bakכd" biכs dεn injεkt di fכluid na di כpכsite dairekshכn we i nכmal fכ fכlכ.
• Cholangiopancreatography: Dis de tɔk bɔt di pikchɔ dɛn we dɛn tek. "Cholangio" min se i gɛt fɔ du wit di bayl dakt dɛn. "Pancreato" min se i gɛt fɔ du wit di pankrias. "Graphy" min fɔ tek pikchɔ.

So, di kכntrast day de mek yu bayl dakt dεm εn pankrεas dakt dεm sho klia wan pan εks-ray imej dεm. Dis kin mek dɔktɔ dɛn si if ɛnitin de we de blok dɛn dakt ya - lɛk gal ston, tumbu, ɔ we di dakt dɛn smɔl bikɔs ɔf di ska tisu . Di bɛst pat na dat dɛn kin trit sɔm pan dɛn prɔblɛm ya rayt de, tru di ɛndoskɔp.

Insay us kes dɛn ERCP nid fɔ de?

Yu dɔktɔ kin ɔda ERCP if dɛn sɔprayz se prɔblɛm de wit yu biliary system. Fɔ ɛgzampul:

• If yu gɛt pen na yu bɛlɛ we yu nɔ ɛksplen , ɔ if yu gɛt biliary colic.
• If wan kɔndishɔn de we di bayl de blok ɔ sayn dɛn de fɔ se di bayl de lik, fɔ ɛgzampul janda .

ERCP tɛst kin ɛp fɔ no ɛn trit kɔmɔn prɔblɛm dɛn we de afɛkt yu bayl dakt, lɛk:

• inflameshn na di bayl dakt dεm (cholangitis) εn infεkshכn dεm we de wit am.
• di bayl dakt dεm de sכmtεm bikoz fכ di ska tisu (biliary stricture) .
• Ston blok na di kɔmɔn bayl dakt .
• inflameshn na di pankrias we ston kin mek (galstone pancreatitis) .
• Tumɔs ɔ kansa na di bayl dakt dɛn.
• Bayl dakt lik ɔ ɔda aksidɛnt.

Aw ERCP de wok?

ERCP de kam togεda tu men tεknik dεm: εndoskopi εn fluoroskopi . Fluoroscopy tan lɛk X-ray pikchɔ dɛn we de muv. Tink bɔt am lɛk vidio ɛkstrem rayt.

Dis fluoroscopy de mek di dɔktɔ si aw di spɛshal wata (kɔntrast day) de muv tru yu bayl dakt ɛn pankrias dakt. I kin sho klia wan ɛni lik ɔ blɔk.

di endoskop na di wan we de alaw di dכkta (endoskopist) fכ rich di εria. Di kɔntrast day de injɛkt tru dis. Dɔn bak, if dɛn si prɔblɛm, dɛn kin put smɔl smɔl tin dɛn insay dis ɛndoskɔp fɔ trit am.

Udat de du ERCP?

Na wan dɔktɔ we de mɛn di bɛlɛ kin du ERCP . Dɛn dɔktɔ ya na pipul dɛn we sabi fɔ mɛn sik dɛn we de na yu dijestiv ɛn biliary sistɛm. Dɛn kin tren dɛn bak fɔ du ɛndoskopi. Dɛn kin tren dɛn bak fɔ du ɛndoskopik we dɛn kin yuz instead fɔ du smɔl ɔpreshɔn.

Aw yu kin pripia fɔ ERCP?

Yu dɔktɔ go gi yu sɔm patikyula instrɔkshɔn dɛn fɔ fala bifo yu gɛt ERCP. Jɛnɛral wan, dɛn tin ya na:

• Yu fɔ stɔp fɔ smok, it, it gam, ɛn drink ɛni ɔda tin pas wata et awa bifo di tɛst.
• Yu fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɛni mɛrɛsin we yu de tek . Sɔm mɛrɛsin dɛn lɛk di wan dɛn we de mek blɔd tan, dɛn kin nid fɔ stɔp fɔ sɔm dez bifo dɛn du di tɛst.
• Tɛl yu dɔktɔ if yu bin dɔn gɛt alɛji fɔ di kɔntrast day ɔ anestezi we dɛn bin de yuz we dɛn de du di tɛst.
• Yu go nid fɔ arenj motoka fɔ go na os afta di tɛst, bikɔs i kin tek lɛk 24 awa so fɔ mek di ifɛkt dɛn we di anestetik gɛt fɔ west ɔl. So, yu nɔ go ebul fɔ drayv.

Wetin kin apin we dɛn de du ERCP tɛst?

ERCP na ɔutpeshɛnt prosidur . Dis min se yu kin go na os di sem de. Bɔku tɛm, di we aw dɛn kin du am kin tek lɛk wan ɔ tu awa so.

Dɛn go gi yu wan mɛrɛsin we dɛn gi yu insay wan vein (tru wan ``IV``) fɔ mek yu slip (sedated) . Sɔntɛm yu de slip dip, ɔ yu nɔ go ebul fɔ wek. Bɔt, yu nɔ go mɛmba di tɛst.

We dɛn de du di pat pan di ɛgzam fɔ no di sik, di dɔktɔ go du dɛn tin ya:

• If yu want, yu kin put wata we de mek yu anɛst fɔ mek yu nɔ fil fayn na yu trot.
• dεn kin put εndoskop tru di mכt εn tek tεm pas am tru di εsophagus εn bεlε insay di כp pat pan di sכmכl intestin (duodenum). Di pikchɔ dɛn we yu si frɔm di ɛndoskɔp in kamɛra de sho na wan skrin.
• We yu wach dɛn fim dɛn de, yu go si usay di bayl dakt ɛn di pankrias dakt opin insay di smɔl intestinal.
• כda sכm tכb de insay di kateshכn insay di εndoskop εn insay di opin.
• Dɛn kin put di kɔntrast day insay di vessel dɛn tru da smɔl tiub de.
• Dɔn dɛn kin yuz fluoroscopy tɛknɔlɔji fɔ tek ɛkstrem rayt fim dɛn fɔ si aw di wata de muv tru di tiub dɛn. insay fluoroscopy, di X-ray dεm de kכmכt insay sכt bכst dεm. Dɛn kin tek dis as sef amɔnt fɔ redyushɔn.
• Dɛn kin yuz dɛn pikchɔ ya fɔ chɛk fɔ ɛni prɔblɛm wit di paip dɛn - we dɛn blok, swel, lik, ɛn ɔda tin dɛn.

Imajin dis, i tan lɛk se yu put kamɛra na paip, sɛn sɔm wata we gɛt kɔlɔ tru am, ɛn fɛn usay i dɔn klos ɛn usay i de lik frɔm.

Naw, if di dɔktɔ si ɛni prɔblɛm we dɛn de du dis ɛgzam, i go tray fɔ trit am bay we i put smɔl smɔl tin dɛn insay di ɛndoskɔp. Di dɔktɔ we de du di ɛndoskopi kin du tin dɛn lɛk:

• Krɔs ɛn pul di galston dɛn.
• Fɔ pul di tumbu ɔ tek wan tisu sɛmpul (bayɔpsi). (We dɛn tek bayɔpsi, dɛn kin sɛn am na lab fɔ si if i gɛt kansa ɔ nɔ gɛt kansa).
• Fɔ dilay ɔ strɛch di blɔd vesel dɛn we dɔn smɔl ɔ we dɔn kɔnstrikt.
• Fɔ put smɔl tin we tan lɛk tiub (stɛnt) insay wan bɔtul fɔ mek i opin.
• Ripair lik ɔ injuri na paip.
• sphincterotomy na smɔl say we dɛn kin kɔt na di mɔsul we de rawnd di opin we di dakt de opin fɔ mek i big. (Dis de ɛp fɔ mek di bayl ɛn pankrias jus kɔmɔt izi wan.)

Wetin yu kin ɛkspɛkt afta ERCP?

Afta di tɛst, dɛn go kip yu na ɔspitul ɔ mɛdikal sɛnta fɔ lɛk wan ɔ tu awa so, te di tin dɛn we di anestezi dɔn du dɔn. Dɔn di pɔsin we kam fɔ kam tek yu kin kɛr yu go na os. Yu kin fil smɔl slip, groggy ɔ spacey da de de.

Smɔl diskɔmfɔt lɛk dis kin apin fɔ wan ɔ tu dez afta di tɛst:

• Trot kin at ɛn i nɔ kin izi fɔ swɛla: Di ɛndoskop kin mek yu trot at sɔm kayn we. I bɛtɛ fɔ tek wata ɔ sɔft it te i wɛl.
• Bɛlɛ we blo ɔ gas pen: We dɛn put di ɛndoskɔp, dɛn kin blo smɔl briz insay di GI trakt fɔ mek yu ebul fɔ si am fayn fayn wan. Dis na wae de mek dis diskɔmfɔt. I go stɔp afta sɔm tɛm (wans di briz dɔn kɔmɔt).
• Nɔs: Dis kin bi wan sayd ɛfɛkt we pɔsin kin gɛt we i de anestez. I kin stɔp bak bay di nɛks de.

Wetin na di risk dɛm we ERCP kin gɛt?

di komplikashכn dεm kin apin insay lεk 5% to 10% pan di ERCP prosidכs dεm. Dis risk de dipen pan yu mεdikal kכndyushכn dεm we yu bin de bifo εn di kayn tritmεnt we yu de gεt di tεm we yu de du di ERCP. Yu dɔktɔ go tɔk bɔt dis wit yu bifo tɛm. Di prɔblɛm dɛn we kin apin kin bi:

• Advεs rεakshכn to di sεdativ: Dis kin mek kכmplikεshכn na di kכdipulmonari kכmplikεshכn pan pipul dεm wae gεt lכng כ hat sik we bin de bifo.
• Alɛji fɔ di kɔntrast day: If dis apin, di dɔktɔ go gi yu mɛrɛsin kwik kwik wan fɔ stɔp di riakshɔn.
• Injuri to yu GI trakt frɔm di ɛndoskop: Dis kin mek yu blɔd kɔmɔt insay yu bɔdi ɔ if i rili bad, i kin mek yu gɛt ol.
• di bayl lik bikoz fכ injuri na di bayl dakt dεm we εndoskopik instrכmεnt dεm de mek.
• Infεkshכn na yu biliary sistεm: Fɔ mek dis nɔ apin, yu dɔktɔ kin gi yu antibayɔtik bifo tɛm.
• di prosidur kin mek di pankrias iritashכn εn inflameshn (pankreas). Dis na di kɔmplikeshɔn we kin apin mɔ afta ERCP.

if yu bεlε di tεm we dεn de du di tεst, di risk fכ du bad to di pikin frכm di rεdyushכn we de kכmכt we dεn de du fluoroscopy na sכm, bכt sכm risk de. Yu dɔktɔ go aks yu bifo tɛm if i pɔsibul fɔ mek yu gɛt bɛlɛ. If na so, yu dɔktɔ go tray fɔ chenj di tɛm fɔ di tɛst ɔ fɔ mek yu nɔ gɛt raytin if nid de.

Aw lɔng i kin tek fɔ no di rizɔlt fɔ di tɛst?

If yu nɔ de slip yet bikɔs ɔf di anestezi, .Di dɔktɔ (ɛndoskopist) we du di ERCP fɔ ebul fɔ tɔk to yu bɔt di tɛst wantɛm wantɛm. I go tɛl yu wetin dɛn fɛn ɛn wetin dɛn go ebul fɔ du bɔt am. If dɛn tek tisu sɛmpul (bayɔpsi), i kin tek sɔm wiks fɔ mek di rizɔlt kam bak.

If yu ERCP nɔr fɛn natin, yu kin nid fɔ du ɔda kayn tɛst. If di tɛst nɔ sɔlv yu prɔblɛm, ɔ if di bayɔpsi rizɔlt kɔnfirm se yu gɛt nyu prɔblɛm, yu kin nid fɔ gɛt ɔda kayn tritmɛnt. Yu dɔktɔ go tɔk to yu bɔt wetin fɔ du nɛks.

Ustɛm yu nid fɔ kɔl di dɔktɔ?

If yu gɛt ɛni wan pan dɛn bad bad ɔ nɔmal sayn ya afta ERCP, kɔl yu dɔktɔ wantɛm wantɛm:

• Bɛlɛ pen bad bad wan ɔ blo.
• Chɛst pen ɔ i nɔ kin izi fɔ blo.
• Fiva, vɔmit, ɔ ɔda sayn dɛn we de sho se yu gɛt di sik.
• Blɔd we de kɔmɔt na di rɛktal ɔ blak, tar stɔl.

Wetin na di difrɛns bitwin ERCP ɛn rɛgyula ɛndoskopi?

ERCP na wan advans fכm fכ εndoskopi. wan tipik εsophagogastroduodenoscopy (EGD) de כnli luk yu כp GI trakt. dis min se i de כnli luk pan di εsophagus, bεlε, εn di fכs pat pan di sכmכl intestכn.

bכt insay ERCP, dεn de yuz כda εkstenshכn wit di rεgul εndoskop - dat na, sεkכn tכb (kateta) we de go insay di fכs tכb - dis na wetin de rich yu biliary dakt dεm.

Dis mini endoskop ekstenshɔn de alaw di dɔktɔ fɔ trit yu dakt dɛn dairekt wan. di onli endoskopik prosidכs we kin trit di dakt dεm dayrekt dis we na `ERCP`. pan tap we כda endoskopik prosidכs dεm lεk `MRCP` (magnetic resonance cholangiopancreatography) εn `EUS` (endoscopic ultrasound) kin si yu bayl dakt dεm εn pankrεas dakt dεm, dεn nכ de gi dis lεvεl fכ kכnvεns fכ trit dεm.

Yu tink se ERCP na big ɔpreshɔn?

ERCP nɔto ɔpreshɔn lɛk aw wi kin tink bɔt am. I nɔto sɔntin we de kɔt di skin ɛn go insay di ɔgan dɛn we de insay di bɔdi. ERCP na endoskopik prosidur. i min se i de go insay di bכdi tru wan nכmal opin - insay dis kes, di trot.

Bɔt we dɛn de du ERCP, di dɔktɔ kin du sɔm ɔpreshɔn dɛn tru di ɛndoskɔp. Sɔntɛnde dɔktɔ dɛn kin kɔl dɛn tin ya we dɛn kin du tru ɛndoskɔp ɛndoskopik ɔpreshɔn . Dis na ɔpreshɔn bikɔs dɛn kin gɛt fɔ kɔt ɛn stich insay di bɔdi. Bɔt bɔku tɛm, dɛn tin ya na smɔl smɔl tin dɛn we dɛn kin du, ɛn dɛn nɔ kin gɛt bɔku prɔblɛm ɛn dɛn kin tek lɔng tɛm fɔ wɛl pas di tradishɔnal ɔpreshɔn.

Dɛn kin du ERCP fɔ pankrias?

Yɛs, if yu dɔktɔ tink se sɔntin de blok yu bayl dakt ɔ pankrias dakt, i kin ɔda fɔ mek dɛn gi yu ERCP. Gal ston we de stɔp na di dakt na di men tin we kin mek pɔsin gɛt akyu pankrias. If dat apin, yu kin nid fɔ gɛt ERCP fɔ pul di blɔk.

If yu gɛt pankrias we nɔ de mɛn, di inflamɛns kin mek yu pankrias dakt dɛn gɛt skata ɛn smɔl (strictures). If na so i bi, ERCP kin ɛp fɔ mek di dakt dɛn big ɔ put stent fɔ mek dɛn kɔntinyu fɔ opin. dis de εp di pankrias jus dεm fכ kכntinyu fכ fכlכ tru di dakt dεm.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

ERCP (Endoscopic Retrograde Cholangiopancreatography) na wan tɛst we dɛn kin yuz fɔ no di sik we dɛn kin yuz bak fɔ trit di sik na di say we i nid if nid de. Pan ɔl we i kin ambɔg smɔl pas di tɛst we dɛn kin du ɔltɛm fɔ tek pikchɔ, i nɔ kin tek bɔku tɛm pas di big ɔpreshɔn we dɛn kin du. Dɛn kin yuse am bak fɔ no ɛn trit di sik di sem tɛm.

Bɔrku pipul kin du dis tɛst witout bɔrku prɔblɛm, ɛn i gɛt bɔrku bɛnifit. So, if dɔktɔ tɛl yu fɔ du ERCP, nɔ fred fɔ tɔk to am bɔt am, ɛn aks ɔl yu kwɛstyɔn dɛn. I go ɛp yu fɔ disayd fɔ du di bɛst tin bɔt yu wɛlbɔdi biznɛs!

` ERCP, endoskopi, bayl dakt, pankrias, ston, janda, dijestiv sistεm