Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) guided biliary endotherapy is an advanced minimally invasive procedure used to diagnose and treat various biliary tract disorders. At SHIFAA PAN African Hospitals, our Gastroenterology Department utilizes the latest techniques to perform EUS and ERCP guided interventions, offering patients effective management options with reduced risks and improved outcomes.

Symptoms:

Patients with biliary tract disorders may present with symptoms such as jaundice, abdominal pain, nausea, vomiting, fever, and abnormal liver function tests. EUS and ERCP guided biliary endotherapy may be recommended based on clinical evaluation and diagnostic imaging findings.

Investigation and Diagnosis:

Diagnosis of biliary tract disorders involves a comprehensive assessment, including medical history review, physical examination, laboratory tests, imaging studies such as abdominal ultrasound, CT scan, or magnetic resonance cholangiopancreatography (MRCP), and endoscopic procedures like EUS and ERCP.

Preparation:

Before undergoing EUS and ERCP guided biliary endotherapy, patients are instructed to fast for a specified period to ensure the stomach is empty. Bowel preparation may also be required to optimize visualization during the procedure. Additionally, patients are advised to discuss their current medications with their healthcare provider and follow specific pre-procedure instructions.

Procedure:

EUS and ERCP guided biliary endotherapy is typically performed under sedation or general anesthesia. During the procedure, an endoscope equipped with ultrasound and fluoroscopic capabilities is advanced through the mouth into the gastrointestinal tract. EUS allows visualization of the biliary and pancreatic ducts from within the digestive tract, while ERCP enables access to these ducts for diagnostic and therapeutic interventions.

Post-Procedure Care:

Following EUS and ERCP guided biliary endotherapy, patients are monitored closely in a recovery area until the effects of sedation wear off. They may experience mild discomfort, bloating, or sore throat, which can typically be managed with over-the-counter medications. Patients are advised to follow specific post-procedure instructions provided by their healthcare team.

Recovery Time:

Recovery time after EUS and ERCP guided biliary endotherapy varies depending on the complexity of the procedure, the patient’s overall health, and any complications that may arise. Most patients can resume their normal activities within a day or two following the procedure.

 

What is EUS and ERCP guided biliary endotherapy?

EUS and ERCP guided biliary endotherapy is an advanced endoscopic procedure used to diagnose and treat various biliary tract disorders by combining endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) techniques.

 

What are the benefits of EUS and ERCP guided biliary endotherapy?

Benefits include precise visualization of the biliary and pancreatic ducts, targeted diagnostic and therapeutic interventions, reduced risks compared to traditional surgical approaches, and shorter recovery times.

 

When is EUS and ERCP guided biliary endotherapy recommended?

EUS and ERCP guided biliary endotherapy may be recommended for patients with suspected or confirmed biliary tract disorders, including choledocholithiasis, biliary strictures, biliary leaks, and pancreaticobiliary malignancies.

 

What are the risks associated with EUS and ERCP guided biliary endotherapy?

Risks include pancreatitis, infection, bleeding, perforation of the gastrointestinal tract, and adverse reactions to sedation or contrast agents. The risk of complications is generally low but may vary depending on the individual case and patient’s health.

 

How effective is EUS and ERCP guided biliary endotherapy in treating biliary tract disorders?

EUS and ERCP guided biliary endotherapy can be highly effective in diagnosing and treating various biliary tract disorders, providing targeted interventions to alleviate symptoms and improve patient outcomes. Success depends on the specific condition being treated and individual patient factors.