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Off Topic - ERCP w/sphincterotomy Off Topic - ERCP w/sphincterotomy

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Unread 04-11-2004, 02:41 PM
Off Topic - ERCP w/sphincterotomy

Hi, everyone - I was just wondering if any sisters out there have had an ERCP with sphincterotomy? The gastroenterologist will be doing this endoscopic procedure to go in an cut a little slit in the muscle where my bile and pancreatic ducts drain in order to go into the common bile duct to remove a stone. It's looking like this little stone had been in my cbd for 15 months and everyone has missed it up until now. When my gallbladder was removed last May, the surgeon said he could not check my cbd, but didn't say why. Then he moved to Texas and here I am, almost a year later with problems still. I'm hoping this procedure will solve things, but am nervous about complications and possible side effects from cutting the muscle. I've found a lot of info on the net, but am hoping someone out there has some first hand experience and can give me some advice. Thanks!
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Unread 04-11-2004, 03:54 PM
Off Topic - ERCP w/sphincterotomy

Hi lisa922,

I've had 2 ERCP's and one with sphincterotomy. Actually they are not that bad, I have no memory of my first one and a vage one of the second one. The reason I had the first one is that the doctor thought there was a stone in the duct, but found cysts and a stricture instead, now I have to have them done yearly to do scrapings in the ducts to make sure it doesn't turn into cancer.

Do a google search for ERCP and there is a wealth of inforamation.

Take Care, TechChick
Unread 04-11-2004, 05:00 PM
Off Topic - ERCP w/sphincterotomy

TechChick -

Thanks for the encouragement!! I'm ready to get this over with and move on....can I ask you a few questions? You said you have to have the ERCPs yearly now to clear out the ducts - do you have to be on a special diet or avoid certain things to try to keep things clear? And what type of symptoms do you have to let you know that things are clogging up again? I get a lot of those typical gallbladder symptoms - right shoulder pain, pain under right rib cage, mid-upper abdomen pain with bowel changes gets really bad sometimes (I think this is when the stone shifts position and blocks the flow more). more...did the procedure seem to correct your problems/symptoms? It's so good to find someone who has had this done!! Thanks, again!
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Unread 04-11-2004, 07:37 PM
Off Topic - ERCP w/sphincterotomy

Hi Lisa,
I had gall bladder surgery and complications. I had an ERCP to have a stent put in. Then the stent was removed about 2 months later, another ERCP procedure. This was several years ago and of course, I was worried. However, it was performed under sedation and I had no problems. It was not uncomfortable in any way.
Best wishes for a very smooth procedure.
Unread 04-12-2004, 09:02 PM
Off Topic - ERCP w/sphincterotomy


Sure I'll be happy to answer qustions

"You said you have to have the ERCPs yearly now to clear out the ducts - do you have to be on a special diet or avoid certain things to try to keep things clear?

Nope, no special diet, since I had my gallbladder removed, I have to be careful with fatty foods or salads, other then that food is not issue for me.

"And what type of symptoms do you have to let you know that things are clogging up again?"

My typical pain was under my right ribcage, through my back. I had nausia and vomiting bile, and pain.

"did the procedure seem to correct your problems/symptoms?"

Oh, my gosh, I felt a world better after he did the procedure. All the pressure was gone, I felt like a new women. LOL

Have they scheduled your procedure yet? I think the anticipation and waiting for the test is worse then it is, really. I wish you the best. Keep us posted

Best Wishes,
Unread 04-20-2004, 05:26 PM
Off Topic - ERCP w/sphincterotomy

TechChick -

Thanks for answering my questions! Unfortunately, last week was psycho busy for my work, so I'm just answering you now. I had the ERCP yesterday! It was a little psycho - the girl who arranged it made some mistakes and then the anesthesiologist got called to the OR so they said I had to do it under sedation instead (the doctor had originally requested the anesthesia, but back tracked and said he'd do it with sedation and - get this - if it didn't work I'd have to come back another day when they could do it with the anesthesia)!! My insurance would have loved that. In any was weird - there was no stone in the duct when he got in there, but the muscle looked funny and he thought the stone has passed through it. He enlarged the opening with the sphincterotomy and then swept out the duct - which at that point was fine. He said now if I get any more problems, they should just come right out. He also took a biopsy of the small intestine to see if I have the gluten intolerance problem. I can't tell how I feel yet. I'm still sore and have had some mid-upper abdominal pain (this is my usual worst symptom when I have an attack). On one hand, I'm thinking I have less pressure on the side, but on the other, I think I'm too close to the procedure to tell. I hope what he did worked and I don't have to do anything else. Thanks for your advice!

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