นิ่วในถุงน้ำดี ภัยเงียบที่มองไม่เห็น ปล่อยไว้อาจรุนแรงกว่าที่คิด

<p>Gallstone disease is considered a silent threat in the digestive system because it often does not show specific abnormalities. It is usually detected only after a physical examination since the general symptoms resemble those of other digestive system diseases and are often overlooked. Nowadays, this disease is found more frequently, especially in groups with high levels of fat and cholesterol, and it is found in women about twice as often as in men.</p>
<h2><span style="color: #00826a;">Warning symptoms of gallstone disease that should not be ignored</span></h2>
<ul>
<li>Bloating above the navel, belching, nausea, vomiting, similar to indigestion, often occurring after eating fatty foods</li>
<li>Severe cramping pain lasting more than an hour under the right rib cage, radiating to the shoulder, accompanied by nausea and vomiting</li>
<li>Severe abdominal pain with sweating and fainting, usually after eating fatty or heavy meals</li>
<li>Jaundice (yellowing of the eyes) occurring after abdominal pain</li>
</ul>
<p>Physical examination usually does not reveal abnormalities. Fever is often absent. Sometimes mild tenderness may be detected under the sternum and right rib cage. Endoscopic Retrograde Cholangiopancreatography (E.R.C.P) is a method to detect internal abnormalities and is recognized as an effective technique to identify causes. In some cases, treatment can also be performed during the endoscopy.</p>
<h2><span style="color: #00826a;">Diseases detected by Endoscopic Retrograde Cholangiopancreatography (E.R.C.P)</span></h2>
<p>Most are caused by abnormalities of the bile ducts and pancreas, such as bile duct stones, pancreatitis, bile duct obstruction, tumors, bile duct or pancreatic duct leakage, and jaundice.</p>
<h2><span style="color: #00826a;">How is Endoscopic Retrograde Cholangiopancreatography (E.R.C.P) performed?</span></h2>
<p>The doctor inserts an endoscope through the mouth, passing through the esophagus, stomach, and the first part of the small intestine to the opening of the bile duct in the small intestine, then injects contrast dye and takes X-ray images.</p>
<h2><span style="color: #00826a;">Highlights of Endoscopic Retrograde Cholangiopancreatography (E.R.C.P)</span></h2>
<ol>
<li>Detect abnormalities of the bile ducts and pancreas</li>
<li>Treat bile duct or pancreatic duct obstruction by placing drainage tubes for bile or pancreatic juice</li>
<li>Can immediately treat bile duct stones by removing them during the endoscopy</li>
</ol>
<h2><span style="color: #00826a;">How to prepare for Endoscopic Retrograde Cholangiopancreatography (E.R.C.P)</span></h2>
<ol>
<li>Maintain good physical health</li>
<li>Avoid taking blood-thinning medications 7 days before the procedure</li>
<li>Do not eat or drink anything for at least 6 hours before the examination</li>
<li>Have a relative accompany you on the day of the procedure</li>
<li>Inform the doctor about any underlying diseases and drug allergies</li>
</ol>
<h2><span style="color: #00826a;">Important information during Endoscopic Retrograde Cholangiopancreatography (E.R.C.P)</span></h2>
<ol>
<li>The doctor will apply local anesthesia to the throat by gargling and spraying, and administer anti-anxiety medication through an IV drip</li>
<li>The patient will begin to feel drowsy, lying on their side</li>
<li>The doctor will place a short plastic tube in the mouth to protect the endoscope from being bitten</li>
<li>The doctor inserts the endoscope through the plastic tube into the mouth, passing through the esophagus, stomach, to the opening of the bile duct in the small intestine, then injects contrast dye and takes X-ray images</li>
<li>If abnormalities such as stones are found, they will be removed</li>
<li>If there is obstruction of the bile duct or pancreatic duct, a drainage tube will be placed</li>
</ol>
<h2><span style="color: #00826a;">Post E.R.C.P endoscopy care</span></h2>
<ol>
<li>Rest in the hospital for at least 24 hours</li>
<li>Avoid food and drink to monitor for any abnormal symptoms or side effects; a sore throat may occur</li>
<li>Avoid hot foods and eat soft, mild-flavored foods</li>
<li>After the procedure, bloating may occur but will gradually improve within 2-3 days</li>
</ol>


Endoscopic retrograde cholangiopancreatography (E.R.C.P) allows for a clear diagnosis of diseases, and some conditions can be treated during the endoscopy.

Services

Article

About Us

Hospital locations

Gallstones: The Silent Threat You Can't See, Leaving It Untreated May Be More Serious Than You Think

Tel

Email

Services

Article

About Us

Hospital locations