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What Happens When ERCP Fails?

Published in Medical Procedures 2 mins read

If ERCP fails, it means the procedure was unable to achieve its intended goal, which could be:

  • Removing gallstones: This can happen if the stones are too large or lodged in a difficult-to-reach location.
  • Dilating a narrowed bile duct: The procedure may not be successful if the duct is too narrow or scarred, or if there is an obstruction beyond the reach of the endoscope.
  • Placing a stent: The stent may not be able to be placed if there is a significant obstruction or if the bile duct is too narrow.

Possible Consequences of ERCP Failure:

  • Continued symptoms: If the underlying issue is not addressed, you may continue to experience symptoms such as pain, jaundice, or fever.
  • Complications: In some cases, ERCP can lead to complications such as bleeding, infection, or pancreatitis.
  • Need for additional procedures: You may need to undergo another ERCP or a different procedure, such as surgery, to address the underlying issue.

What to Expect After ERCP Failure:

  • Discussion with your doctor: Your doctor will discuss the reasons for the failure and explain the next steps in your treatment plan.
  • Further testing: You may need additional tests, such as an ultrasound or CT scan, to better understand the problem.
  • Alternative treatments: Your doctor may recommend other treatments, such as medication, surgery, or a different type of endoscopic procedure.

It's important to remember that ERCP is a complex procedure, and failure is not uncommon. If you experience any complications or concerns after ERCP, it's crucial to contact your doctor immediately.

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