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Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.
This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.
This is inserted through the patient’s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient’s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor’s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.
ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:
• Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.
• Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.
• Persistent upper abdominal pain
• Unexplained weight loss and loss of appetite
• Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater
ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient’s needs.
Sir my brother is having a habit of drinking his own sperms is it healthy will it effect him in health issue what should he do to control this? please help
I have a gum problem, some time it swell nd hve pain nd bleeding too. I used some medicine nd gel to stop gum breeding nd swelling but it doesn't work.
I am suffering from Reumotiod arthritis for last 3/4 years. I am also having Uric acid problem. My stool is not clear. Kindly advice.
How I can increase sex timing while doing sex. Bcoz my sperm release within 6 or 7 minutes. Give me tha answer.
I hava pain in my backbone suddenly at anytime and also a cyneous problem. I have a problem of dry cough also.
I am still a student and put on some weight how can I put down some weight please suggest some means please or any nutritive values.
I am suffering from jaundice from last two months. what should I do where my total bilirubin is 1.25. Help me.
Wisdom teeth are known to be the final molars to grow out and they complete the set of permanent teeth. They generally start to erupt during the late teens or in the beginning of twenties.
In case of some people, there is a possibility that the wisdom teeth may never erupt, while others may even grow four and more wisdom teeth.
It’s not necessary for you to get your wisdom teeth removed if they are correctly positioned in your mouth and do not cause any pain or dental problems. If they are impacted and/or cause crowding in your teeth, a dentist will recommend that you have them removed. There are two ways wisdom teeth may grow.
- Some will grow in like regular teeth.
- Some will become impacted.
What if they have grown in and don’t hurt?
If this is the case, the decision is up to you. Wisdom teeth that cause minimal crowding and don’t hurt are fine to keep, but a lot of dentists will recommend that they be removed. Why? They are very susceptible to cavities and are not easily cleansable. If your wisdom teeth have cavities and you cannot clean them due to their location, filling the cavities is unwise because you’ll continue to develop more cavities. The easiest way to avoid this problem is to remove the wisdom teeth altogether.
Some reasons that a dentist would recommend wisdom teeth removal include:
- Irritation of the surrounding tissue or the signs of a cavity forming.
- Inability to achieve a proper and thorough routine cleaning of food and bacteria.
- Inadequate space to accommodate full eruption.
- Signs of impaction that could lead to damage of surrounding roots.
- Uncomfortable contact with other teeth or gums.
- Interference of normal jaw function.
When do wisdom teeth need extraction?
Proper oral care of the teeth will keep them healthy and clean. But there may arise a situation, in which the removal of the wisdom teeth is quite necessary:
- In certain cases, the wisdom tooth may erupt at a weird angle, compromising the teeth next to it. This may make it difficult to clean the teeth thoroughly, thus resulting in the onset of bacterial growth and periodontal disease. In this case, the wisdom teeth should be removed as soon as possible.
- While the wisdom teeth grows out, it may happen that there is not enough space for it to grow properly. As a result the adjacent teeth may face pressure due to crowded teeth, leading to headaches, toothaches and jaw pain. It is best that the wisdom teeth is extracted in this situation.
- An impacted wisdom tooth, that is, if it has only partially grown out of the tissue, should also be extracted before it can cause serious complications. If you wish to discuss about any specific problem, you can consult a dentist.