Piedmont Hospital GI Lab

Digestive Healthcare of Georgia, P. C.

ERCP Instructions

 

 

Location: Piedmont Hospital GI Lab

             Report to Hospital GI Lab on __________________at ____________am/pm

Park in the “North” parking deck. Take the elevator to the bridge level BR). Sign will say “Bridge to Hospital”. Get off at the “bridge” level; Walk over the glassed in covered bridge.

Turn right and then left. Look for sign to GI Lab. Check in at the window when you enter the GI Lab. You will be registered there.

 

  1. You should not take any Aspirin, Motrin, or like medications for 10 days before and 3 days after your procedure. Stop taking vitamin E 7 days prior to your procedure.

 

  1. Nothing to eat or drink after midnight the night before the procedure. If your procedure is after 12 noon, you may have 8 oz of a clear liquid before 8am then nothing by mouth.

 

  1. Because you will be sedated, you cannot drive after the procedure s over. You must have someone to drive you home after the procedure or it will not be performed.

 

  1. Wear comfortable clothes to the procedure.

 

  1. Bring your insurance cards with you.

 

  1. Leave your car keys and parking ticket with your driver.

 

  1. If you have any special needs, please notify the staff prior to your procedure (Interpreter, pacemaker, internal defibrillator, Latex Allergy).

 

  1. If you have any questions or need to cancel, please call 404-355-3200. Thank you.

         Dr. Claiborne, Dr. Yanda and Jagiella, call 404-355-1690. Thank you.

 

 

**PLEASE NOTE:

When you receive your statement from this procedure, there will be an invoice for the Doctor’s fee, and invoice from the Endoscopy Center (supplies and nursing care) and you may receive a separate bill from the Laboratory Doctor

 

 

ERCP

(Endoscopic Retrograde Cholangio Pancreatography)

 

After careful medical assessment, your Doctor has recommended that ECRP be performed for further evaluation and treatment of your condition. ERCP is a valuable examination for the diagnosis of many diseases of the pancreas, bile ducts, liver and gallbladder. ERCP allows the doctor to perform necessary treatments such as enlarging a bile duct opening, removing gallstones lodged in the bile duct, inserting a stent (drain) in the duct or taking a biopsy specimen (tiny bit of tissue).

 

A flexible Fiberoptic tube (duodenoscope) is passed through the mouth, esophagus (food tube) and stomach into the duodenum (first part of the small intestine). The ampulla (opening where the bile and pancreatic ducts empty into the duodenum) is then identified.

A small plastic tube (cannula) is passed through the cannula into the ducts. X-Rays are then taken to study the ducts. Any necessary treatment can be performed at this time.

 

Dentures and glasses must be removed prior to the start of the procedure. You may prefer to remove contact lenses at this time.

 

You will be asked to sign a consent form authorizing the doctor to perform the procedure.

 

Be sure to tell the doctor and GI nurse if you are allergic to any medicines, X-ray dyes or iodine products.

 

A needle for intravenous (IV) medications and fluids will be placed in your arm vein. Medicine will be injected through the IV needle that will make you sleepy and relaxed. Your doctor may also spray your throat or ask you to gargle with a numbing medicine.

 

You will lie on an X-Ray table on your left side and a small plastic mouthpiece will be placed between your teeth. You will be able to breathe normally. The doctor will help you swallow the lubricated flexible duodenoscope tube. When the tube is present in the duodenum, you will be helped to turn onto your abdomen with your head turned to the right.