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Biliary Ducts
Postoperative (T-tube or Delayed) Cholangiography and ERCP
| Question | Answer |
|---|---|
| Types of Procedures for Biliary Ducts | - Postoperative (T-tube or Delayed) Cholangiography - Endoscopic Retrograde Cholangiographic Pancreatography (ERCP) |
| Purpose? (Postoperative (T-tube or Delayed) Cholangiography) | Surgeon has concerns about residual stone in the biliary ducts that went undetected during surgery |
| What is Postoperative (T-tube or Delayed) Cholangiography? | -T shaped catheter is placed in the common bile duct during the cholecystectomy - Catheter extends outside of the body and is clamped off |
| Clinical Indications? (Postoperative (T-tube or Delayed) Cholangiography) | - Residual calculi (stones) - Strictures |
| Contraindications? (Postoperative (T-tube or Delayed) Cholangiography) | - Allergy to iodinated contrast - Acute infection of biliary system - Elevated creatine or BUN level |
| NPO? (Postoperative (T-tube or Delayed) Cholangiography) | 8 hours |
| Purpose? (Endoscopic Retrograde Cholangiographic Pancreatography (ERCP)) | To examine the biliary and main pancreatic ducts |
| Endoscope used? (Endoscopic Retrograde Cholangiographic Pancreatography (ERCP)) | Duodenal Scope |
| Clinical Indications? (Endoscopic Retrograde Cholangiographic Pancreatography (ERCP)) | - Residual Calculi Strictures |
| Contraindications? (Endoscopic Retrograde Cholangiographic Pancreatography (ERCP)) | - Allergy to iodinated contrast - Acute Infection of the biliary system - Possible pseudocyst of the pancreas - Elevated creatine or BUN levels |