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STONES IN THE BILE DUCTS ARE TREATED WITH ERCP IN TURKEY WITHOUT THE NEED FOR SURGICAL INTERVENTION
MedicalPark hospital gastroenterology specialist. Dr. “A special endoscopy and radiological technique are also used, the bile and pancreatic duct are given an opaque substance and the image inside is reflected on the screen,” he said.
With the ERCP method, which is applied without the need for surgical intervention, stones in the bile duct cease to be a problem. MedicalPark Antalya Hospital Gastroenterology Specialist Specialist. Dr. stated that ERCP (Endoscopic Retrograde Cholangio-Pancreatography) is an advanced endoscopy method used to diagnose and treat diseases of the bile ducts and pancreatic duct.
Specialist. Dr. emphasized that, unlike normal endoscopy, ERCP is a special endoscopy method combined with radiological techniques for the examination of bile ducts and pancreatic duct. This method is often used in the treatment of stones in the bile duct, according to the expert. Dr. explained that in cases where patients come with symptoms such as nausea, vomiting, abdominal pain, fever and jaundice, stones are removed by entering the bile ducts of the ERCP.
“We drop the stones in the gallbladder into the canal with ERCP”
ERCP (Endoscopic Retrograde Cholangio-Pancreatography) is an advanced endoscopy method used to diagnose and treat diseases of the bile ducts and pancreatic duct, referring to the Expert. Dr. said, “It is a different method compared to normal endoscopy. While the endoscopy methods we call gastroscope or colonoscope are used to examine the lumens of the digestive system, ERCP is a special endoscopy and the bile and pancreatic duct, where radiological technique is also used, is an opaque substance and the image inside is reflected on the screen. We most often use ERCP on stones of the bile ducts. Stones in the gallbladder fall into the canal, which causes the patient to come to us with complaints such as nausea, vomiting, abdominal pain, fever, jaundice. In such a case, by entering the bile ducts with ERCP, a very small papilla as big as a pinhead opens into the duodenum, and from here, by sending special catheters through the endoscope, it allows us to enter the bile duct and drop the stone into the duodenum,”he said.
“ERCP is the first choice because its success rate is high”
Emphasizing that in addition to stone, it is a diagnostic and treatment method used for bile duct and pancreatic cancers or in case of leakage after gallbladder surgeries, Dr. said, “There is also an alternative procedure for ERCP. This is also surgery. However, surgery is a difficult procedure in terms of postoperative patient comfort and complications. The anatomy of this region is also difficult in terms of surgery. For this reason, we try to deal with ERCP as much as possible. ERCP is the first choice both in terms of success and lack of complications, ”he said.
“The image acquisition process takes an average of 15-20 minutes”
Referring to the fact that ERCP is usually performed by putting the patient to sleep after an 8-hour fasting period, Dr. said, “It is entered by mouth with an endoscope. There is a papilla area in the esophagus, stomach and immediately after 12 finger intestines, which opens to the bile and pancreas area. Through the endoscopy, thin catheters are inserted into the bile duct or pancreatic duct into the area we want to enter through the papilla. The average procedure is between 15-20 minutes and 1 hour. The process of taking an image takes 15-20 minutes. If it is difficult to remove like a big stone here, if there is a problem that will bother us, it may take up to 1 hour,”he said.
“ERCP is a transaction that can be performed on a daily basis”
The expert who mentioned that the success rate of ERCP is high. Dr. underlined that if it is performed in a well-equipped unit with a specialist gastroenterologist trained in this subject, you can discharge the patient after holding the ERCP procedure for 6-8 hours. EXP. Dr. said, “Due to complications, most centers may find it appropriate to follow up even if the patient does not have a complaint for up to 1 day after ERCP. In fact, it is a day-to-day operation,” he ended his words.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
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