when to do ercp and mrcp?
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Indications for the use of MRCP include: unsuccessful or contraindicated ERCP; patient preference for non-invasive imaging; patients considered to be at low risk of having pancreatic or biliary disease; patients where the need for therapeutic ERCP is considered unlikely; and those with a suspected neoplastic cause for ...
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Endoscopic retrograde cholangio-pancreatography (ERCP) is a procedure that can be used to remove gallstones from the bile duct. The gallbladder isn't removed during this procedure, so any stones in the gallbladder will remain unless they're removed using other surgical techniques.
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For ERCP, your doctor uses a flexible lighted tube called an â€œendoscope. â€ The endoscope, or scope, is about as thick as your index finger. It goes through your mouth into your stomach and the first part of the small intestine, called the â€œduodenum.
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ERCP is a procedure that allows your doctor to see the small tubes inside your body called the pancreatic and bile ducts. These tubes are near your stomach. They carry digestive juices from your liver and pancreas to the intestines. For ERCP, your doctor uses a flexible lighted tube called an â€œendoscope.
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It is, however, a reason to have periodic upper endoscopy examinations with biopsy of the Barrett's tissue. If your initial biopsies don't show dysplasia, endoscopy with biopsy should be repeated about every three years.
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Can an MRCP be helpful to get residency in the USA? ... In the US, the requirements for medical residency training positions include USMLE exams and ECFMG certification. An applicant is always able to take whatever exams they would choose, but taking MRCP exams when one's goal is a US residency is an unnecessary detour.
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Magnetic resonance cholangiopancreatography (MRCP) is a special type of magnetic resonance imaging (MRI) exam that produces detailed images of the hepatobiliary and pancreatic systems, including the liver, gallbladder, bile ducts, pancreas and pancreatic duct.
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Stenting is thought to prevent obstruction to pancreatic duct outflow that can result from papillary edema following instrumentation. Pancreatic sphincter hypertension is a significant risk factor for post-ERCP pancreatitis, which may explain the high risk of pancreatitis in patients with sphincter of Oddi dysfunction.
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An MRI is used to examine the liver, pancreas and many other organs. It can assess blood flow and detect many forms of cancer. Magnetic resonance cholangiopancreatography (MRCP) uses MRI to assess the biliary tract (bile duct, pancreatic duct and gallbladder) for tumors, stones and strictures (narrowed ducts).
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The gastroenterologist inserts an endoscope through your mouth, down past your stomach, and into the first part of the small intestine (the duodenum). The endoscope does not interfere with your breathing. Contrast dye is injected slowly into the pancreatic or biliary ducts while X-rays are taken.
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MRCP(UK) Part 1 Examination For the vast majority of candidates this score is a number between 200 and 800 - although occasionally could be negative or above 800. ... As a result of equating, the pass rate (i.e. the percentage of candidates who pass) may vary slightly from one diet to another.
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It is not needed for a standard upper endoscopy. You will be awake during the procedure, but you will take medicine to relax you (a sedative) before the test. Someone will have to drive you home afterward.
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Because the pancreas sits next to the stomach and small intestine, EUS allows the physician to get very detailed images of the pancreas. This procedure is typically performed in an outpatient setting, and usually takes between 20 and 45 minutes.
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The choice of stent depends on patient prognosis and the relative costs of metal stents and repeat endoscopic retrograde cholangiopancreatographies. In general, plastic stents are reasonable for patients surviving less than three months and metal stents more cost-effective for patients expected to live longer.
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A colonoscopy presents an ideal opportunity for physicians to use a digital rectal examination to assess for prostate cancer. Physicians performing colonoscopies in men 50 to 70 years of age should pay special attention to the prostate while performing a digital rectal examination before colonoscopy.
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Magnetic resonance cholangiopancreatography (MRCP) is a special type of magnetic resonance imaging (MRI) exam that produces detailed images of the hepatobiliary and pancreatic systems, including the liver, gallbladder, bile ducts, pancreas and pancreatic duct. ... MRI does not use radiation (x-rays).
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Removal of larger polyps requires extensive experience in endoscopic techniques. Because of the thin wall of the duodenum, endoscopic mucosal resection (EMR) techniques using saline lift with or without the addition of methylene blue or indigo carmine are frequently required to minimize the risk of perforation.