ERCP and EUS
- Advanced endoscopy is part of our gastroscopy services at Gutworks Perth
- The choice of procedure depends on the details in your GP or specialist referral
- Dr. Vanoo Jayasekeran will help you understand the process, the findings and the follow-up steps as a specialist gastroenterologist
- At Gutworks Perth, your gastroenterologist provides advanced endoscopy techniques. You can count on an unrushed consultation and we always aim to offer clear communication about the process
What is ERCP?
What are the reasons to plan an ERCP?
Your gastroenterologist will suggest this type of endoscopy procedure when there are specific indications:
- Gallstones in the bile duct that need to be removed
- Jaundice (a yellow discolouration of the eyes or the skin) due to a blocked flow of bile
- For stent placement. A stent is a slim plastic or metal tube, inserted into the bile duct. A stent bypasses the area of the blockage to relieve your jaundice or pain.
- To reverse infection caused by blockage of bile flow
- To obtain cell samples (brushings) to help distinguish a benign condition from cancer of the pancreas or bile duct.
What is EUS?
What are the reasons for undertaking EUS?
Endoscopic ultrasound is most commonly recommended for the following:
- To further evaluate conditions of the pancreas (e.g. cysts* and lesions)
- To further evaluate a growth in the wall of the stomach or duodenum
- To obtain a specimen sample from a growth using an FNB** needle
- To help stage cancer of the upper digestive tract before surgery
* A cyst is a thin-walled sac or a cluster of sacs often containing fluid. As some cysts may be precancerous in the pancreas, an enlarging cyst may require analysis of the fluid content.
* FNB stands for Fine Needle Biopsy. It is obtained with an ultra-fine needle inserted through the EUS endoscope. It is used to target an abnormal area with great precision under ultrasound guidance.
How to prepare for an advanced endoscopy procedure?
Your doctor at Gutworks Perth will help you prepare for your procedure by providing clear information. For both an ERCP and EUS he will give you specific instructions. For example:
- Fasting for at least 6 hours before the procedure
- Withhold all blood thinners - apart from aspirin - for a specific number of days before the procedure. This is to reduce the risk of bleeding if tissue samples are obtained.
What to expect on the day?
And what happens after my ERCP or EUS?
Dr. Jayasekeran will discuss with you the findings following your procedure. Although ERCP and EUS may be day-case procedures, you may be kept in overnight for medical and nursing monitoring. Therefore it will be important that you are prepared for this possibility.
You would usually return to food intake within 6-12 hours after the procedure.
Arrangements will be made for you to visit either your referring doctor or Dr. Jayasekeran’s practice. You can then discuss any outstanding results of tests.
Our core procedures include:
Endoscopy St John of God Hospital Murdoch
When to see a gastroenterologist
Phone: 08 9335 3411
Fax: 08 9335 6155
Mon-Thu: 08:00 - 17:00
Fri: 08:00 - 16:00
Consulting rooms address111 South St, Beaconsfield WA 6162
St John of God Murdoch Hospital
100 Murdoch Dr., Murdoch WA 6150