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Regular Member

Date Joined Oct 2007
Total Posts : 182
   Posted 3/7/2008 2:02 PM (GMT -6)   
Has anyone had an endoscopic cholangiopancreatography (ERCP) with an endoscopic biliary sphincterotomy (EBS)? In plain terms, they go down your throat with endoscopic equipment and into the common bile duct shared by the pancreas and gallbladder. Then they measure the pressure inside the duct (ERCP) and if necessary, they cut the duct to relieve the pressure (EBS).

I had it done last Thursday and 9 days later I've got nausea and no interest in food or drink. I'd love to say that I'm enjoying the weight loss, but I can't afford to keep losing and it's getting tough to stay hydrated. Blood tests have indicated that the pancreas is fine so it's not pancreatitis caused by the procedure.

The GI doctor is great and has scheduled tests for next week to see what's going on inside, but I was just wondering if anyone else has had the procedure and if so, did you feel EXTREMELY queasy afterwords?

Veteran Member

Date Joined Mar 2005
Total Posts : 2486
   Posted 3/8/2008 11:07 AM (GMT -6)   
Hi wrapped,
I haven't had an ERCP so can't speak from personal experience. Have you had the same level of nausea for the past nine days? You might ask your doc for some anti-nausea medication like Zofran until you can figure out what's going least so you can keep yourself hydrated!
Co-moderator - IBS Forum

Regular Member

Date Joined Oct 2007
Total Posts : 182
   Posted 3/11/2008 7:48 AM (GMT -6)   
Thank you for the suggestion, but in this case anti-nausea medication will make the problem worse and is not the solution (according to MD). I was just looking to see if anyone else had had the procedure and what their personal experience with it was.

New Member

Date Joined Nov 2005
Total Posts : 7
   Posted 3/11/2008 11:35 PM (GMT -6)   
I had the procedure for SOD, and was in alot of pain, sometimes you wind up worse, I wont lie. I had to go to 2 major city's and have
EUS thats the endoscope with the sonogram so they can REALLY look at the ducts, panc and ampulla!

My pressures were not checked but because opiate narcotics made it worse they were probably right!!

Were your pressures checked, I did feel beter after 3-4 weeks, but still had to have the test to rule out anything
else!! Would love to talk more. Right now prepping for colonoscopy
georgie430 you know what goes in the middle!!

Regular Member

Date Joined Oct 2007
Total Posts : 182
   Posted 3/13/2008 11:01 AM (GMT -6)   
Yes, pressure was checked before the sphincterotomy. I had already discussed with the gastroenterologist that depending on what he found during the ERCP, he would do what he felt was necessary while he was already inside. The pressure was the highest he had ever seen on anyone. The ampulla was extremely narrow at one point before emptying into the intestine and the sphincter of oddi had a large tear in it. The intent was to also place a stent in the pancreatic duct to protect the pancreas, but they were not able to get it in place and stopped trying.

I woke up in serious pain and with unbelievable nausea. Because I had a Nissen wrap back in October 2007, I was not able to relieve the nausea by vomitting. After 11 days of nausea, it finally subsided and now I feel a heck of a lot better. Today is 2 weeks post sphincterotomy.

Thanks for the response. It's good to know someone else was in a lot of pain afterwards - not that I'm glad you were in pain, but it's good to know it's not abnormal to feel lousy for a few weeks. I'm now on the positive side of the recovery so I'm hoping the "slice" will accomplish its purpose and there won't be any more pain after eating.

Hope things went well with your colonoscopy.
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