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An endoscope is a thin, flexible tube that lets your doctor see inside your bowels. After your doctor sees the common opening to the ducts from the liver and pancreas, called the major duodenal papilla, your doctor will pass a narrow plastic tube called a catheter through the endoscope and into the ducts. Your doctor will then inject a contrast material \(dye\) into the pancreatic or biliary ducts and take X-rays. \000) /K 37 /P 119 0 R /Pg 26 0 R /S /Span /T () >> endobj 176 0 obj << /ActualText (You should fast for at least eight hours \(and preferably overnight\) before the procedure to make sure you have an empty stomach, which is necessary for the best examination. Inform your doctor about all medications you take on a regular basis and follow the instructions on the previous page regarding medications. Notify your doctor of any allergies you have to medications or to intravenous contrast material \(dye\). Although an allergy doesn\220t prevent you from having ERCP, it\220s important to discuss it with your doctor prior to the procedure as you may require specific allergy medications before the ERCP. Also, be sure to tell your doctor if you have heart or lung conditions or other major diseases which might prevent or impact the decision to conduct endoscopy. \000) /K 38 /P 121 0 R /Pg 26 0 R /S /Span /T () >> endobj 177 0 obj << /ActualText (What Can I Expect During ERCP? \000) /K 34 /P 122 0 R /Pg 26 0 R /S /Span /T () >> endobj 178 0 obj << /ActualText (What are Possible Complications of ERCP? \000) /K 5 /P 124 0 R /Pg 27 0 R /S /Span /T () >> endobj 179 0 obj << /ActualText (What Can I Expect After ERCP?\000) /K 7 /P 127 0 R /Pg 27 0 R /S /Span /T () >> endobj 180 0 obj << /ActualText (If you have ERCP as an outpatient, you will be observed for complications until most of the effects of the medications have worn o. before being sent home. You might experience bloating or pass gas because of the air introduced during the examination. You can resume your usual diet unless you are instructed otherwise. Someone must accompany you home from the procedure because of the sedatives used during the examination. 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