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What Is Dilatation of Strictures? A Patient’s Guide to Treatment and Recovery

What Is Dilatation of Strictures? A Patient’s Guide to Treatment and Recovery

by | Apr 20, 2025 | Double-Balloon Enteroscopy

 

When it comes to gastrointestinal health, early detection and treatment of narrowing in the digestive tract—also known as strictures—can significantly improve a patient’s quality of life.

Strictures can lead to uncomfortable and even dangerous symptoms such as difficulty swallowing, abdominal pain, or bowel obstruction. One of the most effective treatment methods for these conditions is dilatation—a minimally invasive procedure designed to widen narrowed areas of the gastrointestinal (GI) tract.

This guide will walk you through everything you need to know about the dilatation of strictures, from the causes and symptoms to the treatment process and recovery expectations.

Whether you’re a patient preparing for the procedure or simply seeking to better understand your treatment options, this article will provide a clear and compassionate overview of this important GI therapy.

 

What Are Strictures?

 

Strictures refer to abnormal narrowing in the gastrointestinal tract. This narrowing can occur anywhere along the digestive system, including the esophagus, stomach, small intestine, or colon.

Strictures can be caused by various conditions, including:

  • Gastroesophageal reflux disease (GERD)
  • Inflammatory bowel diseases (IBD) like Crohn’s disease or ulcerative colitis
  • Radiation therapy
  • Surgical scarring
  • Peptic ulcers
  • Infections
  • Cancer or tumors
  • Prolonged use of nasogastric tubes or caustic injury

When the GI tract narrows, it restricts the movement of food, liquids, and digestive materials, often leading to symptoms that vary based on the stricture’s location.

 

Common Symptoms of GI Strictures

 

The symptoms of strictures largely depend on where they occur in the digestive system. Common signs include:

  • Esophageal Strictures: Difficulty swallowing (dysphagia), food getting stuck, chest pain, and regurgitation.
  • Gastric Strictures: Nausea, vomiting, bloating, early satiety, and weight loss.
  • Small Bowel Strictures: Abdominal pain, cramping, nausea, vomiting, and signs of obstruction.
  • Colonic Strictures: Changes in bowel habits, bloating, and abdominal discomfort.

If left untreated, strictures can lead to serious complications such as malnutrition, intestinal blockage, or perforation.

 

What Is Dilatation of Strictures?

 

Dilatation of strictures is a therapeutic procedure used to stretch or widen a narrowed segment of the GI tract.

This allows for the smoother passage of food and digestive contents, alleviating symptoms and improving the patient’s quality of life.

There are two main types of dilatations:

  • Endoscopic Balloon Dilatation: A deflated balloon is inserted into the stricture site via an endoscope and then gently inflated to widen the narrowed area.
  • Bougie Dilatation: A series of flexible, tapered tubes (called bougies) are inserted through the stricture, progressively increasing in size to expand the passage.

Both methods are typically performed under sedation or anesthesia and may be done as an outpatient procedure, depending on the patient’s condition.

 

gi_strictures_symptoms

 

Preparing for the Procedure

 

Before undergoing a dilatation, your gastroenterologist will perform a detailed assessment, which may include:

  • Endoscopy: To visually inspect the stricture.
  • Imaging Tests: Such as barium swallow, CT scan, or MRI to evaluate the severity and location.
  • Biopsy: If cancer or inflammation is suspected.

     

Preparation instructions typically include:

  • Fasting: No food or drink for at least 6–8 hours before the procedure.
  • Medication Adjustments: Stopping certain medications like blood thinners or antiplatelet drugs.
  • Medical History Review: Including allergies, previous surgeries, or anesthesia reactions.

gi_strictures_and_dilation

 

What to Expect During the Procedure

 

1. Arrival and Sedation

Upon arrival, a nurse will check your vital signs, review your medical history, and start an IV line for medications. You’ll receive sedation to help you relax and minimize discomfort.

2. Endoscope Insertion

Your doctor will insert an endoscope (a thin, flexible tube with a camera) through your mouth or anus, depending on the location of the stricture.

3. Dilatation

Once the narrowed segment is located, the physician will use either a balloon or bougie to gently expand the area. The dilatation may last a few seconds to a couple of minutes.

4. Monitoring

After the procedure, you’ll be monitored in a recovery area until the sedation wears off. Most patients go home the same day.

 

Risks and Complications

 

Dilatation of strictures is generally safe, but like any medical procedure, it carries some risks. Potential complications include:

  • Bleeding: Especially if the area is inflamed or ulcerated.
  • Perforation (Tear in the GI wall): Though rare, this is the most serious risk and may require surgery.
  • Infection
  • Recurrence of the stricture
  • To reduce these risks, it’s crucial to follow all pre- and post-procedure instructions and inform your healthcare provider of any underlying conditions or medications.

ditaltion_of_strictures_procedure


Post-Procedure Care and Recovery

 

Recovery after dilatation is typically smooth, especially if the procedure was performed without complications.

 

What to Expect Afterward

  • Mild sore throat (if upper GI)
  • Bloating or gas
  • Slight cramping
  • Temporary dietary restrictions

Most patients can resume normal activities within 24 hours, although you may need to stick to soft foods for a short period.

 

Follow-Up Care

  • Repeat Procedures: Some patients may require more than one session to fully resolve the stricture.
  • Ongoing Monitoring: Your doctor may recommend follow-up endoscopies, especially if the underlying condition is chronic (like Crohn’s disease).
  • Medications: Anti-inflammatory drugs or acid reducers may be prescribed to prevent recurrence.

     

gastrointestinal_tract_dilation

 

Managing the Underlying Cause

 

Successful treatment of strictures also means managing the root cause. Depending on your condition, your doctor may recommend:

  • For GERD-related strictures: Proton pump inhibitors (PPIs) or surgical interventions.
  • For IBD patients: Immunosuppressants or biologic therapies.
  • For post-surgical strictures: Regular monitoring and additional dilatations if needed.
  • For malignant strictures: Additional interventions like stent placement or surgery.

 

When to Call Your Doctor

 

After a dilatation, seek medical attention if you experience:

  • Severe chest or abdominal pain
  • Vomiting blood or passing black stools
  • Fever or chills
  • Difficulty swallowing or breathing

These could be signs of complications and should be addressed promptly.

 

Frequently Asked Questions (FAQs)

 

Q: Will I need multiple procedures?
A: It depends on the cause and severity of your stricture. Some patients achieve relief after one session, while others may need multiple treatments.

Q: Is dilatation painful?
A: The procedure is usually well-tolerated under sedation. Mild discomfort or a sore throat may occur afterward.

Q: How long does the effect last?
A: Duration varies. In some cases, the stricture can recur, especially if the underlying disease isn’t well-managed.

 

dilation_of_strictures_treatments

 

More About Dr. Deetlefs

 

 

Dr. Deetlefs is a highly respected specialist in the field of gastroenterology, known for his compassionate patient care and extensive expertise in a wide range of diagnostic and therapeutic procedures.

With years of clinical experience, he provides expert medical assistance in managing complex gastrointestinal conditions, including endoscopic treatments such as dilatation of strictures, colonoscopy, gastroscopy, and the placement of esophageal, gastric, and duodenal stents.

Dr. Deetlefs is dedicated to ensuring that each patient receives personalized care tailored to their unique needs, backed by the latest advancements in gastrointestinal medicine. His thorough approach, combined with a commitment to patient education, makes him a trusted figure in the journey toward better digestive health.

 

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

 

dilatation_of_strictures_infographic

 

Conclusion

 

Dilatation of strictures is a safe and effective procedure that provides significant relief from the symptoms caused by narrowed segments in the GI tract. Whether due to GERD, IBD, or post-surgical scarring, strictures can severely impact quality of life if left untreated.

With modern endoscopic techniques and tailored medical care, patients can expect improved function, reduced discomfort, and a path toward long-term digestive health.

If you are experiencing symptoms of a stricture or have been advised to undergo dilatation, speak with your gastroenterologist to fully understand your options. Early treatment and consistent follow-up are the keys to a smoother recovery and better health outcomes. 

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

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Blog
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© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.

Spring Clean Your Gut: Digestive Health Tips for a New Season

Spring Clean Your Gut: Digestive Health Tips for a New Season

by | Mar 20, 2025 | Colonoscopy, Gut Health

As winter fades and spring begins to bloom, it’s the perfect time to refresh more than just your home. Your digestive system, often overlooked during colder months, can also benefit from a seasonal reset.

The concept of “spring cleaning” your gut isn’t just a trendy phrase—it’s a proactive way to boost your overall health, improve digestion, and set the tone for the months ahead.

In this article, we’ll explore practical, medically-sound ways to support your digestive system this spring.

From dietary adjustments and hydration to lifestyle changes and the role of probiotics, these tips will help you feel lighter, more energetic, and ready for the new season.

 

Why Digestive Health Matters

 

The digestive system plays a crucial role in overall health. It’s responsible for breaking down the food you eat, absorbing nutrients, and eliminating waste.

When your gut is functioning well, it helps maintain a balanced immune system, reduces inflammation, and supports mental health through the gut-brain axis.

However, poor eating habits, lack of fiber, dehydration, stress, and a sedentary lifestyle can throw your gut microbiome out of balance—leading to bloating, constipation, fatigue, or even flare-ups of conditions like IBS, Crohn’s disease, or ulcerative colitis.

Spring is the perfect opportunity to reset and refocus on gut health.

fiber_rich_foods_for_healthy_gut

Tip 1: Add More Seasonal, Fiber-Rich Foods

Springtime brings a bounty of fresh produce that can do wonders for your gut. Fiber is essential for a healthy digestive system. It keeps bowel movements regular and acts as fuel for the beneficial bacteria in your gut.

Top spring fiber-rich foods to try:

  • Asparagus: High in inulin, a prebiotic fiber that promotes healthy gut bacteria.
  • Artichokes: Rich in fiber and antioxidants.
  • Peas and green beans: Mild, high-fiber veggies that are easy to digest.
  • Leafy greens: Spinach, kale, and arugula help keep things moving.
  • Berries: Packed with fiber and antioxidants to support both gut and immune health.

Gradually increase your fiber intake to avoid gas or bloating and always drink plenty of water when increasing fiber.

 

Tip 2: Stay Hydrated for Digestive Ease

Water is essential for digestion. It helps dissolve nutrients, softens stool for regular bowel movements, and supports the lining of the intestines.

During colder months, many people drink less water, especially if they’re not sweating as much. Spring is a great time to get back into a hydration routine. Aim for 6–8 glasses of water a day—or more if you’re active.

Add lemon or mint to your water for a refreshing spring twist, and try herbal teas like ginger or peppermint, which have natural digestive benefits.

 

Tip 3: Support Your Gut with Probiotics and Prebiotics

Your gut is home to trillions of bacteria—some beneficial and some not-so-much. Keeping this microbiome balanced is key to digestive health.

Probiotics are “good” bacteria that support digestion, immunity, and even mental health. You can find them in:

  • Yogurt with live cultures
  • Kefir
  • Sauerkraut
  • Kimchi
  • Miso
  • Fermented pickles (not vinegar-based)

Prebiotics, on the other hand, are the food that nourishes these good bacteria. Foods like onions, garlic, leeks, and bananas are excellent sources.

Consider adding a probiotic supplement, especially if you’ve recently taken antibiotics or have gut health concerns. But consult your gastroenterologist before starting new supplements.

fiber_rich_foods_healthy_gut

 

Tip 4: Reduce Processed Foods and Sugar

Processed foods and added sugars can disrupt the gut microbiome, promote inflammation, and contribute to digestive issues like bloating or constipation.

Spring is a great time to cut back on packaged snacks, sugary drinks, and ultra-processed meals. Instead, focus on whole, minimally processed foods.

Make room on your plate for:

  • Lean proteins like grilled chicken or fish
  • Fresh vegetables
  • Whole grains like quinoa or brown rice
  • Healthy fats like olive oil and avocado

Cleaning up your diet doesn’t have to mean strict dieting—it just means being mindful and making healthier swaps.

 

Tip 5: Get Moving Again

Physical activity promotes regular bowel movements, improves mood, and supports gut motility. If your activity levels dropped during the winter, spring offers an energizing opportunity to re-engage.

Start with daily walks, yoga, or stretching. Gardening, biking, and light hikes are great spring activities that support both mental and digestive well-being.

Even just 20–30 minutes of light to moderate activity a day can make a big difference in how your digestive system functions.

 

Tip 6: Manage Stress

Stress has a direct impact on the digestive system. It can cause or worsen symptoms of IBS, heartburn, nausea, and abdominal discomfort.

Spring cleaning your gut means addressing your mental wellness too. Incorporate stress-reducing habits such as:

  • Deep breathing exercises or meditation
  • Journaling
  • Spending time in nature
  • Reducing screen time
  • Maintaining a regular sleep schedule

The gut-brain connection is strong—taking care of your mind helps take care of your gut.

 

Tip 7: Revisit Your Gastrointestinal Health Goals

Have you been postponing a colonoscopy, endoscopy, or follow-up with your gastroenterologist? Spring is an excellent time to get back on track.

If you have chronic digestive conditions like GERD, IBS, IBD, or celiac disease, routine monitoring is essential. And if you’re over 45 or have a family history of colorectal cancer, don’t delay your screening.

Spring is also a good time to:

  • Reassess your medications and supplements
  • Check in about recurring symptoms
  • Discuss new dietary changes or probiotics with your doctor

probitoic_healthy_gut

 

Tip 8: Try a Gentle Detox—The Right Way

While harsh “cleanses” or laxative-based detoxes can do more harm than good, a gentle digestive reset can be beneficial.

Here’s a safe, natural way to support your body’s detox process:

  • Drink plenty of water
  • Eat whole, unprocessed foods
  • Avoid alcohol and caffeine for a few days
  • Increase fiber gradually
  • Add herbal teas like dandelion or chamomile

Remember: your liver, kidneys, and digestive system are already designed to detox your body. Supporting these organs with smart choices is all you need.

 

When to See a Gastroenterologist

 

As you spring-clean your gut, pay attention to any persistent or unusual symptoms, such as:

  • Chronic bloating or abdominal pain
  • Irregular bowel movements (diarrhea or constipation)
  • Blood in stool
  • Sudden weight loss
  • Heartburn or reflux that doesn’t improve

These could be signs of a more serious underlying condition that needs medical evaluation. Early diagnosis and treatment can prevent complications and improve your quality of life.

If you’re unsure where to begin, consult your gastroenterologist for a personalized plan.

 

Conclusion

 

Spring is a time of renewal—and your gut health should be part of that transformation.

By incorporating fresh, seasonal foods, staying hydrated, nurturing your gut microbiome, reducing stress, and staying active, you can “spring clean” your digestive system in a way that promotes long-term wellness.

Whether you’re managing a digestive disorder or simply looking to feel better day to day, these tips can help you start the new season with a healthier gut and a renewed sense of vitality.

If you have ongoing concerns or want professional guidance, don’t hesitate to reach out to your gastroenterologist. A healthy gut is the foundation of a healthy you.

springclean_your_gut_digestive_health_infographic

 

Get in Contact with Dr. Deetlefs

Gi Doc Capetown is a practice founded to provide medical solutions in the area of gastroenterology.

Over the years, Dr Eduan Deetlefs has earned the reputation of a trusted health expert providing consultative, diagnostic, and therapeutic endoscopic and related services to patients in
Cape Town and beyond.

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

Navigate

Treatments & Procedures
About Us
Blog
Contact Us

Terms and Conditions    Privacy Policy

Connect with Us

© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.

Colorectal Cancer Awareness Month:The Importance of Routine Screening

Colorectal Cancer Awareness Month:The Importance of Routine Screening

by | Mar 15, 2025 | Cancer Screening


 

Colorectal Cancer Awareness Month, observed every March, serves as a crucial reminder of the importance of early detection and prevention.

Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide, but it is also one of the most preventable and treatable when caught early.

Routine screening plays a vital role in detecting precancerous polyps and diagnosing CRC in its early stages, significantly improving survival rates.

In this article, we will explore the significance of Colorectal Cancer Awareness Month, the risk factors for CRC, different screening methods, and why routine screenings can save lives.

 

Understanding Colorectal Cancer

 

Colorectal cancer affects the colon (large intestine) and rectum, developing from abnormal growths called polyps.

While some polyps remain benign, others can become cancerous over time. Early detection of these polyps through screening allows for their removal before they progress into cancer.

 

Global Impact of Colorectal Cancer

 

  • CRC is the third most common cancer
  • It is the second leading cause of cancer-related deaths in both men and women in many countries.
  • The survival rate is over 90% when detected early, but it drops significantly if diagnosed at a later stage. 

Despite these statistics, many people still do not undergo regular screenings, often due to a lack of awareness, fear, or misinformation. This is why Colorectal Cancer Awareness Month is crucial—it educates the public on the importance of early detection and prevention.

 

colon_cancer_screening

 

Risk Factors for Colorectal Cancer

 

1. Age

The risk of CRC increases with age, with most cases occurring in individuals over 50. However, recent studies show a concerning rise in young-onset colorectal cancer, emphasizing the need for awareness among younger populations.

 

2. Family History and Genetics

A family history of colorectal cancer or polyps increases the risk. Individuals with inherited syndromes like Lynch syndrome or familial adenomatous polyposis (FAP) have a much higher chance of developing CRC.

 

3. Lifestyle Factors

  • Diet: A high intake of processed and red meats, combined with low fiber consumption, has been linked to an increased risk.
  • Lack of Physical Activity: A sedentary lifestyle contributes to obesity, which is a known risk factor.
  • Smoking and Alcohol Consumption: Long-term tobacco use and excessive alcohol intake elevate the risk of CRC.

4. Medical Conditions

By understanding these risk factors, individuals can make informed choices to lower their chances of developing CRC through lifestyle changes and regular screenings.

 

cancer_screening_colorectal

Why Routine Screening Matters

 

Screening is essential because colorectal cancer can develop silently without noticeable symptoms in its early stages.

By the time symptoms appear, the disease may have already advanced, making treatment more challenging.

Benefits of Routine Screening

 

  • Early Detection: Finds cancer before symptoms develop, when it is easier to treat.
  • Prevention: Identifies and removes precancerous polyps before they turn cancerous.
  • Increased Survival Rates: Early-stage CRC has a 90% five-year survival rate, whereas late-stage CRC survival drops to 14%.
  • Less Invasive Treatments: Early detection may allow for minimally invasive treatments instead of major surgery.

 

Colorectal Cancer Screening Methods

 

Several screening tests can help detect colorectal cancer and polyps. The most suitable test depends on individual risk factors and medical history.

 

1. Colonoscopy (Gold Standard)

What It Is: A procedure in which a long, flexible tube with a camera is inserted into the colon to examine for polyps or cancer.
Why It’s Important: It is the most comprehensive screening tool, allowing doctors to detect and remove polyps during the same procedure.
How Often: Every 10 years for individuals at average risk, or more frequently for high-risk individuals.

2. Stool-Based Tests

These tests detect hidden blood or DNA changes in the stool that may indicate cancer.

Fecal Immunochemical Test (FIT)

What It Is: A simple, non-invasive test that detects blood in the stool.
How Often: Annually.

Guaiac-Based Fecal Occult Blood Test (gFOBT)

What It Is: Another stool test that detects blood, but requires dietary restrictions before testing.How Often: Annually.

 

Cologuard (Multitarget Stool DNA Test)

What It Is: Detects DNA changes associated with cancer in stool samples.
How Often: Every 3 years.

 

3. Flexible Sigmoidoscopy

What It Is: Similar to a colonoscopy but only examines the lower part of the colon.
How Often: Every 5 years, or every 10 years if combined with FIT.

 

4. CT Colonography (Virtual Colonoscopy)

What It Is: A specialized CT scan that creates detailed images of the colon.
How Often: Every 5 years.

While less invasive, stool-based tests and CT colonography do not allow for immediate polyp removal, meaning a follow-up colonoscopy may be necessary.

colonoscopy_colon_cancer

 

Overcoming Barriers to Screening

 

Despite the benefits, many people delay or avoid CRC screening. Common reasons include:

  • Fear of Discomfort: Colonoscopy prep may be unpleasant, but it is a small price to pay for potentially life-saving early detection.
  • Lack of Awareness: Many people underestimate their risk or do not realize the importance of screening.
  • Access and Cost: Screening may not always be readily available. However, many health programs offer free or low-cost options.

To increase participation, healthcare providers and advocacy groups must continue educating the public and making screening accessible to all.

 

The Role of Colorectal Cancer Awareness Month

 

This annual campaign focuses on:

Raising Awareness: Educating the public about risk factors and symptoms.
Encouraging Screenings: Reminding people to schedule their routine colonoscopies or stool tests.
Supporting Research: Funding initiatives to improve early detection and treatment options.
Honoring Survivors: Celebrating those who have overcome colorectal cancer and advocating for continued research.

Events such as awareness walks, free screening programs, and social media campaigns play a crucial role in spreading the message.

 

What You Can Do to Protect Yourself

 

Know Your Risk: Discuss your family history and risk factors with your doctor.
Get Screened: Follow recommended screening guidelines for your age and risk level.
Adopt a Healthy Lifestyle: Eat a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption.
Spread Awareness: Encourage friends and family to prioritize screening.

colorectal_cancere_screening_infographic

Conclusion

 

Colorectal Cancer Awareness Month is more than just a campaign—it is a life-saving movement. Routine screenings are the most effective way to detect colorectal cancer early and even prevent it altogether.

By prioritizing your health and encouraging others to do the same, you can help reduce the burden of this disease.

Don’t wait—schedule your screening today. Early detection saves lives!

By promoting awareness, education, and proactive screening, we can work together to combat colorectal cancer and improve survival rates worldwide.

 

Get in Contact with Dr. Deetlefs

Gi Doc Capetown is a practice founded to provide medical solutions in the area of gastroenterology.

Over the years, Dr Eduan Deetlefs has earned the reputation of a trusted health expert providing consultative, diagnostic, and therapeutic endoscopic and related services to patients in
Cape Town and beyond.

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

Navigate

Treatments & Procedures
About Us
Blog
Contact Us

Terms and Conditions    Privacy Policy

Connect with Us

© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.

Polypectomy: The Key to Preventing Colorectal Cancer and Why It Matters

Polypectomy: The Key to Preventing Colorectal Cancer and Why It Matters

by | Feb 20, 2025 | Cancer Screening, Gastroenterology

Colorectal cancer is one of the most common cancers worldwide, but it is also one of the most preventable. One of the most effective ways to reduce the risk of developing colorectal cancer is through polypectomy, a procedure that removes polyps from the colon or rectum.

Since most colorectal cancers develop from precancerous polyps, early detection and removal can significantly lower the chances of the disease progressing.

If you or a loved one has been advised to undergo a polypectomy, understanding the procedure and its benefits can help ease any concerns.

This article explores what a polypectomy is, how it is performed, its role in cancer prevention, and what to expect before and after the procedure.

 

What Are Polyps and Why Are They a Concern?

 

Polyps are abnormal growths that develop on the inner lining of the colon or rectum.

While most polyps are benign (noncancerous), some have the potential to become cancerous over time. These growths can vary in shape and size and are often classified into different types:

Types of Polyps

 

  • Adenomatous Polyps (Adenomas)
    These are the most common precancerous polyps. While not all adenomas turn into cancer, they have a higher risk of becoming malignant if left untreated.
  • Hyperplastic Polyps and Inflammatory Polyps
    These types of polyps are generally not precancerous and have a lower risk of developing into colorectal cancer.
  • Serrated Polyps
    Some serrated polyps, particularly large ones, may carry a significant risk of cancer development.

Since polyps do not typically cause symptoms, most people are unaware they have them until they undergo a colonoscopy—a screening test for colorectal cancer.

This is why regular screenings and polyp removal are crucial for prevention.

what_is_a_polypectomy

 

What Is a Polypectomy?

 

A polypectomy is a medical procedure used to remove polyps from the colon or rectum. It is commonly performed during a colonoscopy or sigmoidoscopy, both of which use a flexible tube with a camera to examine the digestive tract.

By removing polyps before they have the chance to become cancerous, a polypectomy is considered one of the most effective ways to prevent colorectal cancer.

 

How Is a Polypectomy Performed?

 

A polypectomy is a minimally invasive procedure performed during a routine colonoscopy. Here’s what to expect during the process:

  1. Preparation for the Procedure
  • Before the colonoscopy, you will need to cleanse your colon using a bowel preparation solution. This ensures a clear view of the colon, making it easier to detect and remove any polyps.
  • You may be advised to avoid certain medications (such as blood thinners) before the procedure.
  1. The Procedure
  • A colonoscope (a thin, flexible tube with a camera) is inserted into the rectum and guided through the colon.
  • If a polyp is detected, the doctor will remove it using one of the following methods:

Snare Polypectomy – A wire loop is used to cut off the polyp, often with the help of electrical current (cauterization) to prevent bleeding.

Cold Forceps Polypectomy – Small polyps are removed using forceps without cauterization.

Endoscopic Mucosal Resection (EMR) – Larger polyps may require saline injection to lift the polyp before removal.

  1. Post-Procedure Recovery
  • The entire colonoscopy, including polypectomy, typically takes 20 to 60 minutes.
  • You may experience mild bloating or gas after the procedure, but this usually resolves within a few hours.
  • Most patients can resume normal activities the next day.

polypectomy_colorectal_cancer_prevention

 

Why Is a Polypectomy Important for Colorectal Cancer Prevention?

 

The significance of a polypectomy lies in its ability to remove precancerous polyps before they turn into cancer.

Studies show that patients who undergo routine colonoscopies with polypectomy have a significantly lower risk of developing colorectal cancer.

 

Key Benefits of Polypectomy in Cancer Prevention

 

  • Early Detection and Removal – Identifying and removing polyps in their early stages prevents cancer from developing.
  • Reduces Risk of Invasive Cancer Treatment – If cancerous polyps are detected early, they can be removed without the need for chemotherapy or surgery.
  • Improves Long-Term Health Outcomes – Regular screenings and polypectomy help maintain a healthy colon and reduce the risk of complications later in life.

 

Who Should Get a Polypectomy?

 

  • Individuals Over 45
  • Those with a Family History of Colorectal Cancer
  • Patients with Symptoms of Colorectal Issues

Although polyps are often asymptomatic, some people may experience:

  • Rectal bleeding
  • Changes in bowel habits
  • Unexplained abdominal pain

post_procedure_polypectomy

 

What to Expect After a Polypectomy

 

Recovery Period

  • Most people can go home the same day after a polypectomy.
  • You may have mild discomfort, bloating, or light rectal bleeding, which should resolve within a few days.
  • Avoid heavy lifting and strenuous exercise for at least 24 hours after the procedure.

Follow-Up Care

  • The removed polyps will be sent to a pathology lab to determine whether they are benign, precancerous, or cancerous.
  • Your doctor will inform you if additional treatment or more frequent screenings are necessary.
  • If multiple polyps are found, you may need more frequent colonoscopies (e.g., every 3-5 years instead of every 10 years).

 

Common Concerns About Polypectomy

 

1. Is a Polypectomy Painful?

  • The procedure is performed under sedation, so you won’t feel discomfort during the process.

2. Are There Risks Involved?

  • A polypectomy is a very safe procedure. However, like any medical intervention, there are some risks, including:– Minor bleeding (usually resolves on its own)
    –  Perforation of the colon (very rare, but requires medical attention)
  1. Can Polyps Grow Back After Removal?
  • Once removed, a polyp cannot regrow, but new ones can develop over time.
    This is why routine screenings are important.     

How to Reduce the Risk of Developing Polyps

 

While polypectomy effectively removes polyps, prevention is the best strategy to reduce the chances of new polyps forming.

Here’s how you can take control of your colorectal health:

Eat a High-Fiber Diet

  • Fiber-rich foods (vegetables, fruits, whole grains) promote healthy digestion and reduce polyp formation.
  • Aim for at least 25-30 grams of fiber daily.

Limit Processed Meats and Red Meat

  • Diets high in processed meats (bacon, hot dogs, sausage) and excessive red meat are linked to an increased risk of polyps and colorectal cancer.
  • Opt for lean protein sources like fish, poultry, and plant-based proteins.

Exercise Regularly

  • Staying active reduces inflammation in the body and helps maintain a healthy gut.
  • Aim for 150 minutes of moderate exercise per week (e.g., brisk walking, cycling).

Maintain a Healthy Weight

  • Obesity is a risk factor for polyps and colorectal cancer.
  • Keeping a healthy body weight reduces your risk of developing precancerous growths.

Avoid Smoking and Excessive Alcohol

  • Smoking and heavy alcohol consumption increase the risk of colorectal cancer.
  • If you smoke, quitting significantly lowers your risk.

Consider Genetic Testing if You Have a Family History

  • If colorectal cancer runs in your family, talk to your doctor about genetic screening and earlier testing.
  • Conditions like Lynch syndrome or familial adenomatous polyposis (FAP) may require more frequent screenings.

what_is_a_polypectomy_infographic

 

Conclusion

 

A polypectomy is a life-saving procedure that significantly reduces the risk of colorectal cancer. By removing precancerous polyps early, you can prevent cancer before it even starts.

If you’re over 45 years old, have a family history of colorectal cancer, or experience digestive symptoms, scheduling a colonoscopy and polypectomy can protect your health.

Early detection saves lives—don’t wait until symptoms appear. If your doctor recommends a polypectomy, know that it is a safe, effective, and essential step in maintaining your gastrointestinal health.

 

Get in Contact with Dr. Deetlefs

 

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

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© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.

Gastroscopy vs. Colonoscopy: What’s the Difference?

Gastroscopy vs. Colonoscopy: What’s the Difference?

by | Feb 15, 2025 | Colonoscopy, Gastroenterology

The human digestive system is a complex network responsible for breaking down food, absorbing nutrients, and eliminating waste.

However, various conditions can affect different parts of this system, leading to discomfort, pain, and serious health concerns.

To diagnose and treat gastrointestinal (GI) disorders, doctors use endoscopic procedures like gastroscopy and colonoscopy.

 

Both gastroscopy and colonoscopy involve the use of an endoscope—a flexible tube with a tiny camera—to examine different parts of the digestive system.

However, these procedures target different areas, diagnose different conditions, and require different preparation methods.

 

If your doctor has recommended one of these procedures, understanding the differences, similarities, and what to expect can help ease any anxiety and ensure you’re well-prepared.

 

What Is Gastroscopy?

 

Definition and Purpose

Gastroscopy, also known as esophagogastroduodenoscopy (EGD), is a diagnostic procedure used to examine the upper digestive tract, which includes:

  • Esophagus (the tube that carries food from the mouth to the stomach)
  • Stomach
  • Duodenum (the first part of the small intestine)

A gastroscope is inserted through the mouth and passed down the esophagus to visualize and assess any abnormalities in these areas.

 

Why Is Gastroscopy Performed?

 

Doctors may recommend a gastroscopy for several reasons, including:

  • Persistent heartburn (GERD)
  • Difficulty swallowing (dysphagia)
  • Unexplained nausea or vomiting
  • Upper abdominal pain or bloating
  • Suspected ulcers
  • Gastrointestinal bleeding
  • Unexplained weight loss
  • Screening for stomach cancer or celiac disease

How Gastroscopy Is Performed

 

  • Preparation: Patients must fast for at least 6 to 8 hours before the procedure to ensure the stomach is empty.
  • Sedation: A mild sedative or local anesthetic spray may be used to reduce discomfort.
  • Insertion of the Gastroscope: The doctor inserts the gastroscope through the mouth and gently advances it through the esophagus, stomach, and duodenum.
  • Evaluation & Biopsy: The doctor examines the tissue lining and may take a small sample (biopsy) for further testing.
  • Completion: The procedure usually takes 10 to 20 minutes. Patients may experience mild throat discomfort afterward.

gastroscopy_procedure_benefits

 

What Is Colonoscopy?

 

Definition and Purpose

Colonoscopy is a diagnostic procedure used to examine the lower digestive tract, specifically:

  • Rectum
  • Colon (large intestine)

A colonoscope is inserted through the anus and advanced through the colon to identify abnormalities such as polyps, inflammation, and cancerous growths.

 

Why Is Colonoscopy Performed?

 

Doctors recommend colonoscopy to detect and diagnose conditions such as:

  • Colorectal cancer screening (especially for individuals over 45 years old)
  • Removal of polyps before they become cancerous
  • Chronic diarrhea or constipation
  • Unexplained rectal bleeding
  • Irritable Bowel Syndrome (IBS) or Inflammatory Bowel Disease (IBD)
  • Abdominal pain, bloating, or changes in bowel habits
  • Monitoring for previous history of colorectal cancer or polyps

 

How Colonoscopy Is Performed

 

  1. Preparation: Patients must follow a colon cleansing regimen the day before the procedure, which involves drinking a special laxative solution to clear the bowels.
  2. Sedation: Most patients receive mild sedation to ensure comfort.
  3. Insertion of the Colonoscope: The doctor inserts the colonoscope through the anus and advances it through the colon.
  4. Evaluation & Biopsy: The doctor examines the colon lining, removes any polyps, and may take a biopsy if needed.
  5. Completion: The procedure takes 30 to 45 minutes. Patients may experience mild bloating due to the air introduced during the procedure.

colonoscopy_procedure_benefits

 

Key Differences Between Gastroscopy and Colonoscopy

 

Both gastroscopy and colonoscopy are endoscopic procedures used to examine different parts of the digestive system. While they share similarities, they serve distinct purposes, target different areas, and require different preparation methods.

Understanding their key differences can help patients feel more informed and prepared for these procedures.

 

Area of Examination

The most significant difference between gastroscopy and colonoscopy is the area of the digestive tract they examine:

Gastroscopy (EGD) examines the upper digestive tract, which includes the:

  • Esophagus (the tube that connects the mouth to the stomach)
  • Stomach
  • Duodenum (the first part of the small intestine)

Colonoscopy focuses on the lower digestive tract, specifically:

  • Rectum
  • Colon (large intestine)

 

Gastroscopy Is Used to Diagnose:

 

  • Gastroesophageal reflux disease (GERD)
  • Peptic ulcers
  • Esophageal varices (enlarged veins in the esophagus)
  • Hiatal hernia
  • Gastritis (inflammation of the stomach lining)
  • Celiac disease
  • Esophageal or stomach tumors

Colonoscopy Is Used to Diagnose:

 

  • Colorectal cancer (CRC) screening
  • Polyps (small growths in the colon that may develop into cancer)
  • Diverticulosis and diverticulitis
  • Ulcerative colitis and Crohn’s disease (forms of inflammatory bowel disease)
  • Chronic diarrhea or constipation
  • Unexplained rectal bleeding

 

How the Procedure Is Performed

 

Gastroscopy:

  • A thin, flexible tube (gastroscope) with a camera is inserted through the mouth.
  • It is guided down the throat, through the esophagus, into the stomach, and into the duodenum.
  • The doctor examines the lining of the upper digestive tract and may take a biopsy if necessary.

Colonoscopy:

  • A colonoscope, a longer and slightly wider tube, is inserted through the anus.
  • It is gently advanced through the rectum and colon to examine the lining of the large intestine.
  • The doctor may remove polyps, take biopsies, or address sources of bleeding.

benefits_colonoscopy

 

Preparation Before the Procedure

 


Gastroscopy Preparation:

  • Patients must fast for 6 to 8 hours before the procedure to ensure the stomach is empty.
  • Clear liquids may be allowed up to 2 hours before the procedure.
  • No bowel preparation is needed.

Colonoscopy Preparation:

  • Patients must follow a strict bowel-cleansing regimen the day before the procedure.
  • This includes drinking a laxative solution to clear the colon of stool.
  • A clear liquid diet is recommended for 24 hours before the procedure.
  • Proper preparation is crucial for an accurate examination.

 

Sedation and Comfort Level

Both procedures can be uncomfortable, but sedation helps ease any discomfort.

 

Gastroscopy:

  • Usually performed with mild sedation or a throat-numbing spray to reduce gag reflex.
  • Some patients may experience mild throat irritation after the procedure.

Colonoscopy:

  • Typically requires moderate to deep sedation for patient comfort.
  • Patients may experience mild bloating or cramping due to air introduced during the procedure.

 

Duration of the Procedure

 

  • Gastroscopy is a shorter procedure, typically lasting 10 to 20 minutes.
  • Colonoscopy takes 30 to 45 minutes, depending on findings such as polyps that need removal.

 

Recovery Time and Aftercare

 

Gastroscopy:

  • Patients can typically resume eating and drinking within a few hours.
  • If sedation was used, driving should be avoided for 24 hours.
  • A mild sore throat may persist for a few hours.

Colonoscopy:

  • Patients may experience gas, bloating, or mild cramping due to the air introduced during the procedure.
  • Normal eating can resume, but a light diet is often recommended at first.
  • If polyps were removed, minor rectal bleeding may occur.
  • Driving should be avoided for 24 hours if sedation was used.

 

What to Expect After the Procedures

 

Recovery After Gastroscopy

  • Patients may have a mild sore throat or bloating.
  • Normal eating and drinking can usually resume within a few hours.
  • If sedation was used, patients should avoid driving for 24 hours.

Recovery After Colonoscopy

  • Patients may experience gas, bloating, or mild cramping.
  • A light diet is recommended for the first few hours.
  • If polyps were removed, minor rectal bleeding may occur.
  • Driving should be avoided for 24 hours if sedation was used.

 

When Should You See a Doctor?

 

If you experience any of the following symptoms, a gastroscopy or colonoscopy may be necessary:

  • Chronic acid reflux or heartburn
  • Difficulty swallowing or persistent nausea
  • Blood in stool or black, tarry stools
  • Unexplained weight loss
  • Chronic diarrhea or constipation
  • Severe abdominal pain or bloating

gastroscopy_vs_colonoscopy_infographic

 

Conclusion

 

Both gastroscopy and colonoscopy are essential diagnostic tools for evaluating gastrointestinal conditions. While gastroscopy focuses on the upper digestive tract, colonoscopy examines the lower digestive tract.

If your doctor recommends either procedure, understanding the differences, preparation, and recovery process can help ease concerns. Both procedures play a crucial role in early detection and prevention of serious GI conditions.

If you have ongoing digestive symptoms, don’t wait—schedule a consultation with a gastroenterologist today.

 

Get in Contact with Dr. Deetlefs

 

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

Navigate

Treatments & Procedures
About Us
Blog
Contact Us

Terms and Conditions    Privacy Policy

Connect with Us

© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.

Understanding ERCP: A Detailed Guide for Patients

Understanding ERCP: A Detailed Guide for Patients

by | Jan 20, 2025 | ERCP

 


Endoscopic Retrograde Cholangiopancreatography, commonly referred to as ERCP, is a specialized medical procedure that combines both endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary and pancreatic ducts.

This procedure has become indispensable in the field of gastroenterology, especially for patients suffering from conditions affecting their bile ducts, pancreas, and liver.

Whether you’re a patient facing an ERCP, this article offers an in-depth look at how it works, its uses, preparation, risks, and recovery process.

By the end of this guide, you’ll have a comprehensive understanding of why ERCP is crucial in managing specific gastrointestinal (GI) conditions and how it is performed.

 

What is ERCP?

 

 

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure that is primarily used to examine the pancreatic and bile ducts.

It can also be used for therapeutic purposes such as removing gallstones, inserting stents, or draining bile that is blocked due to tumors or other complications.

 

how_ercp_works

 

How ERCP Works

 

ERCP involves the use of an endoscope, a long, flexible tube with a light and camera at its tip, and fluoroscopy, a type of x-ray imaging.

During the procedure, the endoscope is inserted through the mouth, passed down the esophagus, and into the stomach and small intestine. Once the endoscope reaches the opening of the bile or pancreatic duct, a contrast dye is injected, and fluoroscopic images are taken to identify any blockages, strictures, or other abnormalities.

The primary goal of ERCP is to both diagnose and treat conditions affecting the biliary or pancreatic systems.

In many cases, physicians can immediately perform necessary treatments, such as stone removal or stent insertion, without needing additional surgeries.

 

Why ERCP is Performed

 

ERCP is both a diagnostic and therapeutic tool. It’s often used when other imaging methods, such as ultrasound, CT scans, or MRI, are not able to provide a clear picture of the biliary or pancreatic ducts.

Conditions that often require ERCP include:

1. Bile Duct Stones (Cholelithiasis)

Gallstones that become lodged in the bile duct can lead to a condition known as choledocholithiasis. These stones can block the flow of bile, resulting in jaundice, pain, or infection of the bile ducts (cholangitis). ERCP can help locate and remove these stones.

 

2. Biliary Strictures

A biliary stricture is a narrowing of the bile duct, which can occur due to inflammation, scarring from previous surgeries, or cancer. Strictures prevent the normal flow of bile and can lead to jaundice or infection. ERCP allows for the dilation of these strictures and the placement of stents to keep the ducts open.

 

3. Pancreatitis

ERCP is useful for identifying causes of pancreatitis, especially if caused by gallstones or other blockages. In some cases, removing a stone or draining fluid can alleviate the inflammation of the pancreas.

 

4. Pancreatic and Bile Duct Tumors

Patients with tumors in or near the pancreatic or bile ducts often suffer from obstructed bile flow, leading to symptoms such as jaundice, pain, and digestive issues. ERCP can be used to place stents in the ducts to bypass the blockage and relieve symptoms.

 

5. Primary Sclerosing Cholangitis (PSC)

PSC is a chronic disease that affects the bile ducts, leading to inflammation and scarring. ERCP can be used to assess the extent of ductal involvement and place stents to relieve any strictures.

preparing_for_ercp

 

How to Prepare for ERCP

 

If you’ve been scheduled for an ERCP, there are several steps you’ll need to take to prepare for the procedure. These steps are critical to ensure the safety and success of the ERCP.

 

1. Fasting

You will need to fast for at least 6 to 8 hours before the procedure. This is necessary to ensure the stomach is empty, reducing the risk of vomiting or aspiration during the procedure.

 

2. Medication Adjustments

Certain medications can affect the outcome of the procedure. For instance, blood thinners (such as warfarin or aspirin) may increase the risk of bleeding, so your doctor may recommend that you temporarily stop taking them before the ERCP. Always consult with your healthcare provider before making any changes to your medication regimen.

 

3. Allergies

If you have any known allergies, particularly to contrast dye or iodine (which is used during fluoroscopy), it is essential to inform your healthcare team beforehand.

 

4. Pre-Procedure Testing

Depending on your medical history, your doctor may recommend some blood tests, imaging studies, or other evaluations before the ERCP to assess your overall health and the specific condition being investigated.

ercp_procedure

 

What to Expect During ERCP

 

1. Sedation

ERCP is typically performed under sedation or general anesthesia. This ensures that you are relaxed, comfortable, and pain-free during the procedure. In most cases, you will be awake but sedated, with little or no memory of the procedure.

 

2. The Procedure

Once sedated, the endoscope is inserted through your mouth and carefully guided down the esophagus, through the stomach, and into the duodenum (the first part of the small intestine).

At this point, the endoscope is positioned at the papilla of Vater, which is the opening to the bile and pancreatic ducts.

The physician will then inject a contrast dye through a small catheter into the ducts to highlight the bile and pancreatic systems on fluoroscopic x-rays. This enables the doctor to assess for blockages, stones, tumors, or other abnormalities.

If therapeutic treatment is required, the physician may perform one or more of the following procedures during the ERCP:

  • Sphincterotomy: Making a small cut in the muscle surrounding the bile or pancreatic ducts to facilitate stone removal.
  • Stone Extraction: Removing gallstones or bile duct stones using specialized instruments.
  • Stent Placement: Inserting a stent to keep the duct open, particularly in cases of strictures or tumors.
  • Balloon Dilation: Expanding a narrowed duct to improve bile or pancreatic juice flow. 

3. Post-Procedure Recovery

After the ERCP is completed, you’ll be monitored for several hours to ensure there are no immediate complications. The sedation will gradually wear off, and most patients can return home the same day. You may feel groggy or slightly nauseated, but these effects typically pass within a few hours.

 

what_to_expect_during_ercp

 

Risks and Complications of ERCP

 

Like all medical procedures, ERCP carries certain risks. However, it is generally considered safe when performed by experienced gastroenterologists. Some of the potential complications include:

 

1. Pancreatitis

One of the most common complications of ERCP is pancreatitis, an inflammation of the pancreas. This occurs in approximately 3-10% of cases and can range from mild to severe.

 

2. Infection

In some cases, ERCP may introduce bacteria into the bile or pancreatic ducts, leading to infection. Antibiotics may be prescribed before and after the procedure to minimize this risk.

 

3. Bleeding

If a sphincterotomy is performed or if there is trauma to the duct, there is a risk of bleeding. This is usually minor but may require additional intervention in rare cases.

 

4. Perforation

The instruments used during ERCP can occasionally cause small tears or perforations in the walls of the ducts or intestines. This is a rare but serious complication that may require surgical repair.

 

Recovery After ERCP

 

Most patients recover from ERCP within a few days, although some may experience mild discomfort, bloating, or nausea.

It’s important to follow your doctor’s post-procedure instructions, which may include:

  • Rest: Take it easy for the first 24 hours after the procedure.
  • Diet: You may be advised to stick to a light diet until your digestive system fully recovers.
  • Medication: Pain relief medication or antibiotics may be prescribed to prevent infection or manage discomfort.

Your doctor will provide specific guidelines based on your individual case and any procedures performed during the ERCP.

Be sure to attend any follow-up appointments to discuss the results and further treatment plans.

 

Conclusion

 

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a highly effective and minimally invasive procedure that plays a vital role in diagnosing and treating various conditions affecting the biliary and pancreatic systems.

Although it carries some risks, ERCP offers a relatively quick and efficient way to manage serious GI conditions that would otherwise require more invasive surgery.

Understanding the procedure, preparation, risks, and recovery can help patients feel more informed and comfortable with their treatment.

If you’re facing an ERCP, consult with your gastroenterologist to discuss any concerns and ensure you’re well-prepared for this life-saving procedure.

 

ercp_infographic

 

Get in Contact with Dr. Deetlefs

 

If you would like to book an appointment with a gastrointestinal (GI) specialist or would simply like more information on a particular GI topic, don’t hesitate to use our online booking form or call Dr. Deetlefs at 021 551 867.

Book an Appointment

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

GIDoc Cape Town

Patient-focused GI treatments and procedures in Cape Town.

Monday-Friday 8AM-4PM.

Navigate

Treatments & Procedures
About Us
Blog
Contact Us

Terms and Conditions    Privacy Policy

Connect with Us

© Dr. Eduan Deetlefs, Registered Gastroenterologist, GI Doc Cape Town

Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.