Endoscopic Retrograde Cholangiopancreatography (ERCP)

Introduction

You have had an ERCP with conscious sedation (a drug that makes you feel comfortable and relaxed).

This leaflet tells you what to expect and who to contact if you have any questions or worries when you go home.

You must have a responsible adult to take you home and stay with you for the first 24 to 36 hours after your sedation. This is because sedation may make you feel tired and will affect your judgement.

The after effects of this medication will stay with you for 24-36 hours so it is important you follow this advice. Your nurse will remind you of what you should do and must not do.

For the first 24 – 36 hours after your sedation you:

• Must not go back to work.

• Must not drive a car, ride a bicycle or motorcycle. It is an offence to drive while unfit to do so because of drugs and it will probably invalidate your insurance policy.

• Must not supervise children.

• Must not make any important decisions or sign any legal documents.

• Must not operate machinery or electrical appliances.

• Must not go near open flames or sources of high heat.

• Must not drink alcohol.

• Must not take sleeping tablets, tranquillisers or any drugs other than those prescribed to you by the hospital or GP.

How will I feel when I get home?

You may:

• Have a sore throat for the first 24-48 hours.

• Feel bloated. This is due to the air put in your stomach and duodenum (small intestine) during your procedure. This usually settles within a few hours.

• Feel tired due to the effect of sedation.

You Should:

• Relax quietly at home for the rest of the day.

• Have fluids to drink and have a light meal on the evening after your ERCP, for example soup and a sweet. Do not have a heavy meal as it could make you sick.

• Gradually build up to your normal diet over the next few days.

• Avoid rich and fatty foods.

• Take any medication as normal, unless your Doctor has advised otherwise.

• Have warm drinks, walk around, suck a sweet or drink peppermint water helps to ease any abdominal discomfort, if needed.

You must contact the Endoscopy Unit (see contact numbers) where you had your ERCP immediately if:

• You have severe pain in your neck, chest or abdomen (tummy).

• Your temperature is 38˚C (100.4˚F) or higher.

• You start vomiting (being sick) or develop nausea (feeling sick).

If that department is closed and you have an urgent problem up to 48 hours after your ERCP, you should contact the Emergency Department (see contact numbers).

When will I be told about the results of my procedure?

Before you leave the unit, your nurse will explain the results of your ERCP to you. If you have had sedation, you may not remember everything you have been told, so with your permission, it may be helpful if a relative or friend could be with you when you are told your results.

Your GP will be sent a report if the doctor who has done your ERCP feels it is necessary; you may also be given some medication and/or an outpatient appointment.

If you had biopsies taken and sent to a laboratory for further examination, you might have to wait for up to 6 weeks for the results. Your biopsy results do not come back to the Endoscopy unit. Your GP will be sent a copy of these results.

You can make an appointment to see your GP to discuss your results or if you are given an outpatient appointment, your results will be discussed with you then.

Contact Numbers

If you need further advice or have any other problems, please contact the ward or your Consultant’s secretary at either:

University Hospital of North Tees

Endoscopy Unit:

Telephone: 01642 624387

Monday to Friday at 8:00am to 7:00pm

Emergency Department:

Telephone: 01642 382899

24 hours a day, 7 days a week

Further information is available from:

NHS Choices

Telephone: 111 (when it is less urgent than 999)

Calls to these numbers are free from landlines and mobile phones. You may also contact us via the website at www.nhs.uk

If you have any worries or concerns, you should contact your GP during normal surgery hours. Outside these hours, you should contact your GP surgery for the Out of Hours Service number.

Comments, concerns, compliments or complaints

Patient Experience Team (PET)

We are continually trying to improve the services we provide. We want to know what we’re doing well or if there’s anything which we can improve, that’s why the Patient Experience Team (PET) is here to help. Our Patient Experience Team is here to try to resolve your concerns as quickly as possible. The office is based on the ground floor at the University Hospital of North Tees if you wish to discuss concerns in person. If you would like to contact or request a copy of our PET leaflet, please contact:

Telephone: 01642 624719

Freephone: 0800 092 0084

Opening hours: Monday to Friday, 9:30am to 4:00pm

Email: [email protected]

Out of hours

Out of hours if you wish to speak to a senior member of Trust staff, please contact the hospital switchboard who will bleep the appropriate person.

Telephone: 01642 617617

Data protection and use of patient information

The Trust has developed Data Protection policies in accordance with Data Protection Legislation (UK General Data Protection Regulations and Data Protection Act 2018) and the Freedom of Information Act 2000. All of our staff respect these policies and confidentiality is adhered to at all times. If you require further information on how we process your information please see our Privacy Notices.

Telephone: 01642 383551

Email: [email protected]

Leaflet feedback

This leaflet has been produced in partnership with patients and carers. All patient leaflets are regularly reviewed, and any suggestions you have as to how it may be improved are extremely valuable. Please write to the Clinical Governance team, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, TS19 8PE or:

Email: [email protected]