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MUKHTAR A.

SHEIKH HOSPITAL
ERCP Report
Patient: Muhammad Afzal Age: 61Year(s) 2 Month(s) 05 Day(s) Gender: MALE

MRN: 240100103683 Date of Procedure: 16-Mar-2024 Status: Inpatient

Endoscopist: Dr. Muhammad Akram Malik


Assistant: Muhammad Saleem Ali, Aqsa, Saba
Indication: Obstructive jaundice
Anesthetist Dr. Asif

Medications: General Anesthesia.


Cannulation: CBD
Pancreatic duct: Cannulated but not opacified
Sphincterotomy: Precut fistulotomy
Sphincteroplasty: No
Description: ERCP done in prone position under GA, edematous duodenum (tumour infiltration), bulbous ampulla,
CBD accessed after precut fistulotomy, bile aspirated, distal CBD stricture with upstream biliary
dilatation seen on cholangiogram, guidewire advanced in RHD, SEMS deployed, gush of dark green
bile observed
Biopsy: No
Stenting: 10mm x 60mm partially covered SEMS (Boston)
PEP prophylaxis: Ringer’s lactate
Complications: No.
Conclusion: Distal CBD stricture

Yours Sincerely

Dr. Muhammad Akram Malik


F.C.P.S (Gastroenterology)
Consultant Gastroenterologist

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