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Introduction

Digestive health plays a crucial role in overall well-being. Doctors today use advanced tools like Endoscopy, Colonoscopy, and ERCP (Endoscopic Retrograde Cholangiopancreatography) to diagnose and treat conditions inside the digestive system without major surgery. This guide explains what these procedures are, why they’re performed, and what you should expect.


What is Endoscopy?

Endoscopy is a procedure where a flexible tube with a light and camera (endoscope) is used to examine the inside of the digestive tract.

Types of Endoscopy

Upper GI Endoscopy (Gastroscopy): Examines the esophagus, stomach, and upper small intestine.

Uses: Detects ulcers, acid reflux (GERD), gastritis, celiac disease, bleeding, and early cancers.

Procedure: The doctor inserts the endoscope through the mouth under sedation. Tissue samples (biopsies) may be taken.

When it’s needed:

Persistent heartburn, nausea, swallowing difficulties, unexplained weight loss, or gastrointestinal bleeding.


What is Colonoscopy?

Colonoscopy is a type of endoscopy used to view the large intestine (colon) and rectum.

Uses

Detects colorectal cancer, polyps, inflammation, ulcers, and diverticulosis.

Preparations

A bowel-cleansing solution is taken before the procedure.

Procedure: A colonoscope is gently inserted through the rectum to examine the colon. Polyps can be removed on the spot.

When it’s needed:

Colorectal cancer screening (usually after age 45–50), rectal bleeding, chronic diarrhea, constipation, or abdominal pain.


What is ERCP (Endoscopic Retrograde Cholangiopancreatography)?

ERCP is a specialized endoscopic test that examines the bile ducts, pancreas, and gallbladder.

How ERCP Works
  • An endoscope is passed through the mouth to the small intestine
  • A special dye is injected into the bile and pancreatic ducts.
  • X-rays are taken to identify blockages, stones, or narrowing.
  • Uses of ERCP

    Diagnosing gallstones, bile duct obstructions, strictures, pancreatitis, and certain cancers. Treating problems by removing stones, inserting stents, or widening narrowed ducts.

    When it’s needed:

    Unexplained jaundice, severe abdominal pain, abnormal liver tests, or blocked bile ducts.