Wai’s First Advanced ERCP with CBD Stenting at GMH Endoscopy Centre

A Milestone in Gastrointestinal Endoscopy in Wai & Rural Maharashtra

🧑‍⚕️ Procedure by: Dr. Narendra Chopade – Advanced Endoscopist

🤝 Assisted by: Dr. Siddhant Jayaghosh Kaddu – General, Laparoscopic Surgeon & Endoscopist

💉 Anesthesia by: Dr. Ulka Pol

🏥 Hospital: Geetanjali Multispeciality Hospital, Wai

Case Overview

A 26-year-old female patient presented to Geetanjali Multispeciality Hospital, Wai, with:

• Obstructive jaundice (yellowing of eyes and skin)

• Acute abdominal pain

Ultrasound (USG) findings showed:

• Multiple gallbladder stones (Cholelithiasis)

• Stones in the common bile duct (Choledocholithiasis)

• Largest stone causing biliary blockage

Diagnosis: Obstructive Jaundice Due to CBD Stones

The cause of symptoms was identified as a blocked bile duct, preventing bile drainage from the liver to the intestine, leading to jaundice and pain.

Procedure: ERCP with CBD Stenting

On the next day, the patient underwent:

• ERCP (Endoscopic Retrograde Cholangiopancreatography)

• CBD (Common Bile Duct) stenting for stone clearance and drainage

The procedure was performed under sedation, ensuring patient comfort and safety.

This was the FIRST advanced therapeutic endoscopic procedure ever performed in Wai and the surrounding rural region.

Execution & Team Expertise

Procedure Highlights:

• Selective cannulation of the CBD

• Extraction of sludge and multiple stones

• Insertion of plastic CBD stent to restore bile flow

👨‍⚕️ Performed by: Dr. Narendra Chopade

👨‍⚕️ Assisted by: Dr. Siddhant Kaddu and the GMH Endoscopy Team

💉 Sedation by: Dr. Ulka Pol using monitored anesthesia care