Dave arrived at UNMC by ambulance on Tuesday, June 17th at 4:00pm. He was admitted into the Intensive Care Unit and was evaluated by the UNMC doctors. They found the NG (nasal gastric) tube was misplaced in his lung so they painfully corrected the situation. Dave was evaluated to a greater extent and another x-ray done on his left ankle. This x-ray, like the one done in North Platte, revealed a fracture on both the inside and the outside of his ankle. The trauma team decided to hold off on the ERCP (scope to evaluate and fix the leaking bile) due to Dave’s previous trauma and his stable condition. The ERCP was scheduled for Wednesday at 3:00pm.
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ERCP- from http://www.webmd.com/hw-popup/placement-of-endoscope-during-ercp
An endoscopic retrograde cholangiopancreatogram (ERCP) lets a doctor look at the tubes (ducts) that drain the liver, gallbladder, and pancreas. To do this, the doctor uses a thin, flexible, lighted scope (endoscope). He or she puts the endoscope into the mouth and gently moves it down the throat and into the esophagus, stomach, and duodenum (where the stomach connects with the small intestine). The doctor slowly guides the scope until it reaches the place where the ducts from the pancreas (pancreatic ducts) and gallbladder (bile ducts) drain into the duodenum. The doctor can put very small tools through the endoscope. The tools allow him or her to take tissue samples, add in contrast (dye), or open a narrowed bile duct.
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