Procedure Overview
ERCP (Endoscopic Retrograde Cholangiopancreatography) is a specialized interventional procedure combining endoscopy and fluoroscopic X-ray imaging. It is utilized to diagnose and treat therapeutic conditions affecting the bile ducts and pancreatic duct, such as common bile duct (CBD) stones, biliary strictures, or obstructive jaundice.
Clinical Indications for ERCP (Endoscopic Retrograde Cholangiopancreatography)
- Common bile duct (CBD) stone extraction
- Obstructive jaundice caused by bile duct blockages or strictures
- Selected gallstone pancreatitis with persistent bile duct obstruction or infection
- Biliary or pancreatic stent placement and leak management
Key Benefits & Advantages
Required Patient Preparation
What to Expect During the Procedure
- Performed under intravenous sedation or general anesthesia for safety.
- A specialized side-viewing endoscope reaches the papilla to access bile ducts.
- X-ray contrast imaging highlights stones, which are extracted using balloon catheters/baskets.
- Stents are placed if ductal drainage is required.
Risks, alternatives and recovery
The team should explain alternatives and risks, including bleeding, perforation, infection and reactions to sedation. ERCP also carries a risk of pancreatitis. Risk depends on your health and the treatment performed.
Follow your own written preparation and discharge instructions. Do not change blood thinners or diabetes medicines without advice. After sedation, arrange an escort and avoid driving until the clinical team says it is safe.
When should I get urgent help?
Seek urgent care for severe or worsening pain, fever, breathing difficulty, vomiting blood or significant bleeding after a procedure. Procedure time, discharge and results vary; contact the treating team for your plan.
Frequently asked questions
Is ERCP a routine diagnostic test?
ERCP is generally used when treatment of a bile or pancreatic duct problem is expected. Ultrasound, MRCP or EUS may be considered for diagnosis because ERCP carries risks including pancreatitis.
