What is a ERCP?
- Pancreatitis or cancer in the liver or bile ducts.
- Bile duct obstructions or stones.
- Leakage of fluid from the bile or pancreatic ducts
- Pancreatic duct blockages
- Inflammation of the bile ducts
When is ERCP required?
Why is ERCP done?
How is ERCP done?
Before the procedure
- Eat, drink, for at least six hours prior to the procedure. Clear liquids, such as water, may be acceptable.
- Do not smoke before the procedure.
- Notify your doctor if you have any allergies, especially if you have had previous allergic reactions to intravenous dyes. If you've previously experienced an allergic reaction, you may need to take allergy medications prior to the procedure.
- Inform your doctor about all of your medications and supplements.
- Consult your doctor about discontinuing blood-thinning medications such as aspirin and warfarin.
- Inform your doctor if you are pregnant. Certain types of anesthesia can be harmful to an unborn child.
During the procedure:
- An anesthetic spray will be given to numb the throat.
- Insert the endoscope into the mouth and guide it through your esophagus and stomach to the upper portion of the small intestine.
- Pump air through the endoscope into the stomach and duodenum to make organs more visible.
- Insert a catheter, which is a different tube, into the endoscope until it reaches the bile and pancreatic ducts.
After the procedure:
Potential risks and complications of ERCP
- Infection of the gallbladder or bile duct.
- Cut or incision in the stomach, ducts, or small intestine.
- Pancreas inflammation and swelling (pancreatitis).
- Internal bruising.
When to consult a doctor?
- Breathing difficulties or chest pain
- Fever or other infection-related symptoms
- Severe abdominal pain that is worsening or a sore throat.
- Rectal bleeding symptoms include dark, tarry stool.
Frequently Asked Questions:
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper GI endoscopy and x-rays to treat bile and pancreatic duct problems.
The ERCP procedure can remove gallstones from the bile duct but not from the gallbladder.
No, ERCP is not painful because it is performed under anesthesia sedation.
ERCP might cause some side effects such as -
- Severe abdominal pain.
- Fever or chills.
- Vomiting blood.
- Difficulty swallowing or breathing.
- Sore throat.
To reduce the risk of stent obstruction, plastic biliary ercp procedure stents are commonly placed during endoscopic retrograde cholangiopancreatography (ERCP) and should be removed or replaced within 3 months.
You will be under IV anesthesia and won’t be awake.
The cost range of the ercp test might be between 10,000 to 50,000. However, it might depend on various factors such as severity, age, place, etc.
No, it can be performed on an outpatient or daycare basis.