What is an ERCP?

ERCP stands for Endoscopic Retrograde Cholangiopancreatography. It combines endoscopy with X-ray imaging to examine the bile ducts (which carry bile from the liver) and the pancreatic duct. Dr. Gattani can also treat certain problems, such as removing a stuck gallstone or placing a stent, during the same procedure.

Why is an ERCP done?

  • A gallstone is stuck in the bile duct
  • The bile duct is blocked or narrowed
  • Unexplained jaundice (yellowing of the skin or eyes)
  • Chronic pancreatitis needs further evaluation
  • A stent needs to be placed or removed

How to prepare for an ERCP

  • Fast for 6 to 8 hours before the procedure
  • Blood tests may be requested beforehand
  • Tell Dr. Gattani about blood thinners, allergies, or any reaction to contrast dye in the past

What happens during the procedure

You will be sedated or given anesthesia, since ERCP takes longer and is more involved than a routine endoscopy. An endoscope is passed through the mouth to the point where the bile duct opens into the small intestine. A thin catheter is guided into the duct, and X-ray dye is injected so the ducts show up clearly on X-ray images. If needed, the doctor can remove stones or place a stent at the same time.

What happens after the procedure

You will be observed for a few hours, and in some cases overnight, since ERCP needs closer monitoring than a routine endoscopy. Tell the clinic staff right away if you have severe abdominal pain after the procedure.

Is an ERCP safe?

ERCP is a well-established procedure, though it is more involved than a routine endoscopy.

Possible risks The most notable risk is inflammation of the pancreas (pancreatitis), which happens in a small percentage of cases. Other uncommon risks include bleeding, infection, or injury to the duct. Dr. Gattani will explain these risks based on your specific situation.

Frequently asked questions

A regular endoscopy only looks at the lining of the food pipe, stomach, and upper intestine. ERCP goes further, using X-ray dye to examine the bile ducts and pancreatic duct, and can also treat blockages.

You are sedated or given anesthesia, so you should not feel pain during the procedure. Some soreness or bloating can follow afterward.

Most patients are observed for a few hours; some stay overnight for monitoring. Dr. Gattani will advise based on your case.

The most common complication is pancreatitis (inflammation of the pancreas), which is why patients are monitored closely afterward.