Gastroenterology

Endoscopic Retrograde Cholangiopancreatography (ERCP)

A specialized procedure to diagnose and treat bile duct and pancreatic conditions.

What is ERCP?

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a complex procedure that combines endoscopy and fluoroscopy (X-ray imaging) to examine the bile ducts, pancreatic ducts, and gallbladder. A flexible scope is inserted through the mouth, reaching the small intestine where dye is injected into the ducts to visualize them on X-ray. ERCP not only diagnoses problems such as stones, strictures, or tumors but can also treat them by removing stones, placing stents, or dilating narrowed ducts. It is typically performed by gastroenterologists with advanced training.

This procedure helps to:

Detect and remove gallstones blocking bile ducts.
Diagnose narrowing or strictures of bile or pancreatic ducts.
Identify tumors or cysts affecting bile drainage.
Place stents to relieve obstruction.
Treat infections related to blocked bile flow.

What to expect after ERCP?

Patients are sedated for comfort during ERCP. Afterward, a short recovery period is required. Some patients may experience mild throat soreness or bloating. Because ERCP can involve therapeutic interventions, recovery instructions vary depending on what was done.

Sedation ensures a comfortable experience.
Mild sore throat or bloating may occur.
Observation for a few hours after the test.
Most patients go home the same day.
Recovery instructions provided based on treatment performed.

Why is it performed?

To remove gallstones from bile ducts.
To investigate unexplained jaundice or abnormal liver tests.
To relieve obstructions caused by strictures or tumors.
To obtain biopsies of suspicious lesions.
To treat cholangitis (bile duct infection).

Risks and Considerations

Pancreatitis is the most common complication.
Bleeding or infection may occur.
Perforation of the intestine is rare but possible.
Risks from sedation, especially in high-risk patients.
Not all patients are suitable candidates.

Early detection is important for managing the condition and preventing further complications.

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FAQs

Is ERCP painful?

Sedation or anesthesia prevents pain, though mild throat discomfort is common after the procedure.

How long does ERCP take?

It typically lasts 30–90 minutes, depending on whether treatment is needed.

Can I eat after the procedure?

You will be advised to avoid food and drink until the sedative wears off and your swallowing reflex returns.

Do I need to stay in the hospital?

Most patients go home the same day, but some may need overnight observation if therapeutic interventions are extensive.

What should I watch for afterward?

Severe abdominal pain, fever, or persistent vomiting should be reported immediately, as they may indicate complications such as pancreatitis.

Gastroenterology

Doral Health & Wellness Gut Health Department

Doral Health & Wellness Gastroenterology provides comprehensive care for all your digestive health needs. Our expert gastroenterologists diagnose and treat a wide range of conditions, including heartburn, irritable bowel syndrome (IBS), Crohn’s disease, colon cancer and more. We offer advanced procedures, such as endoscopy and colonoscopy, to ensure accurate diagnosis and effective treatment.