ERCP

Overview

ERCP (endoscopic retrograde cholangiopancreatography) uses an endoscope passed through the mouth into the duodenum, where the bile and pancreatic ducts open. Dye is injected into the ducts and X-ray images are taken. Many problems, such as stones or narrowings, can be treated during the same procedure.

Why it is done

• To remove gallstones that have moved into the bile duct
• To relieve jaundice caused by a blocked bile duct
• To place a stent across a narrowed duct
• To investigate problems of the pancreas

Before the procedure

You will need to fast for several hours. Your doctor will review blood tests and scans and advise you about blood-thinning medicines. Antibiotics may be given.

During the procedure

ERCP is done under sedation or anaesthesia and usually takes 30 to 90 minutes. You lie on your front or side while the doctor uses X-ray guidance.

After the procedure

You will be monitored for a few hours, and some patients stay overnight. You may have a sore throat or mild bloating.

Risks

ERCP carries a higher risk than a standard endoscopy. Possible complications include inflammation of the pancreas (pancreatitis), bleeding, infection and, rarely, a tear in the bowel.

At KIH

KIH's gastroenterology and medicine teams offer ERCP, including therapeutic ERCP and bile-duct stent placement.