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Endoscopic Retrograde Cholangiopancreatography (ERCP) is an endoscopic procedure that examines the bile ducts, pancreas, and gallbladder. ERCP is performed using an endoscope (a long, flexible, lighted tube) and fluoroscopy (a type of real-time X-ray).
Doctors often recommend endoscopy to evaluate:
Endoscopy can also be used to take a biopsy or to help treat some digestive conditions. In the colon, polyps can be removed through the endoscope to help prevent colon cancer.
To begin, patients receive a local anesthetic, either gargled or sprayed on the back of the throat. If sedatives are to be administered, a needle will be inserted into a vein in the arm. During the procedure, doctors and medical staff will closely monitor vital signs while patients remain sedated.
During the ERCP, you may be instructed to lie on your back or side. Your gastrointestinal specialist will insert an endoscope through the esophagus, stomach, and into the duodenum. A small camera attached to the endoscope transmits video, allowing your doctor to view the area. A catheter is then threaded through the endoscope and guided to the papillary opening. Your gastroenterologist will inject a dye into the ducts, which will be visible under x-ray, helping identify any narrowed areas or blockages.
ERCP does not require any special preparation, but you will need to fast for at least six hours before the procedure. Your gastroenterologist in Concord will likely tell you to avoid eating or drinking anything after midnight on the night before your procedure. You may be asked to stop taking certain medications before the procedure as well. Be sure to follow your doctor's instructions carefully.
View complete ERCP prep instructions.
An ERCP takes anywhere from 30 minutes to an hour. After the procedure, patients are taken to a recovery room where they will be monitored for any complications. Most people can go home the same day.
No, ERCP (Endoscopic Retrograde Cholangiopancreatography) is generally a safe procedure. While complications are relatively rare, they can occur, especially in certain high-risk individuals or when the procedure is complex. Be sure to discuss these risks with your doctor before the procedure. Risks associated with ERCP may include:
Perforation (tearing) of the bile duct, pancreas, or intestine
Infection
Allergic reaction to the dye or sedatives used
Breathing problems due to sedation
You will need to bring a driver with you to the procedure as sedation will be used during the procedure. You will also want to wear comfortable clothing as you will be lying down for the procedure.
You should bring any important medical information with you, such as a list of medications you are taking, your insurance card, and a photo ID.
Yes, ERCP typically requires sedation or anesthesia to ensure patient comfort and cooperation during the procedure. General anesthesia or deep sedation with medications like propofol is commonly used to achieve this.
For ERCP, patients typically receive a local anesthetic, either gargled or sprayed on the back of the throat. If sedatives are e given, a needle is inserted into a vein in the arm. During the procedure, doctors and medical staff monitor vital signs while patients are sedated.
Yes, contrast dye is an essential component of ERCP. It is injected into the bile and pancreatic ducts during the procedure to allow for X-ray imaging, which helps visualize the anatomy and identify any abnormalities such as stones, strictures, or tumors.
After ERCP, patients are usually advised to refrain from eating or drinking until the effects of sedation wear off and they are fully awake and alert. This typically takes a few hours, but specific instructions may vary depending on individual circumstances.
