ERCP & Biliary Interventions are advanced endoscopic procedures used to diagnose and treat selected conditions affecting the bile ducts and, when necessary, the pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) is primarily used as a therapeutic procedure, particularly when a blockage or narrowing requires treatment.
When Is ERCP Recommended?
ERCP may be considered for conditions such as common bile duct stones, bile duct obstruction, cholangitis, benign biliary strictures, bile leaks, and certain pancreaticobiliary disorders. In appropriate cases, doctors can remove stones, widen narrowed ducts, place biliary stents, or obtain tissue samples during the same procedure.
How Does ERCP Work?
During an ERCP procedure, a flexible endoscope is guided through the mouth into the duodenum. Contrast dye and X-ray imaging help the specialist identify abnormalities within the bile or pancreatic ducts. Depending on the findings, therapeutic procedures such as stone removal, sphincterotomy, stricture dilation, or biliary stent placement may be performed.
Preparation and Recovery
Patients are generally advised to avoid eating and drinking for a specified period before ERCP and should discuss medicines, allergies, and existing medical conditions with their doctor. Sedation or anesthesia is used to improve comfort. After the procedure, temporary bloating, nausea, or a sore throat may occur. Recovery instructions vary according to the treatment performed.