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Endoscopic Retrograde Cholangiopancreatography (ERCP) Surgery

Endoscopic retrograde cholangiopancreatography, or ERCP, is a specialized technique used to study the bile ducts, pancreatic duct and gallbladder. Book your Free appointment today with the best laparoscopic surgeons available only at Pristyn Care.

Endoscopic retrograde cholangiopancreatography, or ERCP, is a specialized technique used to study the ... Read More

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What is ERCP?

ERCP stands for endoscopic retrograde cholangiopancreatography. It is a minimally invasive diagnostic and therapeutic procedure used to examine and treat conditions affecting the bile ducts, pancreas, and gallbladder.

During an ERCP, an endoscope (a long, flexible tube with a camera and light on the end) is inserted through the mouth and down into the first part of the small intestine. A small catheter is then passed through the endoscope and into the common bile duct or pancreatic duct, where a contrast dye is injected to make the ducts visible on X-ray imaging.

ERCP can be used to diagnose and treat a variety of conditions, including gallstones, kidney stones, pancreatic cancer, bile duct cancer, and chronic pancreatitis. If a blockage is found during the procedure, it can often be treated by inserting specialized tools through the endoscope to remove stones, widen narrowed ducts, or place DJ stents to keep the ducts open.

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Best Healthcare Center for ERCP in India

Pristyn Care is one of the most trusted and reliable healthcare providers in India that offers the latest and modern diagnostic tests. We have more than 150 clinics and 400+ partnered hospitals across the country. With Pristyn Care, more than 800 specialized doctors provide treatment in almost all the major cities of India.

We work towards making the patient’s treatment journey hassle-free. Our clinics and partner hospitals are well-maintained, have the best infrastructure, and are well-equipped with modern technology. 

Along with providing treatments, we curate additional services like insurance support, a No-cost EMI facility, complimentary meals, consultations with the best doctors, etc. We take care of everything, starting from the initial consultation to post-surgical care. Book your appointment now to consult our laparoscopic specialists. 

When is ERCP required?

Finding the source of unexplained abdominal pain or skin and eye yellowing may require an ERCP. If you have pancreatitis or cancer of the liver, pancreas, or bile ducts, this test can help determine other issues as well, such as:

  1. Blocked bile ducts that contain stones
  2. Leakage of liquid from the pancreatic or bile ducts
  3. Pancreatic duct obstructions or narrowing
  4. Tumors
  5. Infection in the bile ducts 

What Happens in ERCP?

ERCP is a procedure that combines endoscopy and fluoroscopy to examine and treat conditions of the bile ducts, pancreas, kidney and liver. 

Procedure

During the procedure, a thin, flexible tube with a camera on its end, called an endoscope, is passed through the mouth, esophagus, stomach, and into the duodenum (the first part of the small intestine).

Once the endoscope is in place, a contrast dye is injected into the bile ducts or pancreatic ducts, and X-rays are taken to create images of these structures. The images can help diagnose conditions such as gallstones, tumors, or inflammation.

If a problem is detected during the procedure, therapeutic interventions can be performed, such as removing gallstones or placing a stent to help keep a narrowed or blocked bile duct open.

ERCP is generally performed under sedation or anesthesia, and complications such as bleeding, infection, or pancreatitis are possible but rare. 

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How to Prepare for ERCP?

Here are some instructions to help you to get prepared for ERCP. 

  1. Your surgeon will provide you with instructions about the procedure and ask you about your medical history. 
  2. Do not eat or drink for 8 hours before the procedure. Your surgeon will suggest some diet plan also. 
  3. Make sure to inform your surgeon if you are allergic to any dye, latex tape or anesthesia etc. 
  4. Inform your doctor if you are taking any medications or supplements. 
  5. Tell your healthcare provider if you have a history of bleeding disorders. 
  6. Stop taking medicines like aspirin, ibuprofen, warfarin, or any supplements that may cause blood thinning.

How to Recover after ERCP?

After ERCP, you will be taken to a recovery area where you will be monitored until you are awake and alert. The time spent in recovery can vary depending on the sedation used during the procedure and your overall health after the procedure.

Here are some general tips to help with your recovery after ERCP:

  1. Rest: You may feel drowsy or tired for several hours after the procedure. Plan to rest for the rest of the day and avoid strenuous activity for the next few days.
  2. Follow Instructions: Your doctor will provide you with specific instructions to follow after the procedure. This may include dietary restrictions, medication changes, and monitoring for any complications.
  3. Hydration: Drink plenty of fluids to help flush out the contrast dye from your body and prevent dehydration.
  4. Pain Relief: It is common to experience mild discomfort or bloating after ERCP. Your doctor may prescribe medication to help manage pain or discomfort.
  5. Watch for Complications: In rare cases, complications can occur after ERCP. Contact your doctor immediately if you experience severe pain, fever, chills, persistent nausea or vomiting, or bleeding.

It is important to follow your doctor’s instructions carefully and attend any follow-up appointments to ensure a full and speedy recovery after ERCP.

What are the Risks and Complications of ERCP?

ERCP is generally a safe and effective procedure, but like any medical procedure, it carries some risks and potential complications. Some of the risks and complications of ERCP include:

  • Bleeding:  Bleeding can occur at the site of the biopsy or the insertion of the endoscope.
  • Pancreatitis: This is one of the most common complications of ERCP, which includes inflammation of the pancreas. This complication can be serious and require hospitalization.
  • Infection: There is a risk of infection, particularly if the procedure involves injecting dye into the bile or pancreatic ducts.
  • Perforation: In rare cases, ERCP can cause a tear or perforation in the wall of the bile or pancreatic ducts.
  • Allergic reaction: There is a small risk of having an allergic reaction to the contrast dye used during the procedure.
  • Cardiac events: ERCP may trigger cardiac events in people who have pre-existing heart conditions.
  • Other complications: Other rare complications of ERCP include bowel perforation, aspiration, or aspiration pneumonia.

FAQs Around ERCP

Why might I need ERCP?

You may need ERCP to find the cause of abdominal pain, jaundice, etc. Here are some diseases that may be detected with an ERCP:

  1. Blockage or stones in the bile ducts 
  2. Tumors 
  3. Infection in the kidney
  4. Blockage or stones in the kidney
  5. Infection in the pancreas

Is ERCP a surgical procedure?

An ERCP is a minimally invasive interventional procedure that is part of the diagnostic and treatment plan for a number of gastrointestinal conditions. You will be required to  dedicate about a day to the procedure and recovery. You may experience substantial relief as a result of this intervention.

What is the difference between ERCP and endoscopy?

The main difference between the two is that endoscopic ultrasound utilizes high-frequency sound waves to generate a virtual image and the ERCP procedure uses a video camera. These two techniques are commonly used for examining organs like the liver, gallbladder, and pancreas.

How long is recovery after ERCP?

You might feel discomfort when swallowing for at least 48 hours after an ERCP. This discomfort can last for several weeks, but it gets better. If you have any bloating or tummy discomfort, this might be from the air that we put into your stomach during the procedure. This is normal and should settle within 24 hours.

What foods to avoid after ERCP?

  1. Juices 
  2. Wine 
  3. Caffeine-based beverages 

Who is a candidate for ERCP?

Patients with symptoms that suggest diseases or conditions of the liver, gallbladder, bile ducts, pancreas and pancreatic ducts are candidates for ERCP.

Is it normal to vomit after ERCP?

Many ERCP complications exhibit similar symptoms, such as fever, vomiting, and abdominal pain.