Endoscopic Retrograde Cholangiopancreatography (ERCP)
What is ERCP?
Endoscopic Retrograde Cholangiopancreatography (ERCP) is an advanced medical procedure that combines endoscopy and X-ray imaging to diagnose and treat conditions affecting the bile ducts, pancreas, and gallbladder.
During ERCP, a thin, flexible tube called an endoscope is gently passed through the mouth into the duodenum (the first part of the small intestine). A small camera attached to the endoscope helps the doctor locate the bile ducts and pancreatic ducts.
Once the ducts are identified, a special contrast dye is injected, and X-ray images are taken to detect any blockages, narrowing, stones, or abnormalities.Using ERCP, doctors can also:
- Remove gallstones
- Place stents to open narrowed ducts
- Take biopsies (tissue samples)
- Drain infected or blocked ducts
At Daya General Hospital, Thrissur, our experienced gastroenterologists perform ERCP with precision and care, ensuring accurate diagnosis and effective treatment.
Why is ERCP done and when is it recommended?
Your doctor may recommend ERCP if symptoms or imaging suggest a problem in the bile ducts, gallbladder, or pancreas. Common reasons include:
- Gallstones in the bile duct – Detecting and removing stones that may cause pain, infection, or jaundice.
- Pancreatitis – Finding the cause and relieving fluid build-up.
- Bile duct blockages – Identifying and treating blockages that can lead to jaundice or liver damage.
- Pancreatic or bile duct cancer – Taking tissue samples (biopsies) for diagnosis.
- Unexplained abnormalities – Further evaluating unusual findings from CT or MRI.
How is ERCP different from other procedures?
ERCP is unique because it combines diagnosis and treatment in a single procedure. Here’s how it stands out:
- Compared to scans (CT/MRI): ERCP provides direct visualization of the ducts, offering more accuracy.
- Compared to surgery: ERCP is minimally invasive, meaning faster recovery and less risk.
- Compared to regular endoscopy/colonoscopy: ERCP is highly specialized and performed only by trained gastroenterologists.
- Compared to medicines: ERCP can directly remove stones, clear blockages, or place stents, rather than just managing symptoms.
At Daya General Hospital, we use advanced endoscopic technology, ensuring safe and effective outcomes.
What to expect after an ERCP procedure?
Recovery after ERCP is usually quick. Most patients can return to normal activities within a few days. Here’s what you should know:
- Mild bloating, nausea, or abdominal discomfort may occur for a short time.
- Sedation is used, so you’ll need someone to accompany you home.
- Avoid heavy lifting and strenuous activity for a few days as advised by your doctor.
- Watch out for warning signs such as fever, severe abdominal pain, or bleeding and report them immediately.
- With proper care, most patients recover smoothly and experience significant relief from their symptoms.
Frequently Asked Questions (FAQs)
1. Is ERCP painful?
No. ERCP is performed under sedation or anesthesia, so you won’t feel pain during the procedure.
2. How long does ERCP take?
On average, the procedure takes 30 to 90 minutes, depending on the complexity.
3. Is ERCP safe?
Yes, ERCP is generally safe when performed by experts. Rare complications may include infection, bleeding, or pancreatitis.
4. How should I prepare for ERCP?
You’ll be advised to avoid food and drinks for 6–8 hours before the procedure. Inform your doctor about medications and health conditions.
5. Where can I get ERCP in Thrissur?
Daya General Hospital, Thrissur, offers expert ERCP services with advanced endoscopic facilities and highly experienced gastroenterologists.
