ERCP

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What is it?

ERCP (Endoscopic Retrograde Cholangiopancreatography) is a procedure that uses a thin, flexible camera and X-ray to diagnose and treat problems in the bile or pancreatic ducts. It helps doctors remove stones, insert stents, or take tissue samples.

Why is it done?

  • Gallstones blocking bile ducts
  • Yellow skin or eyes (jaundice)
  • Bile duct or pancreatic tumors
  • Infections or narrowing of ducts

 

Duration & Recovery Time

  • Procedure duration: 45–60 minutes
  • Recovery time: About 1–2 hours observation; usually home the same day

Before Your Procedure

Diet: Do not eat or drink for at least 6–8 hours before the procedure

Continue medications only if advised by your doctor

Inform your doctor if you are pregnant, take diabetes medications, have heart/lung conditions, or take blood thinners

Arrange for someone to accompany you home

After Your Procedure

Diet: Start with sips of water after the throat numbness wears off. Then move to soft foods like soup, porridge, khichdi. Avoid spicy, oily, or hot food for 24 hours.

Rest & Activity: Rest for the day. Do not drive, consume alcohol, or make important decisions for 24 hours if sedated.

Medications: Resume your regular medications unless advised otherwise. Follow any instructions regarding new prescriptions.

Hygiene: No wound care is needed.

Follow-up: Attend all follow-up visits. Biopsy results (if taken) may take a few days.

Complications may include:

  • Pancreatitis (inflammation of the pancreas)
  • Bleeding or infection
  • Allergic reaction to sedation or dye
  • Very rare risk of a tear (perforation)

See your doctor immediately if you have:

  • Severe abdominal pain
  • Fever or chills
  • Vomiting blood or black stools
  • Increased yellowing of skin or eyes

Not Suitable For (Tell Your Doctor If…)

  • You are pregnant
  • Have severe lung or heart disease
  • Are allergic to iodine contrast
  • Have difficulty swallowing

Patient Frequently Asked Questions

 No, you will be sedated and closely monitored.

You might feel bloated afterward, but you will not feel pain during the procedure.

Yes, after about 1–2 hours. Start with clear liquids, then soft foods.

Some results are immediate. Biopsy results may take a few days.

Yes, it is generally safe. Complications are rare but can include pancreatitis.

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