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Endoscopic Retrograde Cholangiopancreatography (ERCP)
Advanced Diagnosis & Treatment for Biliary and Pancreatic Disorders
What is ERCP?
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a specialized, minimally invasive procedure used to diagnose and treat conditions affecting the bile ducts, gallbladder, pancreas, and liver. Combining endoscopy and fluoroscopic imaging, ERCP allows for both visualization and treatment in a single procedure.
At Central Gastro, we utilize advanced ERCP techniques to provide precise diagnoses and effective treatment, ensuring the best possible outcomes for our patients.
When is ERCP Recommended?
ERCP is commonly used to investigate and treat:
- Bile Duct Blockages or Narrowing (Strictures): Often caused by gallstones, tumors, or scar tissue.
- Pancreatitis (Inflammation of the Pancreas): Diagnosis and treatment of causes such as stones or strictures.
- Cholangitis (Bile Duct Infections): ERCP helps identify and relieve the source of infection.
- Gallstones Stuck in the Bile Duct: Removal of stones that cannot be treated with other methods.
- Bile or Pancreatic Duct Leaks: Resulting from surgery, trauma, or inflammation.
- Suspected Tumors or Cancers: Visualization and biopsy of the bile ducts or pancreas.
How Does ERCP Work?
ERCP combines two powerful tools:
- Endoscopy: A thin, flexible tube (endoscope) with a light and camera is passed through the mouth, down the esophagus, and into the small intestine to access the bile and pancreatic ducts.
- Fluoroscopy (X-Ray Imaging): A special contrast dye is injected to highlight the ducts, allowing detailed imaging of abnormalities.
During ERCP, therapeutic interventions can be performed, such as:
- Stone Removal: Extracting gallstones or pancreatic stones.
- Stent Placement: Insertion of stents to open blocked or narrowed ducts.
- Biopsy: Collection of tissue samples to test for infections or cancers.
- Sphincterotomy: Widening of the duct opening to facilitate drainage and stone removal.
What to Expect During the Procedure
- Preparation: You will be asked to fast for at least 6-8 hours prior to the procedure. Sedation or anesthesia will be administered to ensure your comfort.
- Procedure: The endoscope is carefully guided through the digestive tract. Once the bile and pancreatic ducts are accessed, contrast dye and imaging are used to diagnose or treat any issues.
- Recovery: ERCP is typically performed as an outpatient procedure. After a brief monitoring period, you can return home the same day, though someone should accompany you.
