ERCP

What is ERCP?

Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic procedure that uses a combination of X-ray and endoscopy to view the patient's bile and pancreatic ducts.

It is used to diagnose and treat blockages in the bile and pancreatic ducts, which are often caused by gallstones. During the procedure, stones can be extracted and stents can be placed to relieve blockages.

How Do I Prepare for ERCP?

To allow a safe and effective procedure, preparation involves:

• Fasting: Do not eat for at least 8 hours before the procedure.
• Liquids: Stop drinking clear fluids at least 2 hours before.
• Blood thinners: If you are taking blood-thinning medications, a special plan will need to be arranged with Dr Fazal prior to your procedure.
• Diabetic medication: Adjustments may be required - please discuss this with Dr Fazal.
• Pregnancy: The procedure should be postponed unless it is urgent.
• Escort: You must arrange for someone to drive you home after the procedure.

How is ERCP Performed?

You will receive sedation through an intravenous line. A plastic mouth guard is placed to protect your teeth. A flexible endoscope is gently passed through your mouth into the duodenum, where dye is injected into the bile and pancreatic ducts and X-ray images are taken.

If stones are found, they can be extracted. If a blockage is present, a stent may be placed to restore drainage.

What Happens After ERCP?

Bloating and a mild sore throat are typical after the procedure. You will be able to resume clear liquids shortly after. Dr Fazal will discuss the findings and any treatment performed with you before discharge.

Are There Any Risks?

ERCP is a more complex endoscopic procedure and carries some specific risks:

• Pancreatitis: Occurs in 3–5% of cases and is usually mild
• Bleeding: Typically minimal
• Perforation: Rare
• Infection: Rare
• Aspiration: Minimal risk