Endoscopic Retrograde Cholangiopancreatography
|Liver and Gallbladder|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Blockage of the bile duct
- Blockage of the pancreatic duct
- A leaky duct
- Irritation of the pancreas or liver
- Damage to the esophagus, stomach, small intestine, or bile duct
- History of problems with ERCP
- Bleeding disorders
- Abnormal anatomy
- Poor overall health
What to Expect
Prior to Procedure
- Do not eat for 8-12 hours before the procedure.
- If you have diabetes, discuss your medicines with your doctor.
- Arrange for transportation after the procedure. You should not drive for 24 hours after the procedure.
- Inform your doctor if you have had previous allergic reactions to contrast material.
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medications
- Your throat may be sprayed with a medicine to make it numb.
- You will be given IV medicine to help you relax.
- If your doctor thinks your ERCP will take a long time, you may have general anesthesia. You will be asleep.
Description of the Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Do not drive for at least 24 hours.
- Rest the remainder of the day.
- Resume your normal diet, unless told otherwise by your doctor.
- Do not drink alcohol for 24 hours after your procedure.
- If you were asked to stop taking certain medications, ask your doctor when to resume taking them.
Call Your Doctor If Any of the Following Occurs
- Signs of infection, including fever and chills
- Nausea and/or vomiting or vomiting blood
- Severe abdominal pain
- Black, tar-like stools or bloody stools
American Gastroenterological Association http://www.gastro.org
American Society for Gastrointestinal Endoscopy http://www.asge.org
Canadian Digestive Health Foundation http://www.cdhf.ca
HealthLink BC http://www.healthlinkbc.ca
Cohen S, Bacon BR, et al. National Institutes of Health State-of-the-Science Conference Statement: ERCP for diagnosis and therapy, January 14-16, 2002. Gastrointest Endosc. 2002 Dec;56(6):803-809.
ERCP (endoscopic retrograde cholangiopancreatography). National Digestive Diseases Information Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/ercp. Updated June 29, 2012. Accessed May 30, 2013.
Therapeutic ERCP. American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/patients/patients.aspx?id=398. Accessed May 30, 2013.
- Reviewer: Daus Mahnke, MD; Michael Woods, MD
- Review Date: 05/2013 -
- Update Date: 03/18/2013 -