Why ERCP may be recommended
ERCP is commonly considered when imaging or symptoms suggest a duct blockage, bile duct stone, narrowing or another problem that may benefit from endoscopic treatment. Other imaging tests may be preferred when treatment is not expected.
Preparing for ERCP
Follow the exact fasting and medication plan provided by your team. Share any allergies, previous contrast reactions, pregnancy possibility, medical conditions and use of blood-thinning or diabetes medicines.
What happens
An endoscope is passed through the mouth to the first part of the small intestine. Contrast and X-ray imaging help define the ducts, and selected treatments—such as stone removal or stent placement—may be performed when indicated.
Risks and recovery
ERCP has important risks, including pancreatitis, bleeding, infection, perforation and reactions to sedation. Seek urgent care for severe or worsening pain, fever, repeated vomiting, breathing difficulty, black stools or vomiting blood.
Questions patients often ask
Is ERCP only a diagnostic test?+
It is now often used when treatment may be needed. Less invasive imaging may be used when doctors need diagnostic information alone.
Can ERCP remove bile duct stones?+
Selected bile duct stones may be treated during ERCP, depending on their position, size and the patient's clinical situation.
Will I be sedated?+
Sedation or anaesthesia planning varies. The team will explain the approach and the recovery precautions that apply to you.