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Endoscopic Retrograde Cholangiopancreatography

 

Medical abbreviation:

ERCP

Type:

Direct view and surgical Intervention

Definition:

ERCP is preformed using an endoscope (a tube with a camera and ports for instruments). The camera is passed via the mouth into the stomach, then into the small bowel, where the camera is inserted into the bile ducts to look at the pancreas and gall bladder.

When would I need this test?

This test is is done by both gastroenterologist and upper gastrointestinal surgeons. The test can be done as a day case. ERCP is usually requested when gallstones are suspected in the gallbladder, bile ducts or pancreatic duct. As well as visualizing the ducts, gallstones can be removed using the endoscope. The test may also be used in the diagnosis of pancreatic and bilary (bile duct) cancer.

Important

It is important you fast overnight before having your test, also you may be asked to stop certain medications. Prior to your procedure, you may be given a sedative, in most cases this is a drug called midazolam.

Risks

These are generally rare when an experienced professional performs ERCP. The potential risks are:

  • Bleeding
  • Perforation
  • Infection
  • Pancreatitis (2-9%, mild inflammation of the pancreas is common)


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