ERCP is an invasive procedure which is done with the help of an endoscope. In this procedure a special type of scope is used which has the camera facing sidewise. The aim of this procedure is to accessing the bile duct or pancreatic duct. The bile duct carries the bile secreted from liver into the duodenum while Pancreatic duct carries the digestive enzymes secreted by the pancreas into the duodenum. Both of these ducts open through a small common channel into the duodenum called as ampulla and internal opening is called papilla. This procedure is commonly utilized for (common bile duct) CBD stones, bile duct stricture (narrowing), bile duct cancers, pancreatic cancers leading to jaundice, pancreatic duct stone or strictures. It’s a therapeutic procedure and not commonly used for diagnostic reasons. The risks of the procedure are Pancreatitis (swelling of pancreas), cholangitis (infection of bile duct), bleeding, perforation etc. which happens less than 5% of times. This procedure is done under anaesthesia and usually requires hospitalization for a day.

Diagnostic Capabilities

ERCP allows our skilled gastroenterologists to visualize the bile ducts and pancreatic ducts using a flexible endoscope equipped with a camera and specialized tools. This procedure is crucial for diagnosing conditions such as
  • Bile Duct Stones: ERCP can identify and remove stones lodged in the bile ducts, which can cause jaundice, pain, and infection.

  • Biliary Strictures: Narrowing of the bile ducts due to scarring or inflammation can be diagnosed and treated during ERCP.

  • Pancreatic Duct Disorders: ERCP helps in evaluating and treating conditions affecting the pancreatic ducts, such as strictures or stones.

Therapeutic Interventions

In addition to diagnosis, ERCP offers therapeutic options to treat various bile duct and pancreatic disorders:

  • Stone Removal (Stone Extraction): Stones in the bile ducts or pancreas can be removed using specialized tools passed through the endoscope.

  • Stent Placement: ERCP allows for the placement of stents (small tubes) in narrowed bile ducts or pancreatic ducts to improve drainage and relieve blockages.

  • Dilation (Balloon or Mechanical): Narrowed areas of the bile ducts or pancreatic ducts can be dilated during ERCP using balloons or mechanical devices.

Common Surgeries and Procedures

If ERCP identifies complex issues such as large or impacted stones, strictures, or tumors, surgical interventions may be recommended:

  • Cholecystectomy: Surgical removal of the gallbladder, often performed alongside ERCP for patients with gallstones and bile duct obstruction.

  • Pancreatic Surgery: Surgical procedures such as pancreaticoduodenectomy (Whipple procedure) may be required for conditions like pancreatic cancer or severe chronic pancreatitis.