Endoscopic Retrograde Cholangiopancreatography (ERCP)
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal endoscopy with X-rays. It is employed to detect and manage issues within the bile and pancreatic ducts. This procedure helps doctors to identify and diagnose conditions concerning your ducts, such as gallstones, tumours, and strictures.
At Apollo Hospitals in Jubilee Hills, our esteemed gastroenterologists hold expertise in performing ERCP procedures with great precision. With top doctors, advanced technologies, and remarkable success rates, we stand as the best hospital in Hyderabad for ERCP procedures.
Clinical Application
Diagnosis
- Choledocholithiasis
- Cholangiocarcinoma
- Bile Duct Adenoma
- Bile Duct Cysts
- Bile Duct Injury
- Bile Duct Strictures
- Sphincter of Oddi Dysfunction
- Pancreatic Cancer
- Pancreatic Adenocarcinoma
Treatment
- Extracting bile duct stones.
- Conducting a sphincterotomy to enhance drainage or eliminate stones from the ducts.
- Placing stents to bypass strictures or constricted segments of the bile or pancreatic ducts.
- Performing tissue sampling to obtain samples from the papilla, bile ducts, and pancreatic ducts.
- Executing balloon dilation by inflating to widen narrowed sections of your bile ducts.
What Happens in ERCP?
- Prior to the procedure, your doctor will inquire about any allergies, your medical history, prescribed medications, and regular supplement intake. You may be asked by your doctor to temporarily discontinue them.
- Throughout an ERCP procedure, sedation will be administered via an intravenous needle in your arm to induce relaxation and ensure your comfort. Doctors will monitor your vital signs.
- The physician will apply anaesthesia spray to the back of your throat or provide a liquid anaesthetic for gargling. Depending on your preference and consultation with the doctor, general anaesthesia may also be administered in certain cases.
- The doctor will skillfully guide the endoscope down your oesophagus, through your stomach, and into your duodenum while you lie on the examination table. A small camera attached to the endoscope will transmit a video image to a monitor. To enhance visibility, air will be gently pumped into your stomach and duodenum through the endoscope. X-ray views will be obtained from different angles.
- After capturing X-rays of the biliary system, the small tube for dye injection will be directed to the pancreatic duct. Subsequently, X-rays will be taken following the injection of a contrast dye into the pancreatic duct. During the X-ray procedure, you may be asked to change positions again.
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