An endoscopic procedure to remove bile duct stones and relieve blockages of the bile and pancreatic ducts without open surgery.
Overview
ERCP (endoscopic retrograde cholangiopancreatography) combines endoscopy and X-rays to examine and treat the bile ducts and pancreatic duct. These ducts carry digestive juices from the liver, gallbladder and pancreas to the intestine.
During ERCP, the gastroenterologist can remove stones from the bile duct, place a small tube (stent) to relieve a blockage, and take samples, all without a surgical cut.
Who needs this treatment?
- Stones in the bile duct
- Jaundice caused by a blocked bile duct
- Narrowing (stricture) of the bile or pancreatic duct
- Bile leaks after surgery
- Certain types of pancreatitis
Benefits
- Treats bile duct blockages without open surgery
- Rapid relief of jaundice and infection caused by blocked ducts
- Short hospital stay
How it is done
Before the procedure
Blood tests and scans such as ultrasound, CT or MRCP are done. You will need to fast for several hours.
During the procedure
Under sedation or anaesthesia, an endoscope is passed through the mouth to the opening of the bile duct. Contrast dye and X-rays show the ducts, and stones are removed or a stent is placed.
After the procedure
You are observed for a few hours or overnight. Eating is resumed gradually.
Recovery and aftercare
Most people recover within a day or two.
- Report abdominal pain, fever, vomiting or black stools after the procedure
- If a stent was placed, keep your follow-up appointment for its review or removal
Frequently asked questions
If bile duct stones came from gallstones, the gallbladder is usually removed later to prevent further stones. Your doctor will advise you.
This page gives general information. Whether a treatment is right for you, and what it involves, depends on your condition; your doctor will explain the options after examining you.