ERCP

What Is ERCP?

ERCP is an endoscopic procedure used to visualize and treat the bile ducts and pancreatic ducts.

ERCP stands for Endoscopic Retrograde Cholangiopancreatography and is used for both diagnosis and treatment. Through this procedure, bile stones can be removed, bile ducts can be opened, and tumors can be identified. Interventions such as stent placement can also be performed. It is an effective and minimally invasive method for diseases of the pancreas and biliary system. Patients usually undergo the procedure under sedation and are often discharged the same day.

How Is ERCP Performed?

An endoscope is inserted through the mouth to reach the bile and pancreatic ducts, where specialized tools are used for intervention.

The procedure is typically performed under sedation or light anesthesia. The endoscope is advanced into the stomach and small intestine to access the bile and pancreatic ducts. With the help of X-ray imaging, contrast dye is injected to visualize these channels. If stones are present, they are removed. If narrowing exists, it is widened or a stent is placed. ERCP usually takes 30 to 60 minutes, depending on the intervention. Patients are observed briefly afterward.

Why Is ERCP Performed?

ERCP is performed to diagnose and treat blockages, stones, tumors, or narrowing in the bile or pancreatic ducts.

One common reason is blockage caused by bile stones or infection in the bile ducts. ERCP can relieve obstruction, drain infection, or place a stent to restore flow. Pancreatic duct strictures, tumors, and complications after gallbladder surgery can also be managed. Since imaging and treatment occur in the same session, ERCP often resolves issues without the need for surgery.

Who Is a Candidate for ERCP?

ERCP may be performed in patients with confirmed bile duct or pancreatic duct disorders.

It is commonly used for bile stones, duct narrowing, obstruction, tumors, and pancreatitis. If previous imaging does not provide a clear diagnosis, ERCP may offer additional information. Patients with abnormal liver function tests, jaundice, or upper abdominal pain may be suitable candidates. The procedure is planned individually after medical evaluation.

When Is ERCP Necessary?

ERCP may be necessary when there is obstruction, stones, tumors, or narrowing in the bile ducts.

In cases where bile stones block the bile duct, ERCP removes the stones and restores drainage. If pancreatic duct narrowing or tumors are present, the affected area can be opened. Symptoms such as jaundice, abdominal pain, pancreatitis, or infection may require ERCP. It is also used diagnostically when liver tests are abnormal. As a surgical alternative, ERCP provides both diagnosis and treatment.

How Long Does ERCP Take?

ERCP generally takes between 30 and 60 minutes, though it may take longer in complex cases.

The duration depends on the required intervention. Simple imaging may be shorter, while stone removal or stent placement extends the procedure time. Sedation or anesthesia prevents discomfort. Afterward, patients are monitored and often discharged the same day. The planned intervention is the main factor influencing duration.

Is ERCP Dangerous?

Although ERCP carries some risks like any medical procedure, it is generally safe when performed by experienced specialists.

Common complications include pancreatitis, infection, bleeding, or rarely intestinal perforation. These occur at low rates and are usually manageable with early intervention. The benefits of ERCP often outweigh potential risks in serious conditions. Patient health status and preparation affect complication risk. With proper patient selection, the procedure is completed safely.

Which Diseases Can Be Diagnosed with ERCP?

ERCP can diagnose stones, tumors, strictures, and obstructions in the bile and pancreatic ducts.

Is Pain Felt During ERCP?

Because sedation or light anesthesia is used, pain is generally not felt during ERCP.

Patients remain comfortable throughout the procedure. Mild pressure, throat irritation, or gas fullness may occur but are not considered severe pain. Most patients are in a sleep-like state during the intervention. Temporary mild discomfort may appear afterward. If anxiety or discomfort arises, additional comfort measures can be provided.

Possible Complications After ERCP

As with any medical procedure, complications may occur after ERCP, though severe cases are rare.

The most common complication is pancreatitis, which may cause abdominal pain and digestive symptoms. Bleeding may occur, especially if dilation or stone removal was performed. Infection risk exists, particularly in cases of bile duct obstruction. Rarely, intestinal perforation may occur and require further treatment. Any concerning symptoms should be reported immediately.

ERCP Prices 2026

ERCP Treatment 2026 price information may vary depending on examinations, surgery plan and hospital process. For the most accurate and up-to-date price information, you can get information from our line at +90 (505) 311 77 36.

Is ERCP Performed with Sedation?

Yes, ERCP is usually performed under sedation to ensure comfort.

Sedation allows the patient to remain relaxed without pain. Depending on complexity, mild or deep sedation may be chosen. In some cases, general anesthesia may be required. Sedation improves both comfort and procedural success. Most patients recover quickly and are discharged the same day.

Can Pancreatitis Occur After ERCP?

Pancreatitis is one of the most common complications after ERCP and requires monitoring.

It is usually mild and responds to treatment within a few days. Symptoms may include abdominal pain, nausea, or vomiting. The risk increases when bile duct interventions are performed. Early diagnosis and supportive care help control most cases. Preventive measures may be taken before the procedure.

Is ERCP or MRCP Safer?

MRCP is safer in terms of risk because it is non-invasive compared to ERCP.

MRCP uses magnetic resonance imaging without internal intervention, so complication risk is minimal. However, MRCP is diagnostic only and cannot provide treatment. ERCP offers both diagnosis and therapy but carries procedural risks. The choice depends on the patient’s condition and clinical findings.

Is ERCP Done Before Gallbladder Removal?

If a bile stone has moved into the bile duct, ERCP may be performed before gallbladder surgery.

The procedure removes stones from the duct and restores bile flow. Gallbladder removal can then be planned. In cases of acute pancreatitis or obstructive jaundice, ERCP is often prioritized. This reduces surgical risks and prevents infection-related complications.

When Can You Eat After ERCP?

Eating usually begins after sedation effects wear off and with physician approval.

A few hours after the procedure, fluids or soft foods may be introduced. Because throat irritation may occur, initial meals should be light and easy to swallow. Eating before full recovery of reflexes is not advised. If additional interventions were performed, dietary progression may be delayed. Individual instructions are provided by the physician.