A Closer Look at the ERCP Procedure for Precise Diagnosis

When you’re experiencing unexplained abdominal pain, jaundice, or digestive issues, not knowing the cause can be just as stressful as the symptoms themselves. You may have already gone through bloodwork, ultrasounds, or CT scans and still not have clear answers. Don’t lose hope. There is a procedure that can help.

At Consultants in Gastroenterology, we utilize a range of advanced diagnostic tools to thoroughly investigate complex digestive issues. One of those tools is Endoscopic Retrograde Cholangiopancreatography, more commonly known as ERCP.

While the name might sound intimidating, ERCP is a powerful and precise method for diagnosing and treating problems in the bile ducts, gallbladder, and pancreas. Let’s break down what it involves and how it can help you.

What Is ERCP?

ERCP combines endoscopy (a long, flexible tube with a camera) and X-ray imaging to examine the bile and pancreatic ducts. 

We commonly use ERCP to:

  • Identify blockages in the bile ducts
  • Evaluate pancreatitis or pancreatic tumors
  • Detect gallstones stuck in the ducts
  • Place stents to relieve the narrowing of the ducts

What to Expect During the ERCP Procedure

  1. Sedation: An ERCP typically takes 30 to 90 minutes. You’ll be sedated so that you’re comfortable and won’t feel any pain. Most patients don’t remember the procedure at all.
  2. Insertion of the Endoscope: The endoscope is passed through your mouth, down the esophagus, and into the small intestine. Once it reaches the opening of the bile and pancreatic ducts, a special dye is injected, and X-rays are taken.
  3. Treatment if Needed: If a blockage, stone, or narrowing is found, treatment can often be performed on the spot, reducing the need for separate procedures.

Is ERCP Safe?

ERCP is generally very safe when performed by an experienced GI specialist. As with any procedure, there are some risks, including pancreatitis, infection, or bleeding—but these are rare.

Before we schedule your ERCP, we will review your medical history, explain the risks and benefits, and help you make an informed decision about the procedure.

After the Procedure

Most patients are discharged home the same day after a brief observation period. You may have a sore throat or mild bloating, but these usually pass quickly. 

Because of the sedation, you’ll need someone to drive you home from the procedure. You may feel drowsy for the remainder of the day, so plan to rest and take it easy.

If you experience pain, fever, or vomiting after ERCP, contact your doctor right away.

Precision Care, Close to Home

ERCP is just one of the many tools we use to provide accurate diagnoses and effective treatments for complex GI conditions. Our Columbia-based team of gastroenterologists brings years of expertise and a patient-first approach to every procedure. You can trust in our team’s experience and dedication to your well-being. You can schedule gastroenterological procedures at our locations in West Columbia, Northeast Columbia, St. Andrews, and Lexington, SC. 

Need help getting answers? Take the first step towards understanding your health. Schedule a consultation with Consultants in Gastroenterology today. We’re here to guide you through your options and help you make informed decisions about your care.

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