Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to diagnosis many diseases of the pancreas, bile ducts, liver, and gallbladder. During ERCP a lighted tube (endoscope) is passed through the mouth into the first part of the small intestine (duodenum). A small, plastic tube (cannula) is then passed through the endoscope and directed into the bile duct or pancreatic duct. Dye is then injected through the cannula and X-rays are taken to study the biliary and pancreatic passageways.

LET YOUR HEALTH CARE PROVIDER KNOW ABOUT:

• Any allergies youhave.

• All medicines you are taking, including vitamins, herbs, eyedrops, creams, and over-the-counter medicines.

• Previous problems you or members of your family have had with the use of an aesthetics.

• Any blood disorders youhave.

• Previous surgeries you havehad.

• Medical conditions youhave.

RISKS AND COMPLICATIONS

Generally, ERCP is a safe procedure. However, as with any procedure, complications can occur. Possible complications include:

• Pancreatitis.

• Bleeding.

• Accidental punctures in the bowel wall, pancreas, or gallbladder.

• Gall bladder or bile ductinfection.

BEFORE THE PROCEDURE

• Do not eat or drink anything, including water, for at least 8 hours before the procedure or as directed by your health care provider.

• Ask your health care provider whether you should stop taking certain medicines priortoy our  procedure.

• Arrange for someone to drive you home. You will not be allowed to drive for 12–24 hours after the procedure

PROCEDURE

• You will be given medicine through a vein (intravenously) to make you relaxed and sleepy.

• You might have a breathing tube placed to give you medicine that makes you sleep (general anesthetic).

• Your throat may be sprayed with medicine that numbs the area and prevents gagging (local anesthetic), or you may gargle this medicine.

• You will lie in prone position

• The endoscope will be inserted through your mouth and into the duodenum. The tube will not interfere with your breathing. Gagging is prevented by the anesthesia.

• A small sample of tissue (biopsy) may be removed for examination.

This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.