ERCP (Endoscopic Retrograde Cholangiopancreatography) is used to evaluate
and treat conditions of the bile duct and pancreatic duct.
It combines endoscopic access with imaging to assess ductal abnormalities
and, when required, perform endoscopic treatment.
What is ERCP
ERCP is performed by advancing an endoscope through the mouth to the duodenum,
where the bile duct and pancreatic duct open.
Contrast imaging is used to visualize the ducts and identify abnormalities.
In addition to diagnostic evaluation, ERCP can be used to perform
therapeutic procedures such as stone removal, drainage, or stent placement.
Conditions that may require ERCP
- Bile duct stones or suspected obstruction
- Jaundice due to bile duct narrowing or blockage
- Cholangitis or recurrent biliary infection
- Pancreatic duct abnormalities
- Biliary or pancreatic strictures
Indication is determined based on symptoms, imaging findings, and overall clinical condition.
How ERCP is performed
The procedure is performed using specialized endoscopic equipment with appropriate monitoring.
Sedation may be used depending on the clinical situation.
When indicated, treatment such as sphincterotomy, stone extraction,
drainage, or stent placement may be performed during the same session.
The approach is selected based on duct anatomy, disease severity, and patient factors.
After the procedure
Patients are monitored after the procedure for complications
and to confirm clinical stability.
Further management, including follow-up or additional treatment,
is determined based on the findings.
Appointment
Appointments are required in principle.
A referral letter from another medical institution is recommended but not mandatory.
For appointment requests and language support, please see the
Gastroenterology page.