{"id":542,"date":"2026-01-16T03:20:06","date_gmt":"2026-01-16T03:20:06","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=542"},"modified":"2026-04-11T03:56:13","modified_gmt":"2026-04-11T03:56:13","slug":"ercp","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/ercp\/","title":{"rendered":"ERCP \u2014 Bile Duct &#038; Pancreatic Duct"},"content":{"rendered":"<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">\n    ERCP (Endoscopic Retrograde Cholangiopancreatography)\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Target area<\/div>\n<div class=\"disease-kpi__value\">\n    Bile duct and pancreatic duct\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Approach<\/div>\n<div class=\"disease-kpi__value\">\n    Endoscopic evaluation and treatment when indicated\n  <\/div>\n<\/div>\n<\/div>\n<p class=\"disease-lead\">\n  ERCP (Endoscopic Retrograde Cholangiopancreatography) is used to evaluate<br \/>\n  and treat conditions of the bile duct and pancreatic duct.<br \/>\n  It combines endoscopic access with imaging to assess ductal abnormalities<br \/>\n  and, when required, perform endoscopic treatment.\n<\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What is ERCP<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        ERCP is performed by advancing an endoscope through the mouth to the duodenum,<br \/>\n        where the bile duct and pancreatic duct open.<br \/>\n        Contrast imaging is used to visualize the ducts and identify abnormalities.\n      <\/p>\n<p>\n        In addition to diagnostic evaluation, ERCP can be used to perform<br \/>\n        therapeutic procedures such as stone removal, drainage, or stent placement.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Conditions that may require ERCP<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<ul>\n<li>Bile duct stones or suspected obstruction<\/li>\n<li>Jaundice due to bile duct narrowing or blockage<\/li>\n<li>Cholangitis or recurrent biliary infection<\/li>\n<li>Pancreatic duct abnormalities<\/li>\n<li>Biliary or pancreatic strictures<\/li>\n<\/ul>\n<p class=\"disease-muted\">\n        Indication is determined based on symptoms, imaging findings, and overall clinical condition.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>How ERCP is performed<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        The procedure is performed using specialized endoscopic equipment with appropriate monitoring.<br \/>\n        Sedation may be used depending on the clinical situation.\n      <\/p>\n<p>\n        When indicated, treatment such as sphincterotomy, stone extraction,<br \/>\n        drainage, or stent placement may be performed during the same session.\n      <\/p>\n<p class=\"disease-muted\">\n        The approach is selected based on duct anatomy, disease severity, and patient factors.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>After the procedure<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Patients are monitored after the procedure for complications<br \/>\n        and to confirm clinical stability.\n      <\/p>\n<p>\n        Further management, including follow-up or additional treatment,<br \/>\n        is determined based on the findings.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Appointments are required in principle.<br \/>\n          A referral letter from another medical institution is recommended but not mandatory.\n        <\/p>\n<p class=\"disease-muted\">\n          For appointment requests and language support, please see the<br \/>\n          <a href=\"\/en\/departments\/gastroenterology\/#contact\">Gastroenterology<\/a> page.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What we do ERCP (Endoscopic Retrograde Cholangiopancreatography) Target area Bile duct and pancreatic duct Approach Endoscopic evaluation and treatment when indicated 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. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":526,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-542","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=542"}],"version-history":[{"count":4,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/542\/revisions"}],"predecessor-version":[{"id":1383,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/542\/revisions\/1383"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/526"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}