ERCP Procedure in Montgomery County, Maryland

What is Endoscopic Retrograde Cholangiopancreatography?

Endoscopic Retrograde Cholangiopancreatography, commonly known as ERCP, is a minimally invasive
medical procedure that combines endoscopy and X-ray imaging. During ERCP, a flexible tube with a
camera at the tip (endoscope) is used to examine and treat problems in the bile ducts and pancreatic
duct.

Why is Endoscopic Retrograde Cholangiopancreatography performed?

ERCP is performed for several reasons:

Diagnosis: It helps diagnose conditions like gallstones, tumors, or strictures in the bile or pancreatic
ducts.
Treatment: ERCP allows for the removal of gallstones, drainage of blocked ducts, or the placement of
stents to keep ducts open.

Biopsy: Tissue samples can be obtained for further evaluation of diseases.
What are the risks of Endoscopic Retrograde Cholangiopancreatography?
While ERCP is generally safe, it carries some risks, including:

Pancreatitis: Inflammation of the pancreas.
Bleeding: Rarely, bleeding may occur.
Infection: Risk of infection, though low.
Perforation: A tear or hole in the gastrointestinal tract.
Preparing for your Endoscopic Retrograde Cholangiopancreatography

To prepare for your ERCP:

Fasting: You will need to fast for several hours before the procedure.
Medications: Inform your doctor about any medications you are taking.
Medical History: Provide a complete medical history, including allergies and previous surgeries.
Informed Consent: Understand the procedure, its risks, and benefits, and give your informed consent.
How is Endoscopic Retrograde Cholangiopancreatography performed?

During ERCP:

Sedation: You'll receive sedation to ensure comfort during the procedure.
Endoscope Insertion: The endoscope is passed through your mouth and into the stomach and
duodenum.
Contrast Injection: A contrast dye is injected into the ducts for X-ray imaging.
Treatment: If necessary, stones are removed or stents are placed.
Monitoring: The procedure is closely monitored by the medical team.

After ERCP:

Recovery: You will be observed until the effects of sedation wear off.
Diet: Gradually resume a normal diet, starting with clear liquids.

Discharge: Most patients can go home the same day.
Follow-up: Attend scheduled follow-up appointments.
For any concerns or complications, contact your healthcare provider immediately.