1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Endoscopy Retrograde Cholangiopancreatography ERCP

Learn how ERCP diagnoses and treats bile duct disorders, gallstones, and blockages. This minimally invasive technique helps restore normal bile and pancreatic fluid flow. Get expert care and detailed procedure insights for optimal digestive health.

Watch Now
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare

Video Instructions

Written Instructions

Areas Examined & Treated

Areas
  • Biliary System

The Procedure

Endoscopy Retrograde Cholangiopancreatography ERCP

Diagnostic
  • ERCP is an endoscopic procedure used to identify the presence of stones, tumors, or narrowing in the biliary & pancreatic ducts
  • ERCP can also help find cancer or non-cancerous lesions
  • After the endoscope with x-ray is properly placed, a catheter is advanced which will inject a contrast agent through the ducts
  • ERCP can help diagnose problems following gallbladder surgery
Therapeutic
  • Gallstones can be removed from the bile duct & sometimes from the pancreas
  • ERCP to put in a small plastic tube called a "stent" if your bile duct is blocked
  • ERCP can help treat problems following gallbladder surgery

Before Your Procedure

Schedule Your Procedure

Appointment Schedule your procedure appointment with GastroDoxs by phone @ 832-632-4070 or in the office
Location
  • A procedure location will be suggested based on your insurance & geographic area
  • Please refer to the locations page on our website
Insurance Our team will obtain the required insurance prior authorization, if needed
Financial GastroDoxs procedure fees will be collected when you schedule your procedure
Orders Our team will send your procedure orders to the surgery center
Transportation
  • Do not plan to drive after your procedure
  • You must have someone 18 years old or above to drive you home
  • No Uber | Lyft | Cab
Changes To cancel or reschedule, call or text GastroDoxs @ 832-632-4070

Register with the Surgery Center

General A representative from the hospital or surgery center will call you to discuss the registration process, time & location of your procedure
Clinical

The pre-assessment testing team will discuss the following:

  • Clearance if necessary
  • Medical History
  • Medications
  • Pre-anesthesia questionnaire
  • Surgical history
Financial
  • Hospital, anesthesia & pathology fees are independent from GastroDoxs
  • The other fees not related to GastroDoxs are to be discussed directly with the other providers, hospital or surgery center
  • If you have not heard from the financial representative 24 hours before your procedure, call them at that time

Clearance

Cardiac
Hematology
Neurology
Pulmonary
  • You may need a clearance if you have high risk conditions requiring clearance
  • You may need a follow-up with your Doctor or Provider before they can issue a clearance
  • Our team will send your Doctor or Provider a clearance request from our office
  • Once our team has your clearance on file, we will call you to schedule your procedure
  • You may need a clearance if you are on blood thinners or these medications
    • Apixaban [Eliquis]
    • Clopidogrel [Plavix]
    • Dabigatran [Pradaxa]
    • Edoxaban [Savaysa]
    • Prasugrel [Effient]
    • Rivaroxaban [Xarelto]
    • Ticagrelor [Brilinta]
    • Warfarin [Coumadin & Jantoven]

Medications

2 Weeks Before Hold - GLP1 Agonist Medication:
  • Dulaglutide (Trulicity)
  • Exenatide (Byetta)
  • Exenatide Extended Release(Bydureon BCise)
  • Liraglutide (Victoza)
  • Lixisenatide (Adlyxin)
  • Semaglutide (Ozempic, Wegovy, Rybelsus)
  • Tirzepatide (Mounjaro)
1 Week Before
  • Hold > Anti-Diarrheal Medication - Imodium, Kaopectate, Pepto-Bismol
  • Hold > Iron Tablets
  • Hold > Multivitamins
1 Day Before
  • Hold > Oral Diabetes Medication
  • Insulin > Take ½ the dose
Procedure Day
  • Blood Pressure Medication > as instructed by the pre-assessment team
Other
  • Continue to take your medications unless specified below
  • Blood thinners will require a clearance on file before scheduling
  • The pre-assessment team (PAT) will review your medications & may make other recommendations also

Diet Instructions

1 Day Before
  • Stop - All food after 12am - midnight
  • Stop - All liquids after 12am - midnight
Procedure Day No food or liquids on the procedure day

Procedure Day

Diet No food or liquids on the procedure day
Arrival
  • Please ensure you arrive 1-1.5 hours before your procedure
  • You will check in at registration when you arrive
Pre-Procedure
  • The clinical team will go through the clinical assessment as well as risks & benefits of the procedure
  • The anesthesia team will explain all aspects before the procedure
  • Consent forms the procedure will need to be signed
Sedation
  • An intravenous line will be inserted into your arm to administer medication
  • You will be given intravenous sedation medication during the procedure
Position You will be instructed to lie on the left side with your knees up to your chest
Visualization After sedation, the endoscope with x-ray is inserted through the mouth & gently advanced to visualize the biliary pancreatic ducts
Diagnostic
  • If any diagnostic tissue samples or biopsies are required it can be obtained through the endoscope with x-ray during the procedure
  • Biopsies may be taken
Therapeutic
  • If intervention is required, it will be done during the procedure
  • Stones, strictures may be removed & photographs may be taken
Pathologist
  • Biopsies are tissue samples that are reviewed by a Pathologist under the microscope
  • The Pathologist will determine the nature of the tissue samples
  • The Pathologist will send the reports to our office
Follow-Up
  • Our providers will review the report in detail
  • The findings will be reviewed with you in detail upon follow-up

After Your Procedure

Recovery
  • You will be under observation for 30 minutes to monitor for any symptoms
  • You will be awake within 30 minutes but may still be groggy for 12-24 hours
  • Do not plan to drive the remainder of the day after your procedure
Transportation
  • Do not plan to drive after your procedure
  • You must have someone 18 years old or above to drive you home
  • No Uber | Lyft | Cab
Symptoms

Normal post procedure symptoms:

  • Bloating
  • Gas
  • Slight abdominal pain
  • Some diarrhea
  • Weakness

Abnormal post procedure symptoms:

  • Bleeding
  • Excessive vomiting
  • Fever >100
  • Severe abdominal pain
  • Any other severe or unusual symptoms
  • Please call 911 & go to the nearest emergency room
Appointment Ensure that you have a follow-up 2-3 weeks after the procedure
Results
  • Your results will be discussed in detail
  • Treatment recommendations will be given
Questions Call or text GastroDoxs @ 832-632-4070

Frequently Asked Questions

What is endoscopic retrograde cholangiopancreatography used for?

ERCP is used to diagnose and treat bile duct and pancreatic disorders, such as gallstones, strictures, tumors, pancreatitis, and bile duct obstructions by combining endoscopy and fluoroscopy.

What are the techniques used in endoscopic retrograde cholangiopancreatography?

Techniques include contrast injection for imaging, sphincterotomy (cutting the sphincter), stent placement, balloon dilation, and stone removal, all performed using an endoscope and X-ray guidance.

How do you prepare for endoscopic retrograde cholangiopancreatography?

Fast for at least 6-8 hours before the procedure, stop certain medications if advised, arrange for someone to drive you home, and follow your doctor's pre-procedure instructions. For a detailed guide, visit our preparation page.

What are the complications of endoscopic retrograde cholangiopancreatography?

Possible complications include pancreatitis, infections (cholangitis), bleeding, perforation of the intestine, allergic reaction to contrast dye, and anesthesia-related side effects. These risks are rare but serious.

What is another name for ERCP?

ERCP is also called Endoscopic Cholangiopancreatography, as it involves visualizing and treating bile and pancreatic ducts using an endoscope and contrast-enhanced imaging.

We can help

Schedule Now
Call Us