ERCP (Endoscopic Retrograde Cholangiopancreatography)

ERCP combines an endoscope passed through the mouth with X-ray imaging to reach the point where the bile duct and pancreatic duct open into the small bowel. Through it, the doctor can remove bile duct stones, widen narrowings, place stents and take samples.

It treats jaundice and infection caused by a blocked duct without an operation. It has a higher risk than other endoscopies, mainly pancreatitis, so it is used for treatment, while diagnosis is made first by MRCP or endoscopic ultrasound.

What ERCP (Endoscopic Retrograde Cholangiopancreatography) involves

You lie on your front or left side on an X-ray table under deep sedation or general anaesthetic. A side-viewing endoscope is passed through the stomach to the duodenum, where the small nipple-like opening (papilla) is found. A fine catheter and guidewire are threaded into the bile duct and contrast is injected to outline stones or strictures on X-ray. The doctor usually cuts the muscle ring of the opening with a heated wire (sphincterotomy), then sweeps stones out with a balloon or basket. Large stones can be crushed or broken with a laser under direct cholangioscopy. A narrowing is brushed for cells and held open with a plastic or metal stent. A rectal anti-inflammatory suppository is given to reduce the risk of pancreatitis.

Who is a good candidate for ERCP (Endoscopic Retrograde Cholangiopancreatography)?

ERCP is for people with a proven or strongly suspected duct problem that needs treatment.

• Stones in the common bile duct, before or after gallbladder removal
• Jaundice from a tumour of the pancreas or bile duct that needs a stent
• Infection of the bile duct (cholangitis), often urgently
• Bile leak after gallbladder or liver surgery
• Benign strictures, including after liver transplant or in chronic pancreatitis

Es ist normalerweise nicht die richtige Wahl, wenn:

• Purely diagnostic questions, which MRCP or endoscopic ultrasound answers with far less risk
• Gallbladder stones without any duct stones
• Vague abdominal pain with normal liver tests and scans
• Altered anatomy after gastric bypass, which needs special techniques
• Uncorrected clotting problems when sphincterotomy is planned

Technikoptionen

• Sphincterotomy with stone extraction: The standard treatment for duct stones.
• Balloon dilation of the papilla: For large stones, or when cutting is risky.
• Plastic stent: Temporary drainage; must be changed or removed within about 3 months.
• Self-expanding metal stent: Longer-lasting drainage for malignant blockage.
• Cholangioscopy (SpyGlass): A miniature camera inside the duct for laser stone fragmentation and targeted biopsies.

Was passiert während Ihrer Behandlung

The procedure lasts 30 to 90 minutes. You are asleep or deeply sedated and feel nothing. Afterwards you are observed for several hours, as pain in the upper abdomen is the first sign of pancreatitis. Many centres keep you overnight; you sip fluids first and eat lightly if you are comfortable.

Vorbereitung auf Ihre Reise

Usually one session, within a stay of about 4 to 6 days that includes blood tests and MRCP beforehand and observation afterwards. If you have gallbladder stones too, keyhole gallbladder removal is often done in the same admission a day or two later. A plastic stent left in place means another endoscopy within about 3 months, which you should plan before you leave.

• Informieren Sie den Arzt über Medikamente, Allergien, Schwangerschaft oder Stillen und eine Vorgeschichte von Fieberbläschen, Keloidnarben oder Autoimmunerkrankungen
• Vermeiden Sie Alkohol, Aspirin und entzündungshemmende Schmerzmittel für ein paar Tage im Voraus, wenn Ihr eigener Arzt zustimmt, um Blutergüsse zu reduzieren
• Kommen Sie ohne Make-up auf dem Behandlungsbereich an und vermeiden Sie zwei Wochen vorher Sonnenliegen und starke Sonne

Genesung und Ergebnisse

A sore throat and bloating last a day. Most people resume normal activity in 1 to 2 days. Seek help at once for severe abdominal pain, fever, vomiting, black stools or worsening jaundice in the following week. Blood thinners are restarted on the advice of the team.

• Zurück zur alltäglichen Aktivität: 1 bis 2 Tage
• When results show: Jaundice fades over days to 2 weeks
• How long they last: Stones recur in about 10 in 100 over years; stents need planned exchange

Sicherheit, Risiken und Revisionspolitik

ERCP is the highest-risk common endoscopy, and you should hear the figures before consenting.

• Pancreatitis in about 3 to 5 in 100 procedures; usually mild, but occasionally severe
• Bleeding after sphincterotomy, sometimes delayed by days
• Infection of the bile duct or gallbladder
• Perforation of the duodenum or duct in under 1 in 100
• Failure to enter the duct, needing a repeat attempt or another route
• Stent blockage or migration later
• Sedation-related breathing or heart problems

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of ERCP (Endoscopic Retrograde Cholangiopancreatography) in Türkiye

Clinic-Y does not publish a single price for ERCP (Endoscopic Retrograde Cholangiopancreatography), because the honest figure depends on your case. What moves it:

• Stone removal only versus stenting or cholangioscopy
• Type of stent
• Sedation or general anaesthetic and an overnight stay
• Pre-procedure MRCP or endoscopic ultrasound
• Whether a second session is required

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