Treatment when a bile duct problem needs intervention
ERCP stands for endoscopic retrograde cholangiopancreatography. It combines an endoscope and X-ray imaging to access the bile and pancreatic ducts. It is mainly a therapeutic procedure, not a routine investigation for every episode of abdominal pain.
Assessment before the decision
Selected patients with bile duct stones, obstruction, narrowing or a postoperative bile leak may benefit from ERCP. The doctor reviews symptoms, liver tests and imaging and considers alternatives such as MRCP or EUS. Mentioning EUS here explains an alternative investigation; it is not a statement that an EUS service is available at the center.
Risks and follow-up
Important risks include pancreatitis, bleeding, infection, perforation and sedation-related problems. A procedure may be incomplete or require another intervention. If a stent is inserted, ask why it was needed, whether it must be removed or replaced and when that should happen. Do not assume a temporary stent can remain indefinitely.
Arrange a review of your reports
Bring ultrasound, CT or MRI reports and images if available, blood results, details of previous surgery or ERCP, stent records, and your medicine and allergy list. The team will confirm the appropriate setting, preparation and timing. A booking request does not itself confirm that an ERCP will be performed.
Jaundice with fever, severe persistent abdominal pain, confusion or collapse needs urgent assessment. After ERCP, severe pain, fever, bleeding or breathing difficulty should not wait for a routine review.
Read the ERCP patient guide · Request an assessment · ASGE patient information