United States Department of Veterans Affairs

VA Pittsburgh Healthcare System

Gastroenterology and Hepatology


Endoscopic Retrograde Cholangiopancreatography (ERCP)

ERCP is a procedure that is used to view the common bile duct to help locate and treat blockages in the duct. It may also be used to locate pancreas problems. 

Links 

GI&Hepatology Home

Barrett's Esophagus

Colonoscopy

Endoscopic Ultrasound

ERCP

Esophageal Manometry

Small Bowel Capsule Endoscopy

Upper GI Endoscopy

 

Preparing for ERCP

  • Talk to your doctor about any health problems or allergies you have, and medications you take.
  • Ask your doctor about the risks of ERCP. These include pancreatitis, infection, bleeding, and bowel perforation.
  • You may be asked to take antibiotics ahead of time.
  • Avoid blood-thinning medications for 1 week before ERCP (consult with your Primary Care Provider or cardiologist).
  • Do not eat or drink for 8–12 hours before ERCP.
  • Have someone ready to take you home.

One week prior to your procedure STOP taking multivitamins and iron pills. You SHOULD CONTINUE taking all of your other medications, including early in the morning on the day of the procedure.

If you are a diabetic, do not take your insulin of diabetic medication the morning of your exam.

Morning of the procedure take all important medications (for heart, high blood pressure or seizure disorders) as prescribed with a small amount of water.

Location: 
University Drive VA-Unit 9-West | (412)360-6235

If you have any questions, call (412)360-6177 or 1-866-482-7488 extension 606177 (GI lab) between 7:30a.m.- 4:00p.m.

illustration of ERCP
The endoscope moves from the mouth, through the upper digestive tract, to the common bile duct opening.

illustration of ERCP
A balloon at the tip of a catheter opens above the stone. The stone is pulled out of the duct and leaves your body through stool.

The Procedure
ERCP takes 20–90 minutes. You may be given medication through an IV to help you relax. Your throat is numbed. A thin tube (endoscope) is placed into your throat. The endoscope lets the doctor see the common bile duct on a video screen. A cut may be made where the common bile duct opens to the duodenum to make it easier to remove stones. As blockages are located and removed, x-rays are taken. Contrast dye is injected through a catheter to make the duct show up better on the x-rays.

After ERCP
Your doctor may discuss the test results right away or a return visit may be scheduled. You may go home the same day or spend the night in the hospital. Follow these tips:

  • You can return to a normal routine the day after the ERCP.
  • Avoid high-fat foods after the procedure. Ask your doctor how long you should follow this low-fat diet.
  • If a cut was made in the duct, avoid blood-thinning medications such as aspirin for 5–7 days.
  • Call your doctor right away if you have a fever or abdominal pain. These may be signs of an infection.