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Advanced endoscopic care to remove bile duct stones, relieve blockages and treat pancreatic duct problems, often without open surgery.
What Is ERCP?
ERCP (endoscopic retrograde cholangiopancreatography) combines endoscopy with X-ray imaging to diagnose and treat problems in the bile ducts and pancreatic duct. A specialized endoscope is guided to the opening where these ducts drain into the small intestine.
Dr. Awan performs ERCP at affiliated hospitals including Medical City Denton, Medical City Lewisville and Texas Health Presbyterian Hospital Denton.
ERCP is used when imaging tests or symptoms suggest a problem in the bile or pancreatic ducts.
Removal of gallstones blocking the common bile duct.
Yellowing of the skin or eyes caused by a blocked bile duct.
Narrowing of the bile or pancreatic ducts from scarring, inflammation or tumors.
Clearing stones that trigger inflammation of the pancreas.
Stent placement to help leaks heal, such as after gallbladder surgery.
Sampling tissue and placing stents to relieve blockage from pancreatic or bile duct tumors.
ERCP is performed in a hospital setting by an experienced therapeutic endoscopist.
ERCP is one of the most technically advanced procedures in gastroenterology. It requires specialized training and experience to perform safely and effectively.
Gallstones can slip out of the gallbladder and block the bile duct, causing pain, jaundice, infection or pancreatitis. During ERCP, a small cut can be made in the duct opening (sphincterotomy) and stones are removed with a balloon or basket.
When a duct is narrowed by scarring or a tumor, a plastic or metal stent can be placed to restore drainage. This often relieves jaundice and itching quickly.
Like any procedure, ERCP has risks, including pancreatitis, bleeding, infection and perforation. Dr. Awan will discuss your individual risks and benefits so you can make an informed decision.
No. ERCP is performed in a hospital, where X-ray equipment and anesthesia support are available.
Most ERCP procedures take between 30 and 90 minutes, depending on what treatment is required.
Many patients go home the same day. Some stay overnight for observation, especially if they were already hospitalized or need further care.
Possible complications include pancreatitis, bleeding, infection and, rarely, perforation. Dr. Awan will review these with you before the procedure.
Talk with an experienced gastroenterologist about bile duct and pancreatic conditions. Call our office today.