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Dr. Amjad Awan, MD

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ERCP for Bile Duct & Pancreatic Disorders in Denton, TX

Advanced endoscopic care to remove bile duct stones, relieve blockages and treat pancreatic duct problems, often without open surgery.

What Is ERCP?

Advanced Treatment for the Bile and Pancreatic Ducts

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.

Digestive health care planning at a Denton gastroenterology office

Conditions Treated with ERCP

ERCP is used when imaging tests or symptoms suggest a problem in the bile or pancreatic ducts.

Bile Duct Stones

Removal of gallstones blocking the common bile duct.

Jaundice

Yellowing of the skin or eyes caused by a blocked bile duct.

Strictures

Narrowing of the bile or pancreatic ducts from scarring, inflammation or tumors.

Gallstone Pancreatitis

Clearing stones that trigger inflammation of the pancreas.

Bile Leaks

Stent placement to help leaks heal, such as after gallbladder surgery.

Suspected Tumors

Sampling tissue and placing stents to relieve blockage from pancreatic or bile duct tumors.

Your ERCP, Step by Step

ERCP is performed in a hospital setting by an experienced therapeutic endoscopist.

  1. PreparationFast as instructed and review your medications, especially blood thinners. Dr. Awan explains the benefits and risks in advance.
  2. The ProcedureYou receive sedation or anesthesia. ERCP typically takes 30 to 90 minutes depending on the treatment needed.
  3. RecoveryYou are monitored after the procedure. Some patients stay overnight for observation.
  4. Follow-UpDr. Awan reviews the results and plans any follow-up, such as stent removal or exchange.

Why ERCP Is Done by a Specialist

ERCP is one of the most technically advanced procedures in gastroenterology. It requires specialized training and experience to perform safely and effectively.

Treating Bile Duct Stones

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.

Relieving Blockages with Stents

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.

Understanding the Risks

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.

ERCP FAQs

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 to Our Team

Request an Appointment

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Questions About ERCP?

Talk with an experienced gastroenterologist about bile duct and pancreatic conditions. Call our office today.