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Understanding ERCP

May 29th, 2025 | Endoscopy

 A Guide from Dr. Sandeep Pal

Understanding ERCP: Issues with your bile ducts, pancreatic ducts, or gallbladder, your doctor might have mentioned a procedure called ERCP

If you’re experiencing issues with your bile ducts, pancreatic ducts, or gallbladder, your doctor might have mentioned a procedure called ERCP. As your trusted gastroenterologist in Chandigarh, I want to provide you with a clear understanding of what ERCP is, why it’s performed, and what you can expect.

What is ERCP?

ERCP in chandigarh
ERCP
© ERCP Procedure in Chandigarh

ERCP stands for Endoscopic Retrograde Cholangiopancreatography. It’s a specialized procedure that combines upper gastrointestinal (GI) endoscopy and X-rays to diagnose and treat problems of the bile and pancreatic ducts. These ducts are vital for carrying digestive fluids from the liver, gallbladder, and pancreas to the small intestine.

Think of it this way:

  • Endoscopy: We use a long, flexible tube with a camera attached (an endoscope) that is gently guided through your mouth, esophagus, and stomach into the first part of your small intestine (the duodenum). This allows us to directly visualize these areas.
  • Retrograde Cholangiopancreatography: Once the endoscope reaches the opening of the bile and pancreatic ducts, a thin catheter is passed through the endoscope and into these ducts. A contrast dye is then injected, which makes the ducts visible on X-ray images. This helps us identify any blockages, narrowing, or other abnormalities.

Why is ERCP Performed?

ERCP is a valuable tool for diagnosing and treating a range of conditions, including:

  • Gallstones in the bile duct: These can cause pain, jaundice (yellowing of the skin and eyes), and infection.
  • Strictures (narrowing) of the bile or pancreatic ducts: These can be caused by inflammation, scarring, or tumors.
  • Tumors of the bile ducts, pancreas, or gallbladder: ERCP can help in diagnosing and staging these cancers.
  • Pancreatitis: Especially when caused by gallstones or ductal issues.
  • Bile leaks: Following gallbladder surgery or other procedures.

What to Expect During the ERCP Procedure:

At our clinic in Chandigarh, your comfort and safety are our top priorities. Here’s a general overview of what you can expect:

  1. Preparation: Before the procedure, you’ll receive specific instructions, which may include fasting for several hours. We will also discuss your medical history and any medications you’re taking.
  2. Sedation: ERCP is typically performed under sedation to help you relax and minimize discomfort. You’ll be monitored closely throughout the procedure.
  3. The Procedure: The endoscope is carefully inserted through your mouth. You might feel some pressure but usually no pain. Once the endoscope is in the duodenum, the catheter is guided into the bile and pancreatic ducts, and the contrast dye is injected. X-rays are taken to visualize the ducts.
  4. Treatment (if needed): If any abnormalities are found, we can often treat them during the same procedure. This might involve:
  • Removing gallstones: Using specialized instruments.
  • Placing stents: To open up narrowed ducts and allow drainage.
  • Taking biopsies: For further examination under a microscope.

5. Recovery: After the procedure, you’ll be monitored in a recovery area until the sedation wears off. You might experience mild throat discomfort or bloating, which usually subsides quickly. We will provide you with detailed discharge instructions.

Benefits of ERCP:

  • Minimally invasive: Avoids the need for open surgery in many cases.
  • Effective diagnosis and treatment: Allows for direct visualization and intervention within the bile and pancreatic ducts.
  • Relief from symptoms: Can effectively alleviate pain, jaundice, and other complications.

Why Choose Dr. Sandeep Pal for Your ERCP in Chandigarh?

Dr. Sandeep Pal is the best gastro doctor in Chandigarh, committed to providing you with the highest quality of care. We utilize advanced endoscopic technology and adhere to strict safety protocols. Our team will ensure you are well-informed and comfortable throughout the entire process.

If you are experiencing symptoms related to your bile ducts, pancreas, or gallbladder, or if your doctor has recommended an ERCP, please don’t hesitate to contact Dr. Sandeep Pal at his clinic in Sector 33-D, Chandigarh for a consultation. We are here to help you understand your condition and provide the best possible treatment.

Tags: ERCP, Endoscopic Retrograde Cholangiopancreatography, Gastroenterologist Chandigarh, Bile Duct Problems, Pancreatic Duct Problems, Gallstones, Jaundice, Pancreatitis, Stenting, Biopsy, Digestive Health Chandigarh.