Endoscopic Retrograde Cholangiopancreatography
|Liver and Gallbladder|
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Reasons for Procedure
- Blockage of the bile duct
- Blockage of the pancreatic duct
- A leaky duct
- Irritation of the pancreas ( pancreatitis ) or liver (hepatitis)
- Damage to the esophagus, stomach, small intestine, or bile duct
- Pancreatitis (irritation of the pancreas)
- History of problems with ERCP
- Bleeding disorders
- Abnormal anatomy
- Poor overall health
What to Expect
Prior to Procedure
- Do not eat for 8-12 hours before the procedure.
- If you have diabetes, discuss your medicines with your doctor.
- Arrange for transportation after the procedure. (You should not drive for 24 hours after the procedure.)
- Inform your doctor if you have had previous allergic reactions to contrast material.
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Your throat may be sprayed with a medicine to make it numb.
- You will be given IV medicine to help you relax.
- If your doctor thinks your ERCP will take a long time, you may have general anesthesia . You will be asleep.
Description of the Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Do not drive for at least 24 hours.
- Rest the remainder of the day.
- Resume your normal diet, unless told otherwise by your doctor.
- Do not drink alcohol for 24 hours after your procedure.
- If you were asked to stop taking certain medicines, ask your doctor when to resume taking them.
Call Your Doctor If Any of the Following Occurs
- Signs of infection, including fever and chills
- Nausea and/or vomiting or vomiting blood
- You develop severe abdominal pain
- You pass black, tar-like stools or have bloody stools
American Gastroenterological Association (AGA) http://www.gastro.org/
American Society for Gastrointestinal Endoscopy http://www.asge.org/
National Digestive Diseases Information Clearinghouse (NDDIC) http://digestive.niddk.nih.gov/index.htm
BC Health Guide, British Columbia Ministry of Health http://www.healthlinkbc.ca/kbaltindex.asp
Canadian Digestive Health Foundation http://www.cdhf.ca/
Cohen S, Bacon BR, Berlin JA, et al. National Institutes of Health State-of-the-Science Conference Statement: ERCP for diagnosis and therapy, January 14-16, 2002. Gastrointest Endosc . 2002 Dec;56(6):803-809.
Feldman M. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease . 7th ed. Philadelphia, PA: Saunders; 2002.
Yamada, T. Textbook of Gastroenterology . 4th ed. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2003.
- Reviewer: Daus Mahnke, MD
- Review Date: 12/2011 -
- Update Date: 12/30/2011 -