Endoscopic Retrograde Cholangiopancreatography (ERCP) in Gurgaon

What is Endoscopic Retrograde Cholangiopancreatography (ERCP)?

ERCP is a specialized medical procedure that combines endoscopy and fluoroscopic imaging to diagnose and treat conditions affecting the bile ducts, gallbladder, pancreas, and liver. It allows your doctor to both visualize and treat problems such as bile duct stones, strictures (narrowing), or blockages.

During ERCP, a thin, flexible tube called an endoscope is passed through the mouth, esophagus, and stomach into the duodenum (the first part of the small intestine). A contrast dye is then injected into the bile and pancreatic ducts, and X-ray images are taken to detect abnormalities or blockages.

ERCP not only provides detailed imaging but also enables therapeutic interventions like stone removal, stent placement, or dilation of narrowed ducts - all within a single session.

Why Might You Need an ERCP?

Your gastroenterologist may recommend ERCP in Gurgaon for both diagnostic and therapeutic reasons, including:

• Gallstones that have moved into the bile duct and are causing obstruction.
• Jaundice (yellowing of skin and eyes) due to bile duct blockage.
• Unexplained upper abdominal pain or pancreatitis.
• Bile or pancreatic duct strictures or leaks.
• Tumors or cancers affecting the pancreas, bile ducts, or gallbladder.
• Evaluation of abnormal imaging results, such as CT or MRI findings.

By combining diagnosis and treatment in a single procedure, ERCP helps avoid more invasive surgical methods and promotes faster recovery.

Preparing for an ERCP Procedure

Before undergoing Endoscopic Retrograde Cholangiopancreatography in Gurgaon, your doctor will review your medical history, current medications, and allergies.
Preparation Tips:

• You’ll need to fast for at least 6–8 hours before the procedure..
• Inform your doctor about any blood-thinning medications or heart conditions.
• Arrange for someone to accompany you, as mild sedation is used during the procedure.
• Patients with diabetes may need specific instructions regarding insulin or oral medications before fasting.

How the ERCP Procedure is Performed

• Sedation – You’ll be given mild sedation or anesthesia to ensure comfort.
• Endoscope Insertion – A flexible tube (endoscope) is gently guided through your mouth into the duodenum.
• Contrast Dye Injection – A special dye is injected into the bile and pancreatic ducts.
• X-ray Imaging – High-quality fluoroscopic images reveal blockages, stones, or strictures.
• Therapeutic Steps – Depending on the findings, Dr. Sukrit Singh Sethi may remove bile stones, insert stents, or perform sphincterotomy (opening of the duct).

What to Expect After an ERCP

After the procedure, you’ll be moved to a recovery area until the sedative wears off. Mild throat discomfort, bloating, or nausea may occur temporarily. Most patients are discharged the same day but should avoid driving or operating machinery for 24 hours.
Dr. Sethi will discuss your results and recommend further care or follow-up investigations as needed. Patients typically return to normal activities within 1–2 days.

Risks Associated with ERCP

At Gutwell Clinic, ERCP is performed under stringent safety protocols by experienced specialists, minimizing the risk of complications.
While ERCP is generally safe, as with any invasive procedure, it carries certain risks. These include:

• Pancreatitis (inflammation of the pancreas) – usually mild and temporary.
• Infection or bleeding – rare but possible at the treatment site.
• Allergic reaction to dye or sedatives.
• Perforation (tear) – extremely rare, but requires prompt medical attention.