Your Notifications
All done, no notifications

ERCP (Diagnostic) Surgery Cost

The procedure known as endoscopic retrograde cholangiopancreatography, or ERCP, is used to identify and treat issues with the pancreas, liver, gallbladder, and bile ducts. It combines the use of an endoscope—a long, flexible, illuminated tube—with X-ray technology. The scope is guided by your healthcare professional via your mouth and neck, esophagus, stomach, and duodenum, the first portion of the small intestine. Your medical professional can look inside these organs to see if there are any issues. He or she will next insert a dye into a tube and pass it through the scope. This makes the X-ray organs more visible.

Factors that affect the cost of ERCP (Diagnostic):

  • Hospital location: If you choose a hospital in another Indian city instead of a metropolis, the cost of the ERCP surgery there may be greater than usual.
  • The healthcare provider's level of expertise: Higher consultation and treatment service fees may be charged by the treating physician if they have extensive experience in the area.
  • Anesthesia type: Although an ERCP test is typically conducted under anesthesia, the kind of anesthesia administered—complete or local—may have an impact on the cost of the ERCP procedure because full anesthesia may be more expensive than local anesthesia.
  • Need for stenting: The type of stent that is surgically implanted during an ERCP procedure may also affect the cost of the surgery. Furthermore, it could be necessary to remove any stents that have already been implanted. Therefore, the total cost of treatment may also be impacted by the expense of ERCP stent removal.
  • Additional procedures: If the doctors believe there is a malignant development, a biopsy may be performed in addition to the ERCP treatment. In addition to its primary function of providing an inside image of the abdominal region, ERCP can also be used to remove stones. The cost of ERCP treatment may go up as a result of these operations.
CountryCostLocal_currency
United KingdomUSD 2545 - 50532011 - 3992
TurkeyUSD 4900 - 6000147686 - 180840
SpainUSD 40003680
United StatesUSD 1100011000
SingaporeUSD 5000 - 80006700 - 10720

Treatment and Cost

3

Total Days
In Country
  • 0 Day in Hospital
  • 2 No. Travelers
  • 3 Days Outside Hospital

Treatment cost

Get a Quote

54 Hospitals

The cost for ERCP (Diagnostic) ranges from USD 1620 - 2110 in Fortis Hiranandani Hospital


Fortis Hiranandani Hospital located in Mumbai, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a bed capacity of 138.
  • The healthcare organisation is present on a 1, 20,000 sq. ft. area.
  • A super ICU enables healthcare delivery to critically conditions.
  • Fortis Hiranandani Hospital, Mumbai possesses world class diagnostic equipment.
  • Attractive healthcare packages are available.
  • Over 5 lakh patients have been treated till date.
  • Over 13 years of experience in healthcare delivery.
  • There are more than 38 health departments.
  • 150 plus beds are available in the hospital.
  • The hospital has many specialty areas, some of the important ones are Cardiology & Cardiac Surgery, Gastroenterology & Gastrointestinal Surgery, Gynecology & Obstetrics, Neurology & Neurosurgery etc.

View Profile

21

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

Please Enquire

Required | alphabets and spaces
Required | A valid, working email address
Required | A valid contact

NOTE: With this information, I as a user, give MediGence the permission to access my healthcare related data and information to help me get the expert opinion. Read our Privacy Policy for more information.

The cost for ERCP (Diagnostic) ranges from USD 4680 - 5220 in Medicana Camlica Hospital


Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 150 bedded Hospital
  • Specialty-based clinics
  • Fully-equipped patient rooms

View Profile

31

DOCTORS IN 14 SPECIALITIES

20+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1580 - 2030 in Pushpawati Singhania Research Institute


Pushpawati Singhania Research Institute located in New Delhi, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed hospital with state-of-art infrastructure
  • Advanced medical equipment
  • High-tech labs
  • Modular operation theaters
  • Cath labs with Clarity Platform, 128 channel CARTO 3 version 4 with ICE mapping facility, FD 10 Prucka 2D EP system
  • High-end Intensive Coronary Care Unit
  • Dedicated Pre-Post Cath Unit
  • Multislice CT Scan, 1.5 Tesla MRI
  • 24 *7*365 functional cardiac Cath lab & operation theatre
  • Fifteen bedded Coronary Care Unit
  • 3D, 4D Echo & Trans-oesophageal Echo, Non Invasive cardiology (Holter, TMT, Echo, 24hrs ambulatory BP Monitoring
  • Radio Frequency Ablation like Complex Arrhythmia such as ischemic VT, AF with 3 D Mapping imaging
  • RFA using ICE Intra-cardiac Echo
  • Well-equipped inpatient and intensive care services
  • Ultra-modern Blood Bank Facility
  • Advanced Physiotherapy center, 24/7 Emergency &Trauma services
  • Gastroenterology department equipped with Capsule endoscopy, Endoscopic retrograde cholangiopancreatography, Single balloon enteroscopy, High resolution esophageal and anorectal manometry, Endoscopic ultrasound, and hydrogen breath test
    Sustained low-efficiency daily dialysis and Continuous Renal Replacement Therapy
  • Exhaled Nitric oxide (FeNO) and allergy testing for the management of asthma
  • Conventional PAP/ Liquid PAP/ HPV-DNA test for the patients with the High risk of cervical cancer

View Profile

28

DOCTORS IN 12 SPECIALITIES

20+

FACILITIES & AMENITIES

  • Global Team of Board Certified Surgeons and Medical Specialists
  • Written Second Opinion report delivered within 5 days
  • Option to avail the Video Consultation with the Lead Doctor of the board

Access Our most trusted Medical Second Opinion

Required | alphabets and spaces
Required | A valid, working email address
Required | A valid contact

Thumbay University Hospital, Ajman located in Ajman, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a 250 bed capacity.
  • Excellent quality of healthcare facilities and services at par with developed countries.
  • Multilingual and multinational healthcare professionals working in the Thumbay Hospital Ajman (belonging to 20 nations and fluent in 50 plus languages).
  • Equipped with the newest facilities to ensure highest standards of healthcare delivery to patients at economical costs.
  • Dedicated, compassionate and highly educated healthcare professionals work in Thumbay Hospital Ajman.
  • Well developed diagnostic facilities are also available.
  • A 24/7 functioning emergency care department and advanced facilities in Radiology.
  • There is presence of an ultramodern Catheterization Lab (Cath Lab) and Electrosurgery Cryotherapy in dermatology, Interlocking intramedullary nailing.
  • Also available under dental departments Panoramic, digital intra-oral X-rays, Cephalogram are present.
  • Some of the important specialties in Thumbay Hospital Ajman are:
    • Ear, nose, and throat
    • Cardiovascular
    • Bariatric surgery
    • General surgery
    • Urology
    • Nephrology


View Profile

23

DOCTORS IN 14 SPECIALITIES

20+

FACILITIES & AMENITIES


Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:

  • An outpatient department, 56-beds for inpatients
  • 13 advanced operation theatres
  • 24-hour intensive care unit
  • Emergency Department
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility

View Profile

5

DOCTORS IN 14 SPECIALITIES

3+

FACILITIES & AMENITIES


The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals. 

In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients. 

The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.

Other Services

  • Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
  • The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
  • Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others 
  • 7 Examination Cabinets 
  • The pediatric patients waiting room 
  • Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices

Types of Room

Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.

A cafeteria/Restaurant is also available for the patients or visitors.


View Profile

12

SPECIALITIES

4+

FACILITIES & AMENITIES


Max Healthcare Hospital in Shalimar Bagh is one of India's most prestigious super-specialty hospitals, providing patients with specialized treatment services in almost all major medical disciplines. It is a member of one of the country's healthcare groups, MAX Healthcare, and takes pride in having successfully treated over 400,000 patients. Max Super Specialty Hospital's Shalimar Bagh branch was established in 2011 and is the first center in India to receive HIMSS stage '6' recognition. The center was awarded the First Global Green OT accreditation, in addition to being accredited by NABH and NABL for its super-specialty facility.

Furthermore, the hospital's doctors are quite well-known for developing innovative and groundbreaking clinical procedures.

Several disciplines that Max hospital in Shamilar Bagh specializes in are Cardiology, Neurosciences, Oncology, Minimal Access Metabolic Surgery, Joint Replacement, Bariatric Surgery, Nephrology, Trauma, and Critical Care, Orthopaedics, Urology, Kidney Transplant, etc.  With over 4,00,000 patients who have undergone successful treatments, the hospital at Shalimar Bagh is regarded as one of the best medical institutes in Delhi and the country.

Along with being one of the most recognized hospitals in Delhi, Max Hospital in Shalimar Bagh is also recommended as the best for its cancer care unit, which uses the most recent developments in radiation therapy, such as Image Guided RT (IGRT), Intensity Modulated RT (IMRT), Stereotactic Radiosurgery (SRS), Stereotactic Body Radiation (SBRT), and various types of Brachytherapy, such as Intraoperative RT (IORT).

The doctors at Max Hospital's (Shalimar Bagh) comprehensive cancer center offer limb conservation surgery, cosmetic reconstruction surgery, minimally invasive surgery, hyperthermic intraoperative peritoneal chemotherapy, and sphincter preservation surgery in addition to some other advanced treatments.


View Profile

19

DOCTORS IN 16 SPECIALITIES

20+

FACILITIES & AMENITIES


The Amrita Institute of Medical Sciences and Research Centre was established in 1998 by Mata Amritababdamayi Devi. It has 7 branches all over India and is accredited by ISO, NABH, and NABL. The hospitals offer a wide range of specialty and primary healthcare and medical services. It has a team of 800 doctors along with 2600 plus beds including 534 critical care beds and 81 specialties. The hospitals offer advanced and cutting-edge medical treatments ranging from cardiac sciences to radiation oncology.  It has 12 super-specialty departments along with 45 other departments.

Asia’s first Bilateral Hand Transplant Surgery was done at Amrita Hospital, Kochi, in 2015. Many awards have been received by the hospitals such as National Healthcare Excellence Award for Best Hospital (CSR Category) in India by FICCI in 2013, India Healthcare Award for the Paediatric Heart Program in 2014, British Medical Journal Award for the Best Surgical Team in South Asia, 2015, and FICCI Healthcare Excellence Awards for Patient Safety and Innovation in Medical Technology. What truly sets the medical services provided by AIMS is the commitment to treating every patient with the utmost kindness, respect, and empathy. The goal is to make patients empowered and take charge of their well-being through healthcare, medical technologies, and education that is patient-centric for early intervention and prevention.

Amrita Hospital in Faridabad is a multispeciality hospital that provides patients with emergency, consultation, diagnostic, rehabilitative treatment, and recovery. It comprises centers for Radiation Oncology, Neurosciences, Bone diseases, Gastro-sciences, Mother and Child care, Cardiac sciences, and Trauma transplants through fully-automated innovative laboratories, the latest cardiac and cath labs, and advanced medical imaging. It houses 670 faculty members, 4500 supporting staff, and a multidisciplinary children’s infirmary with fetal and maternal medicines and pediatric subspecialties. The hospital also runs India’s most comprehensive facility for infectious diseases.


View Profile

13

DOCTORS IN 14 SPECIALITIES

15+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1640 - 2160 in Apollo Hospital


Apollo Hospital located in Chennai, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery

View Profile

42

DOCTORS IN 13 SPECIALITIES

20+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1550 - 2080 in Fortis Hospital


Fortis Hospital located in Noida, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a capacity of as many as 200 beds.
  • There are also 7 operation rooms.
  • Emergency trauma unit of the hospital is an epitome of excellence.
  • The laboratories are made to make diagnosis and analysis a strong part of the treatment process.
  • Numerous organ transplants have been performed and continued to be performed in this healthcare organization.
  • The dialysis unit of the Fortis Hospital Noida is definitely worth a mention, as is its position as a referral hospital for renal ailment treatments.
  • The critical care procedures of the hospital are a major attraction.
  • The hospital has a smoothly functioning 24/7 Emergency centre and its Cardiac Centre for Excellence is well renowned.

View Profile

33

DOCTORS IN 12 SPECIALITIES

20+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1510 - 2130 in Indraprastha Apollo Hospital


Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.  

Let’s see some of the features of the infrastructure:

  • Spread over 15 acres, the hospital has 710 beds.
  • 6 beds dedicated to bone marrow transplant units with very strict infection control practices.
  • 64-Slice Scan coupled with data acquisition which provides highest temporal resolution
  • One of the hospitals to be using Da Vinci Robotics Surgery System
  • In South Asia, the Spect-CT and Pet-CT got their first installation at Indraprastha Apollo Hospital in India
  • Technologies such as PET- MR, BrainLab Navigation System, PET-CT, Portable CT Scanner, Tilting MRI, NovalisTx, Cobalt based HDR Brachytherapy, Hyperbaric Chamber, DSA Lab, Fibroscan, 3 Tesla MRI, Endosonography, 128 Slice CT scanner are all installed at the hospital.
  • The Cancer Institute at Indraprastha Apollo is equipped with a highly advanced Radiation Oncology Center with ClinaciX, NovalisTx, and HDR-Brachytherapy.
  • It is equipped with the largest Sleep Lab in Asia, & has one of the largest Dialysis Units in India.
  • A large number of ICU beds than any other Private Hospitals in India.
  • WIFI is accessible across the whole campus.

View Profile

61

DOCTORS IN 14 SPECIALITIES

20+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1600 - 2100 in VPS Lakeshore Hospital


VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Advanced hi-tech healthcare facility
  • Innovative diagnostic & therapeutic medical technologies
  • Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
  • Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
  • Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
  • Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
  • State-of-the-art-hemodialysis Units
  • Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
  • 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
  • Joint preservation techniques include autologous chondrocyte implantation
  • Cutting edge operation theaters & world-class transplant ICUs
  • Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
  • Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow

View Profile

23

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES


With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations

View Profile

14

SPECIALITIES

6+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 1570 - 2160 in Manipal Hospital, Dwarka


Manipal Hospital, Dwarka located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • 380 beds with 13 modular state-of-art OTs, 118 critical care beds, along with technological advancements like automated pneumatic chute system, telemedicine, remote monitoring, artificial intelligence, virtual reality, augmented thinking, EMR, etc.
  • 24X7 emergency and trauma services

View Profile

33

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

The cost for ERCP (Diagnostic) ranges from USD 4670 - 5190 in Guven Hospital


Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients

View Profile

23

DOCTORS IN 14 SPECIALITIES

5+

FACILITIES & AMENITIES

About the ERCP (Diagnostic)

ERCP procedure or Endoscopic Retrograde Cholangio-Pancreatography is an assessment as well as a procedure meant for rectifying problems in bile and pancreatic ducts. This is considered to be a very critical and life saving procedure involving an endoscope. Examination of critical areas needs to be done and rectification has to be done immediately with planned procedural steps.

Who needs an ERCP?

An ERCP procedure is recommended in order to diagnose the status of bile ducts and the pancreas and if there are problems discovered during diagnosis then they are treated as well. The procedure is appropriate in order to do evaluation of symptoms that are suggestive of certain diseases prevalent in these organs. It is also used as a method of reconfirmation of abnormal results generated from ultrasound, CT scan or imaging tests and blood tests. If CT scan reveals abnormal mass or stones in these organs then ERCP is recommended.

The procedure can even be performed before and after a gall bladder surgery to help in the conducted operation’s performance in overall. If there are stones or tumours of both cancerous and non cancerous nature then they can be removed with the help of ERCP procedure from bile ducts and pancreas. If there have been any complications noted during gall bladder surgery then those can also be diagnosed with the help of this. Patients having any pancreatic disease or suspected disorder for them the ERCP method can suggest the requirement of surgery and the type of surgery that may be best for the treatment. In some cases pancreatic stones can be addressed and removed with the help of ERCP procedure.

Causes of ERCP

Causes of the problems are mainly because of narrowing or blockage of the bile ducts and pancreatic duct. Gall stones are formed and they get stuck to the common bile duct thus requiring surgical interventions. Gall stones are usually formed of cholesterol in maximum cases while for 20% cases it is a result of calcium and pigments like bilirubin giving rise to stones. Other causes can be imbalance of diet and irregular lifestyle giving rise to infection. Alcohol drinking and fatty food consumption results in acute and chronic pancreatitis.

Symptoms of ERCP

The way to know that you may be a patient requiring ERCP is:

  • Abdominal cramps
  • Fever and Nausea
  • Vomiting tendency with occasional bleeding
  • Irritation felt in the stomach
  • General fatigue experienced

 

How is ERCP (Diagnostic) performed?

The surgery technique makes use of a combination of luminal endoscopy compiled with fluoroscopic technique of imaging for the purpose of diagnosing and performs treatment of conditions that are associated with pancreatobiliary system. A side viewing instrument named the duodenoscope is utilized in the endoscopic portion that is made to travel through the esophagus and reach the stomach to access the duodenum’s second portion which is the part of small intestine.

In ERCP Sphincterotomy both fluoroscope and endoscope are employed and deep cannulation is done of the bile duct which is then followed by the sphincter of Oddi’s severance with electrocautery (heating).

Coming back to conventional ERCP, next the duodenal pailla is identified with the scope in the position discussed above and further inspection is carried out to find any abnormalities. The duodenal papilla is like a structural protrusion of the ampulla of Vater or the hepatopancreatic ampulla into the duodenal lumen. The ventral pancreatic duct and the common bile duct have a convergence point and that is this ampulla. So this ampulla behaves like a channel for draining pancreatic secretions and bile into the duodenum.

If contrast is injected into the pancreatic duct or if the pancreatic duct gets cannulated for quite a number of times then a temporary pancreatic duct stent placement or rectally administered NSAIDS (diclofenac or indomethacin) has to be considered. This has to be considered aiming to reduce the post-ERCP pancreatitis (PEP) risks. For PEP prophylaxis these two prevention modalities have shown some promise.  Somatostatin, gabexate, heparin, nitroglycerin, allopurinol, steroids, octreotide and many more pharmacological agents have been studied but the results found were pretty disheartening.

In the second portion or segment of the duodenum, the minor duodenal papilla is also located and it behaves like an access point for the dorsal pancreatic duct. Dorsal pancreatic duct’s evaluation with ERCP is seldom performed and the ERCP indications are further discussed below:

With the side viewing endoscope the papilla is closely examined and then selective cannulation of the ventral pancreatic duct or common bile duct is performed. Once the cannulation of the selected duct is performed then either pancreatogram of the pancreatic duct or cholngiogram of common bile duct is obtained fluoroscopically with the injection of a material that is radiopaque contrasting in nature is done into the duct. These days ERCP is considered by surgeons like a therapeutic surgery where abnormalities that are observed via a fluoroscope can be particularly addressed by the methods of specialized accessories that can be passed via the endoscope’s working channel.

This procedure is a very advanced process and as a result of this serious complications tend to occur at a higher frequency than many other endoscopic processes. As per that special training and specialized devices and equipments are employed and for appropriate indications only this procedure is employed.

Indications that have been recorded for biliary diseases are given below:

Assessment of biliary obstruction and its treatment secondary to choledocholithiasis- if ascending cholangitis, worsening pancreatitis or worsening jaundice which are persistent are present then Precholecystectomy ERCP may be indicated.

  • With intraoperative cholnagiography or common bile duct exploration without the extraction of stone, treatment of choledocholithiasis is identified during cholcystectomy.
  • Bile duct stricture assessment and subsequent treatment- bening and malignat strictures and and congenital abnormalities of the bile duct.
  • Postoperative complications
  • Postoperative biliary leaks’ treatment and assessment
  • Sphincter of Oddi dysfunction of selected patients, their assessment with treatment with little benefit in modified Milwaukee classification type III patients
  • For recurrent and acute pancreatitis for which the underlying cause is unknown in patients; their treatment followed after assessment
  • Symptomatic strictures associated with chronic pancreatitis; assessment and treatment
  • Symptomatic pancreatic duct stones; their treatment after assessment
  • Symptomatic duct stones’ assessment and treatment

Pancreatic malignancies can be diagnosed and the indications are:

  • Biopsy and brushing of the bile duct
  • Pancreatoscopy
  • Intraductal ultrasonography

There are also indications for ampullary diseases like

  • Assessment of ampullary malignancy
  • Ampullary adenomas’ assessment and treatment

If a patient has the possibilities of developing post ERCP pancreatitis, then the process of diagnosis grows apparent within some hours after the procedure. The patient shall experience severe pain in abdomen back pain and nauseated feelings may be accompanied with vomiting sensation) and some amount of fever is also common. But then the observation period does not stretch beyond an hour after the ERCP procedure and is not enough time for checking for post ERCP Pancreatitis. For evolving post ERCP pancreatitis a two hour serum or urinary amylase level (>1000IU/L) is highly predictive if the patient can be kept under observation for a longer duration of time.

Another kind of procedure closely related to ERCP is the employment of miniature endoscopes that can be inserted via the operating channel of the duodenoscope. These can be directly inserted into the pancreatic or the bile duct. The interior side of the duct can be visualized and accordingly biopsies can be taken. There remain other possibilities for therapeutic interventions.

If in the common bile duct the bile duct stones are seen then the opening of the papilla will be made wider with the help of electrocautery or heating and then the stones are removed. For removal of stones sometimes a basket may be employed. If the narrowing of the bile duct is seen in the X-ray images then a small wire mesh or plastic tube which is a stent can be inserted to facilitate the bypassing of the blockage and allow the bile to move to the duodenum. Very mild pain after ERCP stent placement is felt.

ERCP Complications

ERCP complication chances are vastly reduced when performed by expert surgeons but still there persists some amount of complications like:

  • Pancreatitis or inflammation of the pancreas is the commonly occurring complication found in 3 to 5% of the patients undergoing the surgery. Usually it is mild causing nausea and pain in the abdomen region which can be treated during the stay in hospital. It is very rare that pancreatitis grows severe during ERCP.
  • A cut into the ampulla becomes necessary by the endoscopist and as soon as that happen some amount of bleeding can occur at the site of the cut ampulla. However it is minimal and stops in sometime all by itself or it can be controlled during the surgery.
  • A tear or hole in the intestine can happen accidentally due to the insertion of the scope or any other instrument. This happens rarely but when it occurs it is a serious condition requiring immediate surgical intervention.
  • Infection or cholangitis is also very rare in the bile ducts but if it occurs among patients with preexisting conditions then treatment has to be started where antibiotics need to be administered and drainage of excess fluids need to be carried out.


If by accident food or fluid is inhaled in the lungs then that can be a complication but it rarely occurs in patients who do not drink and eat several hours prior before the ERCP test.

Recovery from ERCP (Diagnostic)

Aftercare and recovery

 As the sedative medications start wearing off the patient will be observed for further complications. The medicines administered causes drowsiness and there are difficulties observed in concentration so a patient will be advised to stay away from work.

The discomfort as most patients have expressed is a feeling of bloating which is a result of the introduction of air in the system during the time of examination but this problems can be quickly fixed.  Some patients experience a throat sore which is very mild usually.

Most patient are in a condition to drink clear liquid after the test and in some scenario blood tests have to be conducted right after the ERCP procedure. If biopsy samples have been taken then they are required to be sent to the lab for further analysis right after the procedure.

Some amount of fatigue is very common during the recovery period and for abnormal temperatures observed one should immediately inform the clinical team to check for the conditions.

Patient Stories

Ask your healthcare adviser for the best multiple options and choose the one that meets your expectations