The average cost of ERCP (Diagnostic) in Mumbai approximately ranges between USD 1520 to USD 2090
Treatment cost
The cost for ERCP (Diagnostic) ranges from USD 1580 - 2060 in Sterling Wockhardt Hospital
Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
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The cost for ERCP (Diagnostic) ranges from USD 1590 - 2190 in Nanavati Super Speciality Hospital
Nanavati Super Speciality Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
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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:
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The cost for ERCP (Diagnostic) ranges from USD 1540 - 2100 in Fortis Hospital, Mulund
Fortis Hospital, Mulund located in Mumbai, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:
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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:
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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.
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.
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:
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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:
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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:
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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:
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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:
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The cost for ERCP (Diagnostic) ranges from USD 1640 - 2110 in Dr. Rela Institute and Medical Centre
The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.
Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).
Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.
Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.
Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.
Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.
Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:
Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients.
Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.
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The cost for ERCP (Diagnostic) ranges from USD 1520 - 2110 in Fortis Hospital
Fortis Hospital located in Bengaluru, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:
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The cost for ERCP (Diagnostic) ranges from USD 1500 - 2090 in Max Super Specialty Hospital, Vaishali
Max Super Specialty Hospital, Vaishali located in Ghaziabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
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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.
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 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.
The way to know that you may be a patient requiring ERCP is:
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.
Pancreatic malignancies can be diagnosed and the indications are:
There are also indications for ampullary diseases like
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 complication chances are vastly reduced when performed by expert surgeons but still there persists some amount of complications like:
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.
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.
Ask your healthcare adviser for the best multiple options and choose the one that meets your expectations
In Mumbai, the average starting cost for ERCP (Diagnostic) is $1500. NABH, JCI are just some of the accreditations which top hospitals in Mumbai hold where a ERCP (Diagnostic) is conducted.
ERCP (Diagnostic) cost in Mumbai varies from one hospital to the other. The top hospitals for ERCP (Diagnostic) in Mumbai covers all the expenses related to the pre-surgery investigations of the candidate. The ERCP (Diagnostic) package in Mumbai includes the fees of the surgeon, hospitalization and anesthesia as well. Post-surgical complications, new findings and delayed recovery may have an impact on the total ERCP (Diagnostic) cost in Mumbai.
There are many hospitals across the country that offer ERCP (Diagnostic) to international patients. Some of the most renowned hospitals for ERCP (Diagnostic) in Mumbai include the following:
After ERCP (Diagnostic) in Mumbai, the patient is supposed to stay in guest house for another 3 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
There are certain expenses additional to the ERCP (Diagnostic) cost that the patient may have to pay for. These are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may range from 25 USD.
There are about 4 Hospitals ERCP (Diagnostic) hospitals in Mumbai that are best known for their services. These hospitals have proper infrastructure for the treatment of patients who require ERCP (Diagnostic). Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of ERCP (Diagnostic) patients.