ERCP (Diagnostic) cost in Turkey

Treatment and Cost

3

Total Days
In Country

2 No. Travelers

0 Day in Hospital

3 Days Outside Hospital

Treatment cost starts from

USD 4500

Hospitals

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

 

What is ERCP?

The procedure of ERCP enables the doctor or the surgeon to precisely examine the bile ducts and the pancreatic duct. In this procedure the endoscope which is a lighted tube and can be bent as well has a thickness of the index finger almost and it is inserted via the mouth of the patient and then it is made to access the stomach and the small intestine’s first part that is the duodenum. A small plastic tube named cannula is passed via the endoscope into the opening which is very small in size in the duodenum. The opening is called the ampulla. A contrasting substance or a dye is then injected and then X rays are carried out to start the study and find the status of the liver, pancreas and the ducts.

How is ERCP (Diagnostic) performed?

ERCP surgery

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 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

Frequently Asked Questions

How much does ERCP (Diagnostic) cost in Turkey?

In Turkey, the average starting cost for ERCP (Diagnostic) is USD 4500. In Turkey, ERCP (Diagnostic) is conducted across many multispecialty hospitals.

What are the factors affecting the cost of ERCP (Diagnostic) in Turkey?

ERCP (Diagnostic) package cost in Turkey has different inclusions and exclusions. The top hospitals for ERCP (Diagnostic) in Turkey covers all the expenses related to the pre-surgery investigations of the candidate. The ERCP (Diagnostic) procedure in Turkey 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 Turkey.

Which are some of the best clinics in Turkey for ERCP (Diagnostic)t?

There are several best hospitals for ERCP (Diagnostic) in Turkey. For quick reference, the following are some of the leading hospitals for ERCP (Diagnostic) in Turkey:

  1. Guven Hospital
  2. Medicana Camlica
  3. Antalya Anadolu Hospital
  4. Baskent University Istanbul Hospital
How many days does it take to recover post ERCP (Diagnostic) in Turkey?

While the speed of recovery may vary from patient to patient, they are still required to stay for about 3 days after discharge. 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.

Which are some of the other popular destinations for ERCP (Diagnostic)?

Turkey is undoubtedly one of the best countries for ERCP (Diagnostic) in the world. It offers the best medical expertise and good patient experience at an affordable cost. Some of such countries are:

CountryCost
IndiaUSD 800
SingaporeUSD 14000
TurkeyUSD 4500
How much are the other expenses in Turkey apart from the cost of ERCP (Diagnostic)?

Apart from the cost of ERCP (Diagnostic), the patient is also required to pay additionally for daily meals and guest house accommodation. The per day cost in this case may start from USD 50 per person.

Which are the best cities in Turkey for ERCP (Diagnostic) Procedure?

There are many cities that offer ERCP (Diagnostic) in Turkey, including the following:

  1. Antalya
  2. Ankara
  3. Fethiye
  4. Istanbul
How many days does one have to spend in the hospital for ERCP (Diagnostic) in Turkey?

The patient has to spend about 1 day in the hospital after ERCP (Diagnostic) for proper recovery and to get clearance for discharge. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

What is the average rating of Hospitals in Turkey offering ERCP (Diagnostic)?

The average rating for ERCP (Diagnostic) hospitals in Turkey is 3.6. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer ERCP (Diagnostic) in Turkey?

There are more than 4 hospitals that offer ERCP (Diagnostic) in Turkey. These clinics have propoer infrastructure as well as offer good quality of services when it comes to ERCP (Diagnostic) Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.

Who are the best doctors for ERCP (Diagnostic) in Turkey?

FAQ's Related to Turkey

Which are the popular multispecialty hospital groups in Turkey?

One of the highly acclaimed destinations for medical tourism, Turkey offers a full range of high quality and affordable medical services. Offering premium medical care and comfort in a secure and safe environment, world-class hospital chains in Turkey can support you with a range of clinical needs. Hospitals are totally committed to following international healthcare standards and medical protocols in order to ensure quality treatment and complete patient safety. The best multispecialty hospitals in Turkey are:

  1. Emsey Hospital, Pendik,
  2. Kolan International Hospital, Istanbul,
  3. Acibadem Hospitals Group
  4. American Hospital, Istanbul,
  5. Florence Nightingale Hospital, İstanbul,
  6. Medipol University Hospital, İstanbul,
  7. Anadolu Medical Center, Kocaeli,
  8. Smile Hair Clinic, Istanbul.
What healthcare accreditation standards are followed in Turkey?

Hospitals in Turkey adhere to the quality standards set by Joint Commission International (JCI), a major healthcare accrediting body in the country. JCI was founded to ensure the quality served by the health organizations. The standards set a benchmark for quality assurance by hospitals. The standards provide a framework for quality assurance by hospitals and offer a comprehensive corrective action plan for ensuring quality culture at all levels and across all functions.

Why should I opt for healthcare in Turkey?

Factors like excellent healthcare infrastructure, world-class hospitals, best doctors, and advanced Turkey technology are some of the reasons which make Hungary one of most favored destinations for seeking treatment. Some other reasons for the popularity of medical tourism in Turkey are cheap medicines, low consultation fee, low-cost medical treatments, and affordable accommodations. The country has some of the finest hospitals of the world that offer unmatched treatment at an affordable cost and strive to provide Western-standardized care to their patients. Turkey has world-class doctors who have vast experience in multiple disciplines and some of them are trained in America and Europe who prefer to practice in Turkey.

What is the quality of doctors in Turkey?

Turkey has some of the finest doctors in the world who have delivered excellent results, ensuring complete patient satisfaction. They have received quality education at premier institutions. They have strong subject knowledge and their skill set and area of expertise are vast. Board-certified doctors in Turkey ensure that they provide top-quality care to their patients.

When traveling to Turkey for medical treatment, what essential documents do I need to carry along?

When traveling to Turkey for medical treatment, medical tourists need to carry documents like passport copies, residence/ driver’s license/ bank statement/ details of Health insurance, test reports, records, doctor referral notes. Packing plays an important role when you are traveling to another country for seeking medical treatment. Make a list of all the essential things you might need during your stay in Turkey. Check with the concerned authority for any extra items needed because the required documents may vary as per your destination.

What are the popular procedures available in Turkey?

The most popular procedures available in Turkey are

  1. Ophthalmic surgery,
  2. Dental treatments,
  3. Plastic surgery,
  4. Hair transplant,
  5. IVF,
  6. Hematological oncology,
  7. Stem cell transplantation,
  8. Dermatological treatment,
  9. Bariatric surgery,
  10. Kidney transplant.

The popular procedures in Turkey are available at an affordable price and have a success rate. Most hospitals in Turkey offer world-class treatments in almost every therapeutic areas. Hospitals in Turkey are equipped with the most advanced medical technology and highly experienced doctors, making the country the best destination for availing popular procedures.

Which are the most popular cities in Turkey for medical treatment?

Ankara, Istanbul, and Antalya are some of the most popular medical tourist destinations in Turkey. Affordable medical care with world-class facilities, impeccable patient care, and easily available medical visas make the country a foremost choice for international patients. Turkey has become one of the top medical tourism destinations with a number of world-class cities that have state-of-art infrastructure, the best transportation systems, and a wide range of food options. Turkey has always been a popular tourist destination with cities full of history and mesmerizing sandy beaches.

What are the other facilities provided by hospitals in Turkey?

Hospitals in Turkey offer world-class healthcare facilities to patients across the globe. Facilities that are available at hospitals in Turkey include visa assistance, travel arrangements, airport transfers, coordination of all medical appointments, accommodations for patients and companions, international staff translators, shopping and recreational options, Internet with wi-fi, mobile sim cards, lockers, and multiple food options. Hospitals provide assistance to their patients at every step of their journey, right from initial queries, preparations for their travel, arrival, visit of the hospital, and follow-up care.

Do hospitals in Turkey accept health insurance?

Healthcare organizations in Turkey accept health insurance. You need to inform the hospital if you have any health insurance that is internationally valid. Contact your insurance company in your country to check whether the procedure you want to avail is covered at the hospital in Turkey. The hospital will ask for the Guarantee of Payment from the insurance to start your treatment cashless in case it is an approved insurance provider.

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