Endoscopic Retrograde Cholangiopancreatography (ERCP)

ERCP is a specialized procedure that combines high-definition endoscopy and X-rays to examine and treat the bile ducts and pancreatic ducts. A physician guides a high-resolution 4K endoscope through the mouth, down the esophagus and stomach, and into the opening of the bile duct in the small intestine. Contrast dye is then injected to capture X-ray images, allowing for precise identification of abnormalities.

At Khon Kaen Ram Hospital, our 4K technology ensures efficient and safe treatment. The primary advantage of ERCP is that it is minimally invasive, requiring no external surgical incisions, which leads to a faster recovery and a shorter hospital stay.

Indications for ERCP

• Jaundice (Yellowing of skin and eyes)
• Bile duct stones (Choledocholithiasis)
• Blockages in the pancreatic or bile ducts
• Tumors of the bile duct or pancreas
• Gallstone pancreatitis
• Bile or pancreatic duct leaks

Steps for Stone Removal via ERCP

1. Anesthesia: The procedure is performed under general anesthesia for patient comfort.
2. Procedure: The physician inserts the scope to the bile duct opening in the small intestine. After injecting contrast dye and taking X-rays, a specialized balloon or small wire basket is used to grasp and pull the stones out of the duct. The stones are released into the intestine to be passed naturally through bowel movements. A final X-ray confirms the duct is completely clear.
3. Duration: The procedure typically takes about 45 minutes.
4. Recovery: Following the procedure, patients spend 2 hours in recovery before moving to a patient room. A 3-day hospital stay is standard for observation before being discharged.

Preparation for ERCP

• Medication: Stop taking antiplatelet or blood-thinning medications 7 days prior to the procedure.
• Fasting: Refrain from all food and water for at least 6 hours before the endoscopy.
• Medical History: Inform the doctor of any underlying diseases, allergies to seafood, iodine, or contrast dyes, and current medications.

Post-Procedure Care

Avoid hot foods and stick to a soft, mild diet for at least 2–3 days. Mild bloating is normal and will subside naturally. However, if you experience severe abdominal pain, a rigid abdomen, shortness of breath, or fever, seek medical attention immediately.

Contact Information

• Surgery Clinic: Ground Floor, Building 1. Tel. 043-002-002 ext. 1920
• Health Information Center: Ext. 1905

Recommended Doctors

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