Digestive Disorders

ERCP - Endoscopic Retrograde Cholangiopancreatography

ERCP is a special test used to diagnose diseases that affect the:

pancreas
bile ducts
liver
gallbladder

A narrow flexible tube with a light is used for this test. The tube displays an image of the opening that drains the bile ducts and pancreas on the TV screen for the doctor to see. A thin plastic tube is then inserted into this opening, X-ray dye is injected, and then special x-rays are taken.

Preparation

Your stomach must be empty. Before the test, you should have nothing to eat or drink after midnight, except a small amount (6oz) of clear liquids up to 3 hours before the test. Consult with your doctor regarding any changes in your medications on the day of the test.

Please inform your doctor if you have an allergy to fish or x-ray dye.

During the Test

Your doctor will give you medication through a vein to make you feel relaxed
It is important that you lay still and not talk during the test
You will lie on your stomach for the test.
The tube will be put into your mouth and then the doctor will ask you to swallow.
A nurse will be with you before, during and after the test.

After the Test

After the test is done you will be moved to a recovery area where you will rest for one hour or until the effects of the medication have worn off. Your throat may feel sore for a couple of days after the test. You may feel fullness in your stomach because of the air used during the test. You must have someone drive you home because of the medication given.

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Last Reviewed: Apr 25, 2008

D. Roy Ferguson, MD
Interim Director, Director of Endoscopy Unit, Associate Professor
Gastroenterology-Hepatology Division
MetroHealth Medical Center
School of Medicine
Case Western Reserve University