Endoscopic retrograde cholangiopancreatography (ERCP) is a test used to diagnose and treat conditions of the liver, gallbladder, bile ducts, pancreas and pancreatic duct.
This procedure uses a flexible tube with a light and camera plus X-rays to look for problems in the bile and pancreatic ducts. While your child is asleep, an endoscope is passed through the mouth, down the esophagus, into the stomach and then into the small intestine. A small opening in the small intestine called the ampulla of Vater gives access to the bile duct.
The doctor can inject a dye into the bile duct. When X-rays are taken during the ERCP, the dye will show the location of any blockages, narrow ducts, irregularities or stones.
ERCP is a diagnostic and therapeutic procedure that takes between 45 and 90 minutes to complete.
The procedure is used to diagnose and monitor several conditions and symptoms, including:
The doctor can also perform certain treatments during an ERCP. Small instruments are passed through the scope to complete procedures such as:
ERCP at Riley at IU Health is performed by adult gastroenterologists with help from pediatric specialists. This is because ERCP is done infrequently in children, while adult gastroenterologists and endoscopists perform thousands of ERCP procedures each year. Sometimes a smaller infant scope is used in children who need ERCP.
On the day before the ERCP procedure:
On the day of the ERCP procedure:
Immediately after the ERCP procedure:
Once you and your child return home, you should follow these guidelines:
In addition to our primary hospital location at the Academic Health Center in Indianapolis, IN, we have convenient locations to better serve our communities throughout the state.