ERCP is a diagnostic test or procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. The ERCP test is used to perform during examine and diagnosis of diseases of the liver, bile ducts and pancreas. ERCP is usually best performed under general anesthesia. It may be done using IV sedation.
The ERCP procedure performs by using long thin tube, equipped with the illumination and viewing instrument called duodenoscope, capable to take the pictures of food pipe and stomach and transmit digital video images to a TV screen. The duodenoscope is inserted through the mouth, through the back of the throat, down the food pipe (esophagus), through the stomach and into the duodenum.
An ERCP is performed primarily to correct a problem in the bile ducts or pancreas. This means the test enables specific treatment. If a gallstone is found during the exam, it can often be removed, eliminating the need for major surgery. If a blockage in the bile duct causes yellow jaundice or pain, it can be relieved by sphincterotomy or stent placement.