What Is ERCP for CBD?

Endoscopic Retrograde Cholangiopancreatography uses an endoscope and fluoroscopy to diagnose and treat CBD stones, strictures, and leaks.

Why Do I Need ERCP?

Indications include:

  • CBD stones, cholangitis
  • Biliary strictures or leaks
  • Stent placement or removal

How Should I Prepare?

  • Fasting 8 hours.
  • Stop anticoagulants per protocol.

What Happens During the Procedure?

  • Sedation is given.
  • Cannulation of the papilla; contrast injected under X-ray.
  • Sphincterotomy, stone extraction, dilation, or stent placement performed.

What Can I Expect Afterwards?

  • Observation for 4–6 hours.
  • Clear liquids first; advance diet gradually.

Risks & Possible Complications

  • Pancreatitis (5–10%)
  • Bleeding (2–5%)
  • Perforation (<1%)

Follow-Up

  • Ultrasound to confirm stone clearance.

Stent exchange/removal in 4–6 weeks if placed