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Minimally InvasiveGastroenterology90-95% Success Rate

ERCP

Gastroenterology · Minimally Invasive

1 day stay, 45-90 minute procedure

Duration

Inpatient

Setting

Patients are typically observed in hospital overnight after the procedure to monitor for complications such as pancreatitis or bleeding. Mild throat soreness and bloating resolve within a day or two, and a light diet is recommended initially before resuming normal eating. Follow-up imaging or blood tests may be arranged to confirm resolution of the underlying bile duct problem.

Recovery

₹25,000+

Cost

📖About ERCP

Endoscopic retrograde cholangiopancreatography (ERCP) is a specialised procedure that combines endoscopy and X-ray imaging to diagnose and treat conditions of the bile ducts and pancreatic duct. It is most commonly used to remove gallstones that have become lodged in the bile duct, relieve blockages caused by tumours, or place stents to restore normal bile flow. The procedure allows therapeutic intervention in the same sitting as diagnosis, avoiding the need for more invasive surgery in many cases. It requires specialised expertise and is typically performed by an advanced endoscopist in a hospital setting.

Duration

1 day stay, 45-90 minute procedure

Setting

Inpatient

Recovery

Patients are typically observed in hospital overnight after the procedure to monitor for complications such as pancreatitis or bleeding. Mild throat soreness and bloating resolve within a day or two, and a light diet is recommended initially before resuming normal eating. Follow-up imaging or blood tests may be arranged to confirm resolution of the underlying bile duct problem.

Cost Range

₹25,000 – ₹70,000

Specialty

Gastroenterology

Success Rate

90-95%

Hospital Admission Required

This treatment requires hospital admission. Plan for time off work and arrange home support for your recovery period. Duration of stay depends on your response to treatment.

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📋Indications — Who Needs This Treatment?

  • 1Bile duct stones causing jaundice or pain, blockage of the bile duct by a tumour, pancreatitis caused by a blocked duct, bile leak after gallbladder surgery, strictures of the bile or pancreatic duct
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🔬How the Treatment is Performed

  • 1Under sedation, an endoscope is passed through the mouth into the duodenum, where a smaller catheter is threaded into the bile or pancreatic duct opening. Contrast dye is injected to outline the ducts on X-ray, allowing the physician to identify stones, strictures or tumours, and perform interventions such as stone removal, sphincterotomy or stent placement. The scope is withdrawn once the necessary diagnostic and therapeutic steps are completed.

📝Pre-Treatment Preparation

  • 1Consult a Gastroenterology specialist to confirm suitability for ERCP
  • 2Complete all pre-treatment investigations as directed — blood tests, imaging, ECG, or specialist clearance
  • 3Disclose all current medications, supplements, and allergies to your treating physician
  • 4Fast (nil by mouth) for 6–8 hours if the treatment involves anaesthesia or sedation
  • 5Arrange for a responsible adult to accompany you, especially for procedures requiring sedation
  • 6Follow all specific pre-treatment instructions issued by your care team regarding diet or medication changes
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⚠️Possible Side Effects & Risks

  • 1Pancreatitis, bleeding, infection of the bile duct (cholangitis), perforation of the duodenum, reaction to sedation or contrast dye

🩹Recovery & Aftercare

  • 1Patients are typically observed in hospital overnight after the procedure to monitor for complications such as pancreatitis or bleeding. Mild throat soreness and bloating resolve within a day or two, and a light diet is recommended initially before resuming normal eating. Follow-up imaging or blood tests may be arranged to confirm resolution of the underlying bile duct problem.

Treatment Journey — What to Expect

  1. Before Treatment

    Pre-treatment workup, consent signing, and preparation as instructed by your care team. Baseline tests and imaging completed.

  2. During Treatment

    ERCP is administered over 1 day stay, 45-90 minute procedure. Vital signs monitored. Your specialist manages any immediate side effects.

  3. Immediate Post-Treatment

    Recovery observation, assessment of initial response, discharge instructions provided. Follow-up appointment scheduled.

  4. Long-term Recovery (Patients are typically observed in hospital overnight after the procedure to monitor for complications such as pancreatitis or bleeding. Mild throat soreness and bloating resolve within a day or two, and a light diet is recommended initially before resuming normal eating. Follow-up imaging or blood tests may be arranged to confirm resolution of the underlying bile duct problem.)

    Return to normal activities as tolerated. Monitoring for treatment response and side effects. Ongoing support from your specialist.

ERCP Cost in India (2024–25)

ComponentGovt / BudgetPrivate
Specialist Consultation₹300 – ₹800₹1,000 – ₹3,000
Procedure / Session Cost₹2,000 – ₹10,000₹10,000 – ₹50,000
Medications₹500 – ₹3,000₹2,000 – ₹15,000
Follow-up & Monitoring₹300 – ₹1,000₹1,000 – ₹5,000
Rehabilitation / Aftercare₹1,000 – ₹5,000₹5,000 – ₹25,000

* Estimates for India 2024–25. CGHS / Ayushman Bharat may cover eligible treatments. Individual costs vary by hospital, city, and complexity.

Treatment Outcomes

ERCP has a documented success rate of 90-95% when performed by qualified specialists at accredited facilities. Individual outcomes vary based on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.

Frequently Asked Questions

What is ERCP?+

Endoscopic retrograde cholangiopancreatography (ERCP) is a specialised procedure that combines endoscopy and X-ray imaging to diagnose and treat conditions of the bile ducts and pancreatic duct. It is most commonly used to remove gallstones that have become lodged in the bile duct, relieve blockages caused by tumours, or place stents to restore normal bile flow. The procedure allows therapeutic intervention in the same sitting as diagnosis, avoiding the need for more invasive surgery in many cases. It requires specialised expertise and is typically performed by an advanced endoscopist in a hospital setting.

Who is a candidate for ERCP?+

ERCP is recommended for patients diagnosed with specific conditions where other approaches have been insufficient. Your Gastroenterology specialist will assess your suitability based on your diagnosis, health history, and treatment goals.

How long does ERCP take?+

The typical duration is 1 day stay, 45-90 minute procedure. This may vary based on the complexity of your case and individual response to treatment.

What is the recovery time after ERCP?+

Recovery typically takes Patients are typically observed in hospital overnight after the procedure to monitor for complications such as pancreatitis or bleeding. Mild throat soreness and bloating resolve within a day or two, and a light diet is recommended initially before resuming normal eating. Follow-up imaging or blood tests may be arranged to confirm resolution of the underlying bile duct problem.. Your care team will provide specific instructions based on your response and overall health.

What are the risks or side effects of ERCP?+

Side effects vary by individual and are detailed in the section above. Your specialist will discuss all risks and benefits with you before treatment begins. Serious adverse effects are uncommon but are part of the informed consent process.

What is the success rate of ERCP?+

ERCP has a documented success rate of 90-95% at accredited facilities. Outcomes depend on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.

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Quick Cost Estimate

Govt / Budget Hospital₹25,000 approx.
Private Hospital₹25,000 – ₹70,000
Online / Home Care₹199 – ₹2,000
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⚕️ Medical Disclaimer

This page is for informational purposes only. Always consult a qualified specialist before deciding on any treatment. In emergencies, call 112.