ERCP (Endoscopic Retrograde Cholangiopancreatography) in Turkey

ERCP: Charting Courses to Gastrointestinal Wellness.

What is ERCP?

ERCP, short for Endoscopic Retrograde Cholangiopancreatography, is a specialized medical procedure used to diagnose and treat conditions affecting the bile ducts and the pancreas. It combines both endoscopy and fluoroscopy techniques to visualize and access these important structures within the body.

ERCP is also used for other therapeutic purposes, such as inserting stents to open narrowed or blocked ducts, draining fluid collections, and obtaining tissue samples for further examination (biopsy).

Why is ERCP Applied?

ERCP is applied for both diagnostic and therapeutic purposes. It is used to visualize and diagnose conditions affecting the bile ducts and pancreas, such as stones, strictures, tumors, and inflammation, which may not be adequately assessed through other imaging techniques.

Additionally, ERCP allows for the removal of gallstones, insertion of stents to open blocked ducts, drainage of fluid collections, and obtaining tissue samples for biopsy during the procedure itself, offering a minimally invasive and effective approach to treating various gastrointestinal disorders.

How is ERCP Applied?

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a valuable medical procedure that allows physicians to visualize, diagnose, and treat disorders of the bile ducts and pancreas. By combining endoscopy and fluoroscopy, ERCP offers a minimally invasive and effective approach to address a range of gastrointestinal issues, ultimately helping patients achieve better health outcomes.

The procedure involves the use of an endoscope, a long, flexible tube with a light and camera at its tip. The endoscope is inserted through the mouth and guided down the esophagus, stomach, and into the duodenum (the first part of the small intestine). Once in place, a smaller catheter or cannula is passed through the endoscope and gently advanced into the bile duct or pancreatic duct.

Who Needs ERCP?

ERCP is recommended for people who have specific medical conditions or symptoms related to the bile ducts and pancreas. Some common indications for ERCP include:

Suspected Bile Duct or Pancreatic Duct Blockage: If a patient presents with symptoms such as jaundice (yellowing of the skin and eyes), unexplained abdominal pain, or abnormal liver function tests, ERCP may be used to investigate and potentially remove obstructions in the ducts.

Gallstones in the Bile Duct: When gallstones migrate from the gallbladder to the bile ducts, they can cause blockages, leading to severe pain, infection, or pancreatitis. ERCP can be used to locate and remove these stones.

Biliary or Pancreatic Duct Strictures: Narrowing of the bile ducts or pancreatic ducts can cause complications and hinder the flow of bile or digestive enzymes. ERCP can help diagnose and treat these strictures by inserting stents or performing balloon dilation to widen the narrowed areas.

Pancreatitis: In cases of acute or chronic pancreatitis, ERCP may be used to identify the underlying cause and provide appropriate treatment.

Tumors or growths: ERCP can assist in diagnosing and staging tumors or growths in the bile ducts or pancreas and may be followed by other interventions like biopsies or stent placement.

Suspected Biliary or Pancreatic Leaks: In some cases, ERCP can be used to identify and treat leaks or abnormal connections between the bile ducts or pancreas and nearby organs.

Unexplained Abnormal Findings on Imaging: If imaging studies like CT scans or MRIs reveal abnormalities in the bile ducts or pancreas, ERCP may be used to further investigate and obtain a clearer diagnosis.

It's important to note that ERCP is an invasive procedure and is not suitable for everyone. The decision to undergo ERCP should be made by a gastroenterologist or a specialized healthcare professional after carefully considering the patient's medical history, symptoms, and other relevant factors.

Which Medical Field Applies to ERCP?

ERCP (Endoscopic Retrograde Cholangiopancreatography) is a specialized procedure that falls under the domain of gastroenterology. Gastroenterology is a medical field that focuses on the diagnosis and treatment of diseases and disorders related to the digestive system, which includes the esophagus, stomach, intestines, liver, gallbladder, and pancreas.

Gastroenterologists are physicians who specialize in gastroenterology and are trained to perform endoscopic procedures like ERCP. They have expertise in using endoscopes and other advanced techniques to visualize and treat conditions affecting the digestive system.

ERCP Cost in Turkey

Erdem Hospital offers high-level service under the most favorable conditions. With an online free consultation, the price is determined after the treatment recommended by our doctors. Our prices are offered in all-inclusive packages. All services mentioned below will be included in the price.

  • Free consultation
  • All accommodation in a 5-star hotel
  • Pre/post-operative testing
  • Cost for laboratory
  • Medication and Equipment
  • All round VIP transfer
  • 7/24 Support
  • Assistants speak English

Before ERCP

Preparation: Before the ERCP, you will need to fast for a certain period (usually 6-8 hours) to ensure an empty stomach.

Consent and Instructions: You'll be asked to sign a consent form, and your healthcare team will provide specific instructions about medications, allergies, and any health conditions you may have.

Sedation: You'll be given sedation or anesthesia to ensure comfort during the procedure. This will be administered by an anesthesiologist or nurse.

During ERCP

Endoscope Insertion: A thin, flexible tube called an endoscope will be gently inserted through your mouth, down your esophagus, and into your stomach and duodenum (the first part of the small intestine).

Contrast Injection: Once the endoscope reaches the duodenum, a smaller catheter is passed through the endoscope and into the bile duct or pancreatic duct. A contrast dye is then injected into these ducts, making them visible under fluoroscopy (real-time X-ray).

Visualization and Diagnosis: The fluoroscopy images help the gastroenterologist visualize the bile ducts and pancreas and identify any abnormalities, such as stones, strictures, tumors, or inflammation.

Therapeutic Interventions: If any issues are detected during the procedure, the gastroenterologist can perform various therapeutic interventions. These may include removing gallstones, inserting stents to open blocked ducts, taking biopsies, or treating other conditions.

After ERCP

Recovery: After the procedure, you'll be taken to a recovery area to allow the effects of sedation to wear off.

Monitoring: The medical team will monitor your vital signs and check for any signs of complications.

Post-Procedure Care: You may experience bloating, gas, or a sore throat. Your healthcare team will provide instructions on how to manage any discomfort.

Rest: You may need to rest for a few hours before being allowed to go home.

Follow-up: Your doctor will discuss the results of the procedure with you and provide any necessary follow-up care or treatment based on the findings.

ERCP Process



Dauer der Behandlung

1-2 Hours

Aufenthalt in Istanbul

2-3 Days

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ERCP in Turkey FAQ

If you don't see an answer to your question, you can send us an email from our contact form.

ERCP is usually performed under sedation, so patients generally don't experience pain during the procedure.

The procedure typically takes 30 minutes to 1 hour, but it may take longer if therapeutic interventions are performed.

Patients are usually asked to fast for 6-8 hours before the procedure to ensure an empty stomach.

The procedure typically takes 30 minutes to 1 hour, but it may take longer if therapeutic interventions are performed.

Patients are usually asked to fast for 6-8 hours before the procedure to ensure an empty stomach.

Yes, ERCP can remove gallstones from the bile ducts during the procedure.

ERCP is generally avoided during pregnancy unless absolutely necessary due to potential risks to the fetus.

Yes, ERCP is usually performed on an outpatient basis, and patients can go home the same day but just in case, we recommend staying in hospital one night at least.

While ERCP is highly effective, success depends on the individual's condition and the complexity of the case.

You can usually resume eating once the effects of sedation wear off and you feel comfortable.

Due to the sedation, patients should not drive or operate heavy machinery on the day of the procedure.