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Endoscopy Knowledge Centre

ERCP (Bile Duct Endoscopy)

ERCP is an advanced endoscopic procedure that treats problems of the bile and pancreatic ducts — clearing bile-duct stones, relieving blockages and placing stents — without the need for open surgery.

Doctor-written & reviewed · Dr. Avinash Tank, MBBS · MS (General Surgery) · MCh (Surgical Gastroenterology, SGPGIMS)
⚡ Quick Answer

ERCP is an advanced endoscopic procedure that treats problems of the bile and pancreatic ducts — clearing bile-duct stones, relieving blockages and placing stents — without the need for open surgery.

Part of the Endoscopy Knowledge CentreSee the full hub — all conditions, treatments & resources
Quick Facts
WhatEndoscopic treatment of the bile & pancreatic ducts
WhyBile-duct stones, blocked bile duct, jaundice, leaks
ComfortDone under sedation or anaesthesia
AdvantageTreats duct problems without open surgery
01

What is ERCP?

ERCP (endoscopic retrograde cholangiopancreatography) combines endoscopy with X-ray imaging to access the bile and pancreatic ducts through the natural opening in the duodenum. Today it is primarily a treatment procedure, allowing duct problems to be fixed without surgery.

02

What it detects & treats

ERCP removes stones trapped in the bile duct, relieves blockages causing jaundice, places stents to keep ducts open, and treats leaks and narrowings. It is often used alongside gallbladder surgery when a stone has slipped into the bile duct.

03

What to expect

The procedure is performed under sedation or anaesthesia and typically takes 30–60 minutes. Patients are monitored afterwards and many go home the same day or the next, depending on what was treated.

ConsultHonest assessment of your symptoms
DiagnoseOnly the tests you genuinely need
TreatLeast-invasive effective option
RecoverGuided follow-up & prevention
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Dr. Avinash Tank
Medically reviewed by
Dr. Avinash Tank — MCh Surgical Gastroenterology

Super-specialist GI, bariatric & cancer surgeon. SGPGIMS (India's premier GI centre) + advanced training in Japan & South Korea. Read full profile →

Last reviewed: June 2026

Frequently asked questions

ERCP clears bile-duct stones, relieves blocked bile ducts (a common cause of jaundice), and places stents — all without open surgery.

No. ERCP is an endoscopic procedure done through the mouth under sedation, avoiding surgical incisions for many bile-duct problems.

Only if a stone has slipped from the gallbladder into the bile duct. ERCP can clear it, often before or alongside keyhole gallbladder removal.

Most people recover quickly and go home the same day or the next, with monitoring afterwards to ensure there are no complications.

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