Some possible complications may include: Inflammation of the pancreas pancreatitis or gallbladder cholecystitis. Pancreatitis is one of the most common complications and should be discussed with your provider ahead of time. Keep in mind, though, that ERCP is often performed to help relieve the disease in certain types of pancreatitis. Sometimes the ERCP is modified to make it work in these situations. You have barium within the intestines from a recent barium procedure since it may interfere with an ERCP There may be other risks depend based on your condition.
Recommendations for ERCP preparation include the following: Your healthcare provider will explain the procedure and you can ask questions. You may be asked to sign a consent form that gives your permission to do the test. Read the form carefully and ask questions if something is not clear.
Tell your healthcare provider if you have ever had a reaction to any contrast dye, or if you are allergic to iodine. Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, tape, or anesthesia. Do not to eat or drink liquids for 8 hours before the procedure. You may be given other instructions about a special diet for 1 to 2 days before the procedure.
Tell your healthcare provider of all medicines prescribed and over-the-counter and herbal supplements that you are taking. Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning medicines anticoagulants , aspirin, ibuprofen, naproxen, or other medicines that affect blood clotting.
You may be told to stop these medicines before the procedure. If you have heart valve disease, your healthcare provider may give you antibiotics before the procedure. You will be awake during the procedure, but a sedative will be given before the procedure. Depending on the anesthesia used, you may be completely asleep and not feel anything. You will need someone to drive you home.
Follow any other instructions your provider gives you to get ready. You might experience bloating or pass gas because of the air introduced during the examination. You can resume your usual diet unless you are instructed otherwise. Someone must accompany you home from the procedure because of the sedatives used during the examination. Even if you feel alert after the procedure, the sedatives can affect your judgment and reflexes for the rest of the day. Because individual circumstances may vary, this brochure may not answer all of your questions.
This information is intended only to provide general guidance. It does not provide definitive medical advice. It is very important that you consult your doctor about your specific condition.
If so, your doctor will discuss it with you. Your doctor will usually tell you the ERCP results on the day of the procedure. It might take several days to get all the information if your doctor took a small sample of tissue, called a biopsy. These results take longer because a laboratory needs to examine and test the tissue. Ask your doctor about the best way to learn your biopsy results.
Sedative medicines can make you forget what your doctor told you to do after the procedure. You might even forget the results. ERCP is safe when your doctor has had specific training and is experienced at doing this specialized procedure.
Problems, also called complications, can happen with any medical procedure. They are rare with ERCP, but they may include the problems listed in this section. This can cause abdominal pain that gets worse instead of better after the procedure. Other problems are possible if your doctor did any treatment during your ERCP, such as removing stones or putting in a small drain called a stent. These treatments have a small risk of causing bleeding or making a hole in the intestine or bile duct.
Rarely, people who have bleeding after the procedure may need a blood transfusion to replace the lost blood, but this is rare. Another very rare risk is the risk of infection transmission from scopes. It is important for you to know the early signs of possible complications.
This brochure is not intended to take the place of talking with your doctor about ERCP. Most ERCP procedures involve treatment. Treatment can include:. ERCP can take anywhere from 20 minutes to two hours, depending on the type of treatment needed.
After the procedure the doctor will talk with families. They will discuss what was found, the treatment that was done, and answer any questions. The doctor will talk about anticipated recovery time and future plan of care, which may include the need for a repeat ERCP.
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