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 Report
to the Admitting Department.
Please bring your Health Card to your appointment.
 An
E.R.C.P. allows the doctor to perform treatments such as enlarging a bile duct
opening, removing gallstones lodged in the bile duct, inserting a drain in the
bile duct or taking a biopsy specimen (tiny bit of tissue).
A lubricated soft flexible tube (duodenoscope) is passed through the mouth, esophagus (food tube) and stomach into the duodenum (first part of the small intestine). The opening where the bile and pancreatic ducts empty into the duodenum is then identified. X-ray dye is then injected into the ducts. Images are then taken.
- If you are an out-patient you will be admitted to Surgical Day Care.
- Make arrangements for a ride home.
- You will be asked to sign a consent form.
- Tell your doctor or the technologist if you have allergies to any medications, x-ray dye or food products.
- Do not have anything to eat or drink 12 hours before the procedure.
- Do not wear jewelry to your appointment.
- You will need to wear a hospital gown and bottoms. You will be transported by stretcher.
- Remove your dentures, eyeglasses or contact
lenses.
- A needle for intravenous (I.V.) medications and fluids will be placed in your arm vein.
- Medicine will be injected through the I.V. needle that will make you sleepy and relaxed.
- Your doctor may also spray your throat or ask you to gargle with a numbing medicine.
- You will lie on an x-ray table on your side and a small plastic mouth piece will be placed between your teeth. You will be able to breathe normally.
- The doctor will ask you to swallow the lubricated flexible duodenoscope tube.
- A nurse may use suction to clear secretions.
- When the tube is present in the duodenum, you will be helped to turn onto your abdomen with your head turned.
- During the procedure you may feel some abdominal fullness or bloating due to air which the doctor puts into the duodenum.
- As the x-ray dye is injected into the ducts, you may feel some mild discomfort.
- The exam will take 30-60 minutes.
- After the scope is removed, you may be asked to move into various positions so that more
x-rays can be taken.
- This procedure is not painful.
- You may not remember any details of the procedure because of the effect of the sedative.
- You may feel sleepy and sleep for a while.
- As drowsiness may last for up to 12 hours, do not perform any tasks that require mental alertness including driving.
- You may have some abdominal discomfort.
- Do not eat food or drink fluids for 2 hours or until you can swallow properly.
- Ice chips, fluids or lozenges may help relieve a sore throat.
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