ERCP test doesn’t only diagnose bile duct and pancreatic disorders, it provides a safer way to treat gallstones, bile duct strictures, tumors, and blockages. Dr Fahd Aziz Rana, the best ERCP specialist in Lahore (Dr. Fahd Page), offers ERCP Procedure services at Omar Hospital and Cardiac Centre Lahore. The latest endoscopic suite at Omar Hospital is equipped with world-class endoscopic equipment to perform minimally invasive major and supra-major endoscopic procedures.
What is the Most Common Indication of an ERCP?
If you have unknown abdominal pain or eye and skin yellowing (jaundice), the best gastroenterologist in Lahore will definitely advise you to go for an ERCP procedure. ERCP test is an important diagnostic procedure to find out the diseases and conditions related to the pancreas, bile duct, liver, and gallbladder. The endoscopy procedures find conditions including Gallstones in the gallbladder, bile duct obstructions, and pancreatic polyps.
The bile ducts could be blocked due to infection. Similarly, acute or chronic pancreatitis, bile duct or pancreatic duct fluid leakage, and pancreatic pseudocysts are symbols that indicate the need for an ERCP test in Lahore. A gastroenterology specialist may also prescribe an ERCP procedure for other reasons.
How is an ERCP Procedure Done?
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure used to examine and treat bile ducts and pancreas conditions. It helps doctors diagnose and manage blockages, stones, and other abnormalities. The procedure is done in multiple steps.
Step1. Patient Preparation Before ERCP
The doctor instructs the patient to avoid food and drinks for 6 to 8 hours before the procedure. A sedative or anaesthesia is given to help the patient stay relaxed. The patient lies on their left side on the examination table.
Step2. Insertion of the Endoscope
The doctor inserts a thin endoscope through the mouth. It moves through the oesophagus, stomach, and duodenum. The scope reaches the opening of the bile duct.
Step3. Contrast Dye Injection
A small catheter is passed through the endoscope. It reaches the bile or pancreatic duct. A contrast dye is injected to make the ducts visible on X-rays.
Step4. X-Ray Imaging and Diagnosis
X-ray images are taken to detect gallstones, strictures, or tumours. The doctor examines the ducts carefully. Any blockages or abnormal growths are identified.
Step5. Treatment During ERCP
The doctor may remove stones, insert stents, or take a biopsy. Special tools are passed through the endoscope. These tools help perform necessary treatments.
Step6. Post-Procedure Observation
The patient is monitored for a few hours. Most patients can go home the same day. Hospital admission may be needed if complications occur.
Why is ERCP Done Before Cholecystectomy?
Gallstones and Gallbladder sludge are indications of cholecystectomy, especially when pain is present. Small stones or sludge can get blocked in the common bile duct, causing pain. The ERCP specialist in Lahore (Hompage) performs the ERCP procedure before cholecystectomy. This procedure clears the common bile duct and removes gallstones and sludge to avoid recurrent pain and jaundice after gallbladder surgery (laparoscopic cholecystectomy).
What is a Sphincterotomy in ERCP?
Biliary Endoscopic Sphincterotomy is an essential procedure in ERCP. In this procedure, the ERCP specialist makes cuts in the sphincter situated between the common bile duct and pancreatic duct. This cut removes bile duct stones and treats bile duct obstruction by placing a stent or mesh, depending on the condition.
What Causes Pancreatitis after an ERCP?
The World Journal of Gastroenterology reports show that around 1%-10% of patients who undergo an ERCP procedure might develop pancreatitis. Post-ERCP, acute pancreatitis is a common complication. It happens because pancreatic enzymes get elevated due to the use of a guide wire for cannulation, X-ray contrast dye, a plastic tube, and the placement of a temporary stent.
What is the ERCP Test Cost in Lahore?
Wondering how much does an ERCP test cost in Lahore? The cost of Endoscopic Retrograde Cholangiopancreatography (ERCP) in Lahore depends on different factors. The hospital type and the doctor’s expertise affect the charges. Additional costs may apply for sedation, stent placement, or biopsy. Below is a breakdown of the charges for an ERCP test:
| Cost Factor | Estimated Price (PKR) |
| Doctor’s Consultation Fee | 5,000 – 15,000 |
| Hospital Admission Charges | 10,000 – 25,000 |
| ERCP Procedure Fee | 60,000 – 120,000 |
| Sedation or Anesthesia Charges | 10,000 – 20,000 |
| Stent Placement (if required) | 20,000 – 50,000 |
| Biopsy (if required) | 5,000 – 15,000 |
| Post-Procedure Stay (if required) | 10,000 – 30,000 |
The ERCP charges in Lahore varies based on the procedure’s complexity. Some hospitals charge extra for additional treatments. Patients should confirm the final charges before booking an appointment.
What is the most common complication of ERCP?
The most common complication of Endoscopic Retrograde Cholangiopancreatography (ERCP) is pancreatitis. It occurs when the pancreas becomes inflamed due to irritation during the procedure. Most cases are mild. Symptoms improve with medication and rest. Some patients may develop severe complications. Immediate medical care is needed in such cases.
Common Complications of ERCP
- Pancreatitis – Inflammation of the pancreas. It causes abdominal pain, nausea, and vomiting.
- Infection – Bile duct infections (cholangitis) or pancreatic infections may occur after the procedure.
- Bleeding – It can happen if a biopsy is taken. Stent placement in the bile duct may also cause bleeding.
- Perforation – A tear in the bile duct or intestine may occur. Surgery may be needed in such cases.
- Allergic Reaction to Sedation – Some patients may have breathing difficulties. Low blood pressure can also occur.
Consult Dr Fahd Aziz Rana — The Best ERCP Specialist in Lahore
If you suffer from gallstones or bile duct obstructions, you must consult an ERCP specialist in Lahore. Dr Fahd Aziz, the best gastroenterologist in Lahore, manages ERCP with expert care, minimizing the risks of any complications. Get the best ERCP services in Lahore (Endoscopy Page) with expert care and a personalized diet plan.
