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ERCP What To Expect

An ERCP clinic visit helps your gastroenterology team review symptoms, lab results, imaging, and medical history to decide whether ERCP is the right diagnostic or treatment option for a bile duct or pancreatic duct concern.

Dr. Bharat Pothuri Medically Reviewed by Dr. Bharat Pothuri, MD, FACG  |  Updated 06-01-2026
Advanced endoscopy Duct evaluation Treatment planning

What happens around an ERCP clinic visit?

Your visit usually focuses on why ERCP is being considered, whether other imaging has already been done, and whether the benefits of duct evaluation or treatment outweigh the risks.

Quick Answer: What should I expect from an ERCP clinic?

An ERCP clinic helps determine if ERCP is appropriate for duct-related concerns such as jaundice, bile duct stones, strictures, duct leaks, or selected pancreatitis cases. Your team may review recent labs, ultrasound, CT, MRI/MRCP, prior procedures, medications, and sedation risk before recommending the next step.

Record review

Bring relevant labs, imaging reports, prior endoscopy reports, medication lists, and allergy information.

Risk and benefit discussion

Your doctor should explain why ERCP is being considered and what alternatives may exist.

Procedure planning

If ERCP is appropriate, your team reviews fasting, sedation, transportation, and follow-up instructions.

Questions to review before ERCP

These questions can help you understand whether ERCP is the right fit and what may happen during the procedure.

Is ERCP being used for diagnosis or treatment?

Ask whether the goal is to confirm a duct problem, remove a stone, place a stent, widen a narrowing, or collect a sample.

Where will the procedure be done?

ERCP usually requires a procedure setting with sedation, X-ray imaging, recovery monitoring, and advanced endoscopy support.

Which medications need review?

Blood thinners, diabetes medicines, allergies, and prior anesthesia issues should be reviewed before scheduling.

What symptoms are urgent?

Fever with jaundice, severe pain, vomiting, confusion, or worsening illness may require urgent medical attention.

What findings and follow-up may be discussed?

Follow-up depends on why ERCP is recommended and what is found during the procedure.

If stones are found

Stones may be removed when appropriate, and your doctor may discuss gallbladder or bile duct follow-up.

If a narrowing is found

Your doctor may recommend sampling, dilation, stenting, repeat imaging, or additional evaluation.

If a stent is placed

Some stents need follow-up, removal, or exchange depending on the reason for placement.

If results are normal

Your care team may review other possible causes and recommend additional tests if symptoms continue.

ERCP Video Instructions

Watch this ERCP overview, then follow the written instructions from your GastroDoxs care team for your exact fasting, medication guidance, sedation planning, arrival time, and recovery instructions.

Ready to discuss symptoms?

. See ERCP scheduling options.
If biliary ERCP may be needed for bile duct stones, blocked bile ducts, jaundice, abnormal liver tests, pancreatitis concerns, bile leaks, or unexplained upper abdominal symptoms, use the scheduling page to understand appointment options.

Frequently Asked Questions About ERCP Clinics

Are ERCP clinics equipped for both diagnostic and treatment procedures?

Clinics that coordinate ERCP should be able to evaluate whether diagnostic review or treatment may be needed. ERCP itself is often performed in a setting equipped for sedation, imaging, and duct-based intervention.

What is ERCP treatment for?

ERCP treatment is used for selected bile duct and pancreatic duct problems, including stones, strictures, leaks, blocked ducts, and stent placement when a duct needs drainage or support.

Is ERCP considered a major surgery?

ERCP is not open surgery. It is an advanced endoscopic procedure, but it can still carry risks and should be planned with a specialist who understands bile duct and pancreatic duct disease.

How long is the hospital stay for an ERCP?

Many ERCP procedures are outpatient or same-day procedures, but some patients may need hospital observation depending on their condition, procedure complexity, infection risk, pancreatitis risk, or recovery after sedation.

Is ERCP done for pancreatitis?

ERCP may be used in pancreatitis when there is a suspected obstructing bile duct stone, duct blockage, or specific pancreatic duct issue. It is not needed for every case of pancreatitis.

Is ERCP painful after?

Some patients have temporary throat soreness, bloating, or mild discomfort after ERCP. Severe abdominal pain, fever, vomiting, black stools, or worsening symptoms should be reported urgently.

What is an ERCP clinic?

An ERCP clinic evaluates symptoms, labs, imaging, and medical history to decide whether ERCP is appropriate. The actual procedure is usually coordinated in a procedure setting with advanced endoscopy support.

How do I find an ERCP clinic near me?

Look for a gastroenterology practice that evaluates bile duct, pancreatic duct, jaundice, gallstone, and pancreatitis concerns, and ask whether ERCP coordination and specialist interpretation are available.

Is an ERCP clinic different from a regular GI office?

A regular GI office may evaluate digestive symptoms, while an ERCP-focused clinic or advanced endoscopy program specifically reviews duct-related problems and coordinates ERCP when medically appropriate.

What should I ask an ERCP clinic before scheduling?

Ask why ERCP is being considered, what imaging or lab results are needed, whether treatment may be performed, what risks apply to you, how sedation works, and what follow-up will be needed.

Ready to plan the next step?

If ERCP has been recommended or your imaging suggests a duct problem, a gastroenterology visit can help confirm whether ERCP is appropriate and how to prepare.