Endoscopic Retrograde Cholangiopancreatogram (ERCP)

ERCP (Endoscopic Retrograde Cholangiopancreatogram)

Risks

An endoscopic retrograde cholangiopancreatogram (ERCP) is generally a safe procedure. Although not common, complications can include:

• Inflammation of the pancreas (pancreatitis).
• Bleeding, which may occur if the pancreatic or bile ducts are enlarged or if biopsies are taken during the ERCP.
• Infection of the bile ducts, which may occur if gallstones were removed.
• An abnormal heart rhythm.
• A puncture of the esophagus, stomach, duodenum, bile duct, or pancreatic duct. If this happens, you will need to have surgery to repair the puncture.

After the procedure

After the test, call your doctor immediately if you:

• Vomit blood, whether it is fresh and red or is old and looks like coffee grounds.
• Have new or increased pain.
• Develop a fever or chills.
• Feel short of breath.
• Are dizzy or feel like you may faint.

People with serious heart disease and older adults with other chronic diseases have a greater chance of having problems from this procedure. Although complications are uncommon, talk to your doctor about your specific risks.

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Author:	Ralph Poore	Last Updated: June 20, 2007
Medical Review:	Anne C. Poinier, MD - Internal Medicine Peter J. Kahrilas, MD - Gastroenterology Anne C. Poinier, MD - Internal Medicine
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