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Dr. Fermín Mearin Manrique has performed 1,100+ ERCP procedures over his 46-year career in gastroenterology, supported by 400+ scientific publications. The procedure at Centro Médico Teknon may cost between $4,120–5,000, typically covering the ERCP, anesthesia, pre-procedure preparation, and post-operative care. The JCI-accredited clinic maintains a 94% patient recommendation rate and uses advanced endoscopic technology for precise diagnostics and treatment.

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Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.

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Trained at Mayo Clinic – Dr. Centeno brings top-tier expertise from the prestigious US institution to his practice at Teknon Medical Center.

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Day 1: Arrival

\n\n\n

Day 2: Pre-Operation

\n\n\n

Day 3: ERCP Procedure

\n\n\n

Day 4: Post-Operation

\n\n\n

Week 1: Rehabilitation

\n\n\n

Week 2: Full Recovery

\n\n\n

Please note that each patient\"s recovery timeline and experience with ERCP may vary based on individual health conditions and the complexity of the procedure performed.

"},"overview":{"text":"

Endoscopic Retrograde Cholangiopancreatography (ERCP)

This procedure involves using an endoscope to diagnose and treat conditions of the bile and pancreatic ducts.

[icon-pros]Pros: ERCP allows for both diagnosis and treatment in a single session, reducing the need for additional procedures. It has a high success rate, with 90% of cases successfully treating blockages or stones.
[icon-cons]Cons: There is a risk of pancreatitis post-procedure, occurring in about 5-10% of patients. It requires sedation, which may not be suitable for all patients.
[icon-effect]Effectiveness: 90% success rate in treating ductal blockages or stones.
[icon-clock]Duration: 1-2 hours
[icon-run]Recovery: 1-2 days
[icon-thumbs]Best for: Bile duct stones, strictures, and pancreatic duct issues. Ideal for patients needing both diagnostic and therapeutic intervention.
[icon-price]Prices: [txt-country]
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The operation fixes a bulge near the navel, reducing discomfort and preventing dangerous complications.

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The gallbladder removal to treat inflammation, or cancer with less scarring and quicker recovery.

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The procedure is a diagnostic tool helping visualize gallbladder, pancreas, and bile ducts, combining endoscopy and X-rays for effective diagnosis and treatment.

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The procedure numbs the entire body, inducing a deep sleep for surgeries, enhancing comfort and reducing pain.

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The operation mends abdominal wall openings and strengthens them, preventing organ protrusion and alleviating pain.

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Prof. Dr. Abdulcabbar Kartal is a colorectal and general surgeon specializing in HIPEC and bariatric surgery. He is certified by the European Society of Coloproctology (FEBS-C) and has performed over 500 bariatric surgeries.","advisoryText":"Assoc. Prof. Dr. Abdulcabbar Kartal is a colorectal and general surgeon specializing in HIPEC and bariatric surgery. He is certified by the European Society of Coloproctology (FEBS-C) and has performed over 500 bariatric surgeries.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"updatedAt":"2026-11-14T02:20:55.447Z","activeCountries":["TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Surgery","alias":"surgery","name_forms":{"base_form":"Surgery","form_4":"surgeon","form_6":"surgeons","form_11":"surgeons"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["sedation"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Same-day discharge after uncomplicated therapeutic ERCP; desk work usually resumes in 1-3 days, depending on intervention and symptoms."},"complication_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Any adverse event within 30 days (pancreatitis, bleeding, cholangitis, perforation); serious ones about 1-2%"},"contraindications":["Severe cardiopulmonary instability or unfit for sedation/anesthesia","Suspected or known bowel perforation","Uncorrected severe coagulopathy, especially before sphincterotomy","Anatomy blocking endoscopic papilla access","Acute pancreatitis without cholangitis or persisting obstruction (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after several hours of observation; overnight stay is common after sphincterotomy or abdominal pain."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous exercise and heavy lifting for 1-2 weeks after sphincterotomy."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Duct clearance or biliary drainage is immediate; symptom and liver test improvement within days to weeks, depending on indication."},"fly_home_after_days":{"min":2,"max":3,"unit":"days","qualifier":"After observation and no pain, fever or bleeding; sphincterotomy, stent placement or complications can extend this."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Clinical review with test results and plan for the underlying disease."}},{"purpose":"splint_removal","requirement":"conditional","after":{"min":30,"max":90,"unit":"days","qualifier":"Only if a biliary or pancreatic stent needs removal or exchange; timing depends on stent type."}}],"indications":["Common bile duct stones","Biliary obstruction or stricture","Cholangitis requiring biliary decompression","Bile leak after surgery or trauma","Selected pancreatic duct disorders (strictures, stones, leaks, recurrent pancreatitis)","Sphincter of Oddi dysfunction in selected cases","Indeterminate biliary strictures needing tissue sampling"],"main_risks":["Post-ERCP pancreatitis","Bleeding, particularly after sphincterotomy","Cholangitis or other infection","Duodenal or bile duct perforation","Sedation-related cardiopulmonary events","Stent occlusion or migration","Radiation exposure from fluoroscopy"],"pain":"Procedure is done under sedation and is usually painless. Mild to moderate abdominal discomfort, bloating, and sore throat are common for 1-2 days afterward; severe or worsening pain needs urgent evaluation.","preparation":["Fasting for about 6-8 hours before the procedure","Blood tests and imaging review (ultrasound, CT, MRCP)","Review history, allergies, and anticoagulant use","Pre-sedation assessment","Informed consent and arrangement for an escort home","Antibiotics only if indicated"],"recovery_timeline":[{"phase":"Same day (observation)","description":"Several hours of monitoring after sedation for pain, bleeding or fever; light diet if well.","restrictions":["No driving, alcohol, or key decisions for 24 hours"]},{"phase":"Days 1-3","description":"Mild bloating or sore throat may persist; most resume light activities and normal diet. Report severe pain, fever, vomiting, black stools, jaundice.","restrictions":[]},{"phase":"Week 1-2","description":"Usually back to full activity; follow-up on results and any stent plan.","restrictions":["Avoid strenuous exercise and heavy lifting until about week 2"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated ERCP; no formal rehabilitation program."},"result_longevity":"Stone clearance is usually durable, though bile duct stones can recur in some patients. Plastic stents typically need exchange or removal after about 3 months; metal stents last longer, depending on the disease.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat ERCP for incomplete stone clearance, failed cannulation or stent exchange; higher with strictures and stents"},"scars":"No skin incisions or scars; the procedure is performed through the mouth with an endoscope.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single ERCP session in the typical uncomplicated case; repeat sessions may be needed for complex stones or strictures."},"stages":[{"code":"ercp_session","label":"ERCP with cannulation, cholangiography/pancreatography and indicated intervention","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical standalone single-session ERCP."},"success":{"metric":"Bile duct stone clearance","value":90,"unit":"percent","horizon":"Immediately after the procedure, within 1-2 sessions","population":"Adults with common bile duct stones undergoing sphincterotomy and extraction","evidence_status":"limited"},"techniques":[{"name":"Biliary sphincterotomy with stone extraction (balloon or basket)","suits_whom":"Patients with common bile duct stones.","recovery":"Usually same-day or overnight stay; light activity within 1-3 days."},{"name":"Biliary stent placement (plastic or metal)","suits_whom":"Patients with biliary strictures, obstruction, or leaks needing drainage.","recovery":"Similar short recovery; plastic stents may need exchange or removal later."},{"name":"Pancreatic duct stenting","suits_whom":"Selected patients with pancreatic duct disorders, or as prophylaxis against post-ERCP pancreatitis in high-risk cases.","recovery":"Short recovery; follow-up to confirm stent passage or removal."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Procedure time for a typical uncomplicated ERCP, excluding preparation, sedation recovery and observation; complex interventions take longer."},"initial_assessment_documents":["Abdominal ultrasound report","MRCP or CT abdomen report and images","Liver function and pancreatic enzyme blood tests","Previous endoscopy or ERCP report","Discharge summary of recent cholangitis or pancreatitis","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-session procedure; stay 2-3 days including observation. Second trip only if a stent needs later removal or exchange."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a consultant will perform the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"The procedure will be performed by a consultant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are given time to ask questions at your appointment","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will also be given the opportunity to ask questions in the department when you attend for your appointment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a doctor weighs the risks against your likely benefit","scope":"procedure","source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3526-endoscopy-leaflet-endoscopic-retrograde-cholangiopancreatography-ercp","host":"ashfordstpeters.nhs.uk","quote":"Your doctor will carefully assess the risks and weigh them to see how much you can benefit from this procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a doctor assesses patients with significant health problems before the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Older patients and those who have significant health problems, for example, people with significant breathing difficulties, may be assessed by a doctor before having the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that a fully trained endoscopy nurse monitors your sedation closely","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Careful monitoring by a fully trained endoscopy nurse ensures that any potential problems can be identified and treated rapidly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic provides a copy of the procedure report after ERCP","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will be given a copy of the procedure report, and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe belly pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Vomiting that won't stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Black or bloody poop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Needed when post-ERCP symptoms prompt urgent care","document":"ercp report","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"Please bring your ERCP report with you to Accident and Emergency department","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Lists stent-blockage warning signs the home doctor should watch for","document":"discharge advice leaflet","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"If you have had a stent inserted and you find that after sometime your urine becomes darker, you develop a temperature, have tummy/back pain or feel unwell it is possible that your stent may have blocked.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"ERCP is not successful for your bile duct problem","name":"Transhepatic cholangiography","source":{"url":"https://my.clevelandclinic.org/departments/digestive/medical-professionals/hepatology/gallbladder-biliary-tract-disease","host":"my.clevelandclinic.org","quote":"Percutaneous transhepatic cholangiography can be a useful alternative when ERCP is not successful, although it is sometimes not successful in the absence of dilated bile ducts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"biliary-sphincterotomy","name":"Biliary sphincterotomy with stone extraction (balloon or basket)","how_it_works":{"text":"Tools are passed through the tubes to remove gallstones","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"biliary-stent-placement","name":"Biliary stent placement (plastic or metal)","how_it_works":{"text":"Stents are placed to relieve blockages in the ducts","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"pancreatic-duct-stenting","name":"Pancreatic duct stenting","how_it_works":{"text":"A stent can be placed in a blocked pancreatic duct","source":{"url":"https://patient.gastro.org/?p=992","host":"patient.gastro.org","quote":"Stones can be removed from the common bile duct or pancreatic duct and blocks can be dilated, biopsied and/or stented.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.uhb.nhs.uk/services/endoscopy/endoscopy-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/","host":"uhb.nhs.uk","quote":"The effect of the sedation will have worn off by the next day and most patients will be able to resume normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=endoskopiceskaa-retrogradnaa-holangiopankreatografia-erhpg/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}