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It has a high success rate, with 90% of cases successfully treating blockages or stones.</span></div> <div>[icon-cons]<b>Cons:</b><span> 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.</span></div> <div>[icon-effect]<b>Effectiveness:</b><span> 90% success rate in treating ductal blockages or stones.</span></div> <div>[icon-clock]<b>Duration:</b><span> 1-2 hours</span></div> <div>[icon-run]<b>Recovery:</b><span> 1-2 days</span></div> <div>[icon-thumbs]<b>Best for:</b><span> Bile duct stones, strictures, and pancreatic duct issues. Ideal for patients needing both diagnostic and therapeutic intervention.</span></div> <div>[icon-price]<b>Prices:</b><span> [txt-country]</span></div>"}}},"relations":{"countries":[{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Romania","alias":"romania","iso_code":"RO"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"United Arab 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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. 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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 the clinic provides an endoscopy report after ERCP","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/endoscopy/endoscopy-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/","host":"uhb.nhs.uk","quote":"You will be given a copy of the report to take home with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that further management and follow-up are arranged when needed","scope":"procedure","source":{"url":"https://www.fhft.nhs.uk/patients-and-visitors/patient-information-library/ercp","host":"fhft.nhs.uk","quote":"It is not always possible for the doctor to discuss the findings after the procedure but, depending on the findings, further management and follow up will be arranged.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that the clinic explains whether a stent was inserted","scope":"procedure","source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3526-endoscopy-leaflet-endoscopic-retrograde-cholangiopancreatography-ercp","host":"ashfordstpeters.nhs.uk","quote":"It may be necessary to leave a plastic tube (stent) to allow drainage of your bile if not all the stones have come out, your doctor will you after the procedure if this was done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the clinic arranges follow-up for a stent when required","scope":"procedure","source":{"url":"https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/gastroenterology-guide-having-ercp-endoscopic-retrograde-cholangio-pancreatography","host":"northerncarealliance.nhs.uk","quote":"If a stent has been placed this is a temporary measure and will need to be removed or replaced after a period of time, and you will be sent an appointment for this to be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the clinic explains the risk of bleeding or perforation","scope":"procedure","source":{"url":"https://www.buckshealthcare.nhs.uk/pifs/having-an-ercp-pre-procedure/","host":"buckshealthcare.nhs.uk","quote":"There’s a slight chance of bleeding or perforation from this incision (about 2% of patients).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"It records the procedure findings for the home doctor","document":"ercp report","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/ercp-endoscopic-retrograde-cholangiopancreatography/recovery-after-ercp","host":"guysandstthomas.nhs.uk","quote":"When you leave hospital, we also give you an endoscopy report.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"ERCP has been unsuccessful or is not possible","name":"Surgical bile duct exploration","source":{"url":"https://www.royaldevon.nhs.uk/media/si4ocwi5/ercp-a-guide-to-the-procedure-rd-e-18-141-003.pdf","host":"royaldevon.nhs.uk","quote":"Surgical exploration of the bile duct is another option but is usually reserved for patients where ERCP has been unsuccessful or is not possible.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"biliary-sphincterotomy","name":"Biliary sphincterotomy with stone extraction (balloon or basket)","how_it_works":{"text":"Stones are removed or crushed in the ducts","source":{"url":"https://www.royaldevon.nhs.uk/media/si4ocwi5/ercp-a-guide-to-the-procedure-rd-e-18-141-003.pdf","host":"royaldevon.nhs.uk","quote":"Removing or crushing stones that are present in the ducts","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"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}}},{"id":"biliary-stent-placement","name":"Biliary stent placement (plastic or metal)","how_it_works":{"text":"A stent is placed to keep a bile duct open","source":{"url":"https://www.royaldevon.nhs.uk/media/si4ocwi5/ercp-a-guide-to-the-procedure-rd-e-18-141-003.pdf","host":"royaldevon.nhs.uk","quote":"If a stent is placed during your ERCP, it can become blocked after a period of time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"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}}},{"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":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=endoskopiceskaa-retrogradnaa-holangiopankreatografia-erhpg/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}