ERCP Procedure in Delhi NCR

ERCP (Endoscopic Retrograde Cholangiopancreatography) is a procedure used to examine and treat problems affecting the bile and pancreatic ducts. It may be used for conditions such as bile duct stones, strictures, blockages, bile leaks, and certain pancreatic or biliary conditions. ERCP uses an endoscope and X-ray imaging and can allow treatments such as stone removal or stent placement during the same procedure. The procedure is performed under sedation or anaesthesia, and preparation, recovery, risks, and hospital stay can vary depending on the individual case.

What Is ERCP? (Endoscopic Retrograde Cholangiopancreatography)

ERCP – endoscopic retrograde cholangiopancreatography – combines a flexible camera (endoscope) passed through your mouth with real-time X-ray imaging (fluoroscopy). The scope travels down your throat, through your stomach, and into the duodenum, where it reaches the opening of the bile and pancreatic ducts. A contrast dye is injected to make these ducts visible on X-ray.

At LivCure, Dr. Ankur Garg and the HPB team provide ERCP in Delhi NCR alongside bile duct surgery, pancreatic surgery, and liver transplantation, supporting continuity of care from diagnosis through treatment and, when required, surgical intervention.

When Is ERCP Recommended?

Dr. Ankur Garg’s team may recommend ERCP in following cases:

• Gallstones in the bile duct – stones that have slipped out of the gallbladder and are blocking the common bile duct
• Unexplained jaundice – yellowing of the skin or eyes caused by bile duct obstruction
• Bile duct strictures – abnormal narrowing from scarring, inflammation, or post-surgical changes
• Acute or recurrent pancreatitis – when the pancreatic duct is blocked or inflamed
• Suspected tumours – to evaluate or biopsy masses in the bile duct or pancreas
• Post-surgical complications – such as bile leaks after cholecystectomy (gallbladder removal)
• Primary sclerosing cholangitis (PSC) – a chronic condition causing progressive bile duct scarring
• Biliary leaks – to place a stent and seal a leak in the bile duct system

At LivCure, ERCP is often the first step in managing complex HPB conditions before deciding on surgical intervention. Our multidisciplinary team reviews every case together. 

ERCP vs MRCP – Which Do You Need?

MRCP is a non-invasive imaging test, while ERCP is an endoscopic procedure that can also provide treatment when required. The choice depends on the patient’s symptoms, clinical findings, imaging results and treatment needs.

ERCP Cost in Delhi – NCR

ERCP cost varies by hospital type, procedure complexity, and whether additional interventions (stent placement, sphincterotomy) are needed.

ERCP cost in Delhi NCR varies depending on the hospital, procedure complexity, anaesthesia, investigations and additional treatments such as stone removal, sphincterotomy or stent placement. The final cost should be confirmed with the hospital before the procedure.

How to Prepare for Your ERCP

Before the Procedure

• Fast for 6-8 hours – no food or drink after midnight the night before
• Blood thinners (aspirin, warfarin, clopidogrel) – consult Dr. Garg’s team well in advance
• Arrange transport home – you cannot drive after sedation; bring a family member or friend
• Inform the team of all allergies, current medications, and any prior reactions to contrast dye or anaesthesia

What Happens During an ERCP Procedure?

During an ERCP (Endoscopic Retrograde Cholangiopancreatography), an endoscope is used along with X-ray imaging to examine the bile and pancreatic ducts. The procedure generally involves the following steps:

• Sedation or anaesthesia: Medication is given to help you relax and remain comfortable during the procedure.
• Scope insertion: A thin, flexible endoscope is passed through the mouth, oesophagus, and stomach into the duodenum.
• Accessing the ducts: A small catheter is guided through the endoscope to the opening of the bile or pancreatic duct.
• Contrast injection: Contrast dye is introduced into the ducts so they can be clearly seen on X-ray images.
• Imaging: Fluoroscopy (real-time X-ray imaging) helps identify stones, narrowing, blockages, leaks, or other abnormalities.
• Treatment, when required: Depending on the findings, the doctor may remove bile duct stones, place a stent, widen a narrowed area, or perform a sphincterotomy.
• The ERCP procedure usually takes around 30 – 90 minutes, depending on the findings and treatment required. Additional time is needed for preparation and recovery after the procedure.

Recovery After ERCP

Recovery after an ERCP procedure is usually gradual.  Your doctor will provide specific instructions based on your procedure and overall health.

After the procedure:

• Rest: You may feel drowsy for several hours after sedation.
• Throat discomfort: Mild throat soreness or irritation may occur after the endoscopy.
• Bloating: Temporary bloating or gas can occur after ERCP.
• Driving: Avoid driving or operating machinery until the effects of sedation have completely worn off.
• Food and drinks: Follow your doctor’s advice on when to restart fluids and food. A light or soft diet may be recommended initially.
• Alcohol: Avoid alcohol until your doctor advises that it is safe to resume.

If you experience severe abdominal pain, fever, persistent vomiting, bleeding, or other concerning symptoms after ERCP, seek prompt medical attention.

What Our Patients Say

LivCure India holds a 5/5 rating based on 91 Google reviews – a reflection of the team’s clinical outcomes and the care patients experience throughout their journey. – Read real stories on our testimonials page. As Dr. Ankur Garg puts it: “Liver disease and transplant decisions can be overwhelming. I want you to know that you are not alone.” That commitment extends to every ERCP consultation we hold.

Consult for ERCP & HPB Care at Paras Health, Gurugram

If you have been advised an ERCP or are being evaluated for a bile duct, liver, or pancreatic condition, a specialist consultation can help determine the appropriate next step .Dr. Ankur Garg is a liver transplant surgeon in Delhi NCR with expertise in HPB surgery. ERCP may form part of the evaluation and management of selected hepatobiliary and pancreatic conditions.

Patients from Delhi, Gurugram, Noida, Faridabad, and Panchkula can consult at Paras Health, Gurugram.

📞 +91 87002 71068
📧 info@livcureindia.com
💬 WhatsApp available for appointment and consultation queries