Endoscopic retrograde cholangiopancreatography (ERCP), is a technique performed with a special endoscope that is passed via the mouth, through the stomach to the opening of the bile ducts in the small intestine. The procedure is performed with sedation and most people do not remember it.

ERCP is usually performed for the removal of stones from the bile duct or to provide therapy for a narrowing or compression (stricture) of the ducts. Sometimes this therapy includes the insertion of a plastic or metal stent (drainage tube) or dilation of the narrowing with a special balloon. A small cut in the muscular opening of the duct (a sphincterotomy) may be performed in order to aid the removal of stones or the insertion of a stent.

At GastroNorth, Dr Joshua Butt performs ESD.

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