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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":["Patient refusal or inability to consent","Severe cardiopulmonary instability or unfit for sedation/anesthesia","Suspected or known bowel perforation","Uncorrected severe coagulopathy (relative for diagnostic ERCP, more important when sphincterotomy is planned)","Anatomy preventing endoscopic access to the papilla (e.g., some surgically altered anatomy; may require alternative approaches)","Purely diagnostic indication when non-invasive imaging (MRCP, EUS) can answer the question","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; an overnight stay is common after sphincterotomy or if symptoms such as abdominal pain occur."},"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":"Strenuous activity and heavy lifting are usually avoided for about a week after uncomplicated ERCP with sphincterotomy; follow the endoscopist's advice."},"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 after the procedure, with test results and plan for the underlying disease."}},{"purpose":"other","requirement":"conditional","after":{"min":30,"max":90,"unit":"days","qualifier":"Only if a biliary or pancreatic stent was placed and needs removal or exchange; timing depends on stent type and indication."}}],"indications":["Common bile duct stones","Biliary obstruction or stricture (benign or malignant), including drainage by stent","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","Tissue sampling of biliary strictures when other methods are inconclusive"],"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","Failed cannulation requiring repeat or alternative procedure","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, as instructed","Pre-procedure blood tests and review of imaging (ultrasound, CT or MRCP)","Review of medical history, allergies (including contrast), and anticoagulant/antiplatelet use with the treating team","Pre-sedation assessment","Informed consent and arrangement for an escort home","Antibiotics only if indicated"],"recovery_timeline":[{"phase":"Same day (observation)","description":"Monitoring for several hours after sedation for pain, bleeding, fever, or other warning signs; light diet is started if well.","restrictions":["No driving, alcohol, or important decisions for 24 hours after sedation"]},{"phase":"Days 1-3","description":"Mild bloating or throat soreness may persist; most patients resume light daily activities and a normal diet.","restrictions":["Report severe abdominal pain, fever, vomiting, black stools or jaundice promptly"]},{"phase":"Week 1-2","description":"Return to full activity if uncomplicated; follow-up on results and any stent plan.","restrictions":["Avoid strenuous exertion early in the first week"]}],"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":"proven"},"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."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/procedure=endoskopiceskaa-retrogradnaa-holangiopankreatografia-erhpg/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":36,"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}