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Instructions

INSTRUCTIONS FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP)

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CHECK LIST
Please contact our office immediately if you have any questions or concerns about the procedure.

Please answer the following questions:

  • Do you take any medication in the morning?
  •     Yes, please ask our procedure coordinator which medication to hold and which one to take the morning of the procedure.
  •     No, please start your preparation as instructed.
  • Are you on Blood thinner?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to stop taking the medication.
  •     No,please start your preparation as instructed.
  • Marijuana, alcohol and/or substance use?
  •     Yes, please do not use it on the day of the procedure.
  •     No,please start your preparation as instructed.
  • Are you taking Ozempic, Wegovy, Mounjaro, Rybelsus and or other Glucagon like peptide-1 (GLP1)
  •     Yes,please let us know immediately before your procedure. Approval must be obtained prior to stopping taking the medication. For patient that is currently on GLP1, patient is recommended to have light lunch the date before the procedure and no dinner.
  •     No, please start your preparation as instructed.
  • Do you currently have any cardiac, pulmonary and/or blood clotting disorder?
  •     Yes, please let us know immediately before your procedure. Approval must be obtained prior to the procedure.
  •     No, please start your preparation as instructed.

What is ERCP?
Endoscopic retrograde cholangiopancreatography, or ERCP, is a specialized technique used to study the bile ducts, pancreatic duct and gallbladder. Ducts are drainage routes; the drainage channels from the liver are called bile or biliary ducts. The pancreatic duct is the drainage channel from the pancreas.

Five to Seven Days before Your Procedure

  • DO NOT take any aspirin, products containing aspirin, non-steroidal anti-inflammatories/NSAIDS (e.g. Aleve, Motrin, ibuprofen, naproxen), COX-2 Inhibitors (e.g. Celebrex), Pentoxyfylline (Trental), Nabumetone (Relafen)
  • DO NOT take iron supplements, vitamins or herbal supplements.
  • DO NOT take clopidogril (Plavix), dipyridamole (Aggrenox, Persantine), or warfarin (Couinadin).

    • If you cannot stop taking these medications, please discuss this with your provider.


Note: Acetaminophen products (e.g. Tylenol) are safe to use before your procedure. Arrange for transportation as you will not be allowed to drive after the procedure.


Day of ERCP

  • Do NOT eat or drink anything after midnight (minimum of 8 hours before your procedure). If you must take your medication, you may take it with a few small sips of water.
  • If you are DIABETIC , do not take your medication the morning of the procedure. If you must take your medication, take only half of your regular dose. Continue to check your blood sugars as you normally do.
  • You may brush your teeth.
  • Please arrive at the facility on time.
  • You should not wear jewelry to the procedure.
  • You will not be allowed to drive home. You may have a relative or friend drive you home. You may also go home in a taxi or by bus and must always be accompanied even upon arrival home.

What are possible complications of ERCP?

ERCP is a well-tolerated procedure when performed by doctors who are specially trained and experienced in the technique. Although complications requiring hospitalization can occur, they are uncommon. Complications can include pancreatitis (inflammation of the pancreas), infections, bowel perforation and bleeding. Some patients can have an adverse reaction to the sedative used. Sometimes the procedure cannot be completed for technical reasons.

Risks vary, depending on why the test is performed, what is found during the procedure, what therapeutic intervention is undertaken, and whether a patient has major medical problems. Patients undergoing therapeutic ERCP, such as for stone removal, face a higher risk of complications than patients undergoing diagnostic ERCP. Your doctor will discuss your likelihood of complications before you undergo the test.

Please ensure you have a follow up appointment to discuss the test results with your provider. Feel free to call our office with any questions or concerns. Good luck!

A minimum of 48 hours notice is required for cancellations for all procedures and office visits.

sgc-ercp

How is ERCP performed?
During ERCP, your doctor will pass an endoscope through your mouth, esophagus and stomach into the duodenum (first part of the small intestine). An endoscope is a thin, flexible tube that lets your doctor see inside your bowels. After your doctor sees the common opening to the ducts from the liver and pancreas, called the major duodenal papilla, your doctor will pass a narrow plastic tube called a catheter through the endoscope and into the ducts. Your doctor will inject a contrast material (dye) into the pancreatic or biliary ducts and will take X-rays.

sgc-ercp detail

What can I expect after ERCP?

If you have ERCP as an outpatient, you will be observed for complications until most of the effects of the medications have worn off before being sent home. You might experience bloating or pass gas because of the air introduced during the examination. You can resume your usual diet unless you are instructed otherwise. Someone must accompany you home from the procedure because of the sedatives used during the examination. Even if you feel alert after the procedure, the sedatives can affect your judgment and reflexes for the rest of the day. Because individual circumstances may vary, this brochure may not answer all of your questions. Please ask your doctor about anything you don’t understand.

List of Aspirin or Aspirin Related Drugs


4-Way Cold Tablets

Adprin - B Tablets

A.S.A. Enseals

A.S.A. Tablets

Aches-N Pain Tablets

Advil

Alcohol

Aleve Tablets

Alka-Seltzer Products

Amigesic capsules

Anacin Tablets and Capsules

Anaprox, Anaprox DS Tablets

Anodynos Tablets

Ansaid Tablets

APC

Argesic Tablets

Artha-G Tablets

Arthralgen Tablets

Arthritis Bayer Timed Release Aspirin

Arthritis Pain Formula Tablets

Arthritis Strength Buffering Tablets

Arthropan Liquid

Arthrotec

Ascodeen

Ascriptin, All products

Asperbuf Tablets

Aspergum [chewing gum]

Aspirin

Asprimox Tablets

Axdone

Axotal Tablets

Bayer, All products

BC Tablets and Powder

Brufen

Buf-Tabs

Buff-A Comp No. 3 Tablets with codeine

Buff-A Comp Tablets and Capsules

Buffaprin Tablets

Bufferin, All products

Buffets II Tablets

Buffex Tablets

Buffinol Tablets

Cama Arthritis Pain Relieve

CataFlam Tablets

Cephalgesis

Cheracol

Children Aspirin

Children's Advil Suspension

Children's Motrin Suspension

Congesprin

Cope Tablets

Coricidin

Coumadin

Darvon Compound Pulvules

Darvon with A.S.A. Pulvules

Darvon Compound-65

Darvon-N with A.S.A.

Dasin Capsules

Daypro Tablets

DiFlunisal

Disalcid Capsules

Doan’s Pills

Dolobid Tablets

Dristan

Duoprin-S Syrup

Duradyne Tablets

Easprin

Ecotrin Tablets

Emagrin Tablets

Empirin Tablets

Emprazil

Endodan Tablets

Epromate Tablets

Equagesic Tablets

Equazine M Tablets

Etodolac

Excedrin Tablets and Capsules

Feldene Capsules

Fenoprofen Tablets

Fiorgen PF Tablets

Fiorinal Tablets

Fluriprofen Tablets

Gelpirin Tablets

Gensan Tablets

Goody's Headache Powder

Halfprin Tablets

Haltran Tablets

Ibu-Tab Tablets

Ibuprin Tablets

Ibuprohm Tablets and Caplets

Indochron E-R Capsules

Indocin Capsules/Suspension/ Suppositories

Indocin-SR Capsules

Indomethacin Capsules

Indomethacin Suspension

Isollyl Improved Tablets & Capsules

Ketrolac Tablets

Ketoprofen Capsules

Lanorinal Tablets

Lodine Capsules /Tablets

LodineXL

Lortab

Magan Tablets

Magnaprin Arthritis Strength Captabs

Magsal Tablets

Mamal Capusles

Marthritic Tablets

Maximum Bayer Aspirin

Measurin Tablets

MecloFenamate Capsules

Meclomen Capsules

Medipren Tablets and Caplets

Menadol Tablets

Meprogesic Tablets

Micrainin Tablets

Midol 200 Tablets

Midol, All products

Mobidin Tablets

Mobigesic Tablets

Momentum Tablets

Motrin Tablets

Nalfon Capsules/Tablets

Nalfon Pulvules

Naprosyn Tablets/Suspension

Naproxen Tablets

Neocylate Tablets

Norgesic & Norgesic Forte Tablets

Norwich Extra-Strength Tablets

Nuprin Tablets and Caplets

Orphengesic

Orudis Capsules

Oruvail Capsules

Pabalate

Pabalate-SF Tablets

PAC Tablets

Pamprin-IB Tablets

Pepto-Bismol Tablets and Suspension

Percodan and Percodan Demi Tablets

Phenaphen

Piroxicam Capsules

Ponstel Capsules

Presalin Tablets

Relafen Tablets

Robaxisal Tablets

Rufen Tablets

S-A-C

Saleto Tablets Capsules,

Saleto-200 Tablets

Saleto-400,600,800 Tablets

SalFlex Tablets

Salocol Tablets

Salsalate Tablets

Salsitabs Tablets

Sine-Aid

Sine-Off

SK-65 Compound Capsules

Soma

Soma CMD

St. Joseph Adult Chewable Aspirin

St. Joseph Cold Tablets for Children

St. Joseph Aspirin for Children

Sulindac Tablets

Supac

Synalgos Capsules

Synalgos-DC Capsules

Talwin Compound Tablets

Tolectin 200,600 Tablets

Tolectin DS Capsules

Tolmetin Tablets/Capsules

Toradol

Injection/Tablets

Trendar Tablets

Tricosal Tablets

Tri-Pain Tablets

Trigesic

Trigesic Tablets

Trilisate Tablets and Liquid

Vanquish Caplets

Verin

Voltaren Tablets

Zactin

Zorprin Tablets

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