ERCP in South Delhi
ERCP (endoscopic retrograde cholangio-pancreatography) combines endoscopy with X-ray to reach the bile and pancreatic ducts through the mouth. It is the standard treatment for bile-duct stones, blocked ducts causing jaundice, bile leaks and some pancreatic conditions — avoiding open surgery.
When ERCP is done
Bile-duct stones (with or after gallbladder surgery), jaundice from a blocked duct, cholangitis, bile leak after surgery, strictures of the bile duct, pancreatic duct stones or strictures in chronic pancreatitis, and placement of stents for tumours.
How it works
Under sedation or anaesthesia, a side-viewing endoscope reaches the duodenum. A fine catheter enters the bile duct; contrast dye and X-ray outline the ducts. Stones are removed with baskets or balloons; a small cut (sphincterotomy) widens the opening; stents relieve blockages.
After ERCP
Observation for a few hours to overnight. Mild pain is common; pancreatitis occurs in a small percentage and is usually mild. Antibiotics and preventive measures are used routinely.
Why experience matters
ERCP is technically demanding; cannulation success, appropriate use and complication prevention all depend on the endoscopist. Dr Paliwal has performed ERCP for two decades at tertiary hospitals.
Conditions this helps diagnose or treat
Why patients choose Dr Paliwal for ercp
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
Questions about ercp
Is ERCP a surgery?
No — it is an endoscopic procedure done through the mouth with no incisions, though it is done in a special X-ray-equipped room under sedation.
How long does ERCP take?
30–60 minutes, with a short hospital stay for observation.
Do I still need gallbladder surgery after ERCP?
If the stones came from the gallbladder, yes — usually within a few weeks — to prevent recurrence.
Other procedures
Upper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it worksColonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it worksCapsule Endoscopy
Swallow a pill camera to photograph the whole small intestine — no sedation, no tube
How it worksBalloon Enteroscopy
Deep endoscopy of the small intestine to biopsy and treat what capsule finds
How it worksAsk about ercp at PSRI or the CR Park clinic.
Send your reports on WhatsApp; the team will tell you whether this test is needed and what to prepare.