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Ramesh Ashwath, MD, FACG -  - Board Certified Gastroenterologist

Bay Area Advanced Gastroenterology Care

Ramesh Ashwath, MD, FACG

Board Certified Gastroenterologist located in Brandon, FL

To determine the root cause of skin yellowing and abdominal pain, you may need to undergo an endoscopic retrograde cholangiopancreatography (ERCP). This highly technical endoscopic procedure diagnoses and treats conditions that affect the bile and pancreatic ducts. Board-certified gastroenterologist Ramesh Ashwath, MD, FACG, and the team at Bay Area Advanced Gastroenterology Care in Brandon, Florida, perform ERCP. To schedule an appointment, call or book online today.

ERCP, or endoscopic retrograde cholangiopancreatography Q & A

What is an ERCP?

An endoscopic retrograde cholangiopancreatography is a critical, life-saving, and highly technical endoscopic procedure. 

During the procedure, your gastroenterologist inserts an endoscope — which is a thin, flexible tube with a camera and light attached — into your mouth and slowly advances it to the first portion of your small intestine, the duodenum. 

Your gastroenterologist then inserts a catheter into the endoscope until it reaches the ducts in the duodenum and administers a contrast solution and takes X-rays to assess duct function. 

Who needs an ERCP?

The team at Bay Area Advanced Gastroenterology Care determines if you need an ERCP after a comprehensive evaluation. 

The procedure is most often performed on patients with jaundice, or yellowing of the skin and eyes, and abdominal pain that seems to originate from the bile or pancreatic ducts.

The highly skilled diagnostic procedure may confirm or rule out:

  • Gallbladder disease
  • Liver disease
  • Pancreatic disease
  • Biliary disease

In addition to diagnostic data, your gastroenterologist at Bay Area Advanced Gastroenterology Care also treats digestive conditions during an ERCP, such as removing gallstones or placing a stent in a blocked duct to improve flow.

What happens during an ERCP?

The team at Bay Area Advanced Gastroenterology Care performs your ERCP as an outpatient procedure under mild sedation. Your gastroenterologist also sprays a numbing agent in your throat to minimize discomfort.

During an ERCP, your gastroenterologist has you lie on an exam table and inserts the endoscope in your mouth. They then guide the endoscope through your esophagus and stomach and into your duodenum until it reaches the site of your gallbladder ducts (or biliary tree).

Your gastroenterologist threads a catheter through the endoscope to the biliary tree and injects the contrast dye. They may take several X-rays and ask you to change your position as needed. 

Your doctor then repositions the catheter to inject dye into your pancreatic ducts and takes additional X-rays. In addition to performing various procedures, the team may also take tissue samples during your ERCP.

What happens after an ERCP?

Your gastroenterologist sends you to the recovery area following your ERCP for monitoring and then discharges you home. Because of the sedation, you need to have someone drive you home after the procedure and take it easy the rest of the day.

You should be able to resume your usual activities within 24 hours. 

The team at Bay Area Advanced Gastroenterology Care schedules a follow-up appointment to review the results of your ERCP and discuss your treatment plan.

To learn more about ERCP at Bay Area Advanced Gastroenterology Care, call the office or book an appointment online today.

ERCP (Endoscopic Retrograde Cholangio Pancreatography):

Endoscopic retrograde cholangiopancreatography (ERCP) is a critical, life-saving and highly technical endoscopic procedure. The procedure helps to diagnose and treat problems in the bile duct and pancreatic ducts, such as stones, narrowing (called strictures) and blockages.

ERCP uses an endoscope to look at, and inject dye into, the duodenum, pancreas, bile ducts and gallbladder.

Please click here for more information related to ERCP 

ERCP Information- Spanish

What we offer

Gastroenterology Services