NYC Gastroenterologist Dr. Anthony Borcich performs most of his ERCP tests (endoscopic retrograde cholangiopancreatography) in New York City at Lenox Hill Hospital’s Gastroenterology Unit. The Gastroenterology Unit at Lenox Hill aims to make each patient’s procedure as efficient and pleasant as possible, maintaining the personal attention of an office-based procedure while ensuring hospital-level safety standards. Contact us if you’re looking for an expert ERCP doctor in New York.
What is an endoscopic retrograde cholangiopancreatography (ERCP) test?
An endoscopic retrograde cholangiopancreatography (ERCP) procedure is a test used to examine and treat different structures, or ducts, relating to the liver and pancreas – the bile ducts and pancreatic duct.
Why is an ERCP procedure performed?
Symptoms or conditions that may require you to have an endoscopic retrograde cholangiopancreatography test include:
- Long-lasting abdominal pain
- Jaundice (skin that appears yellow in tone)
- Diseases of the liver and related ducts (primary sclerosing cholangitis)
- Biliary and pancreatic disease
An ERCP procedure may be necessary to perform actions such as:
- Remove problem-causing gallstones from the bile duct, which may include a blockage, inflammation or infection of the common bile duct (cholangitis) or pancreatitis
- Open a narrowed bile duct or insert a drain, also known as a stent
- Get a tissue sample for further testing (biopsy)
How do I prepare for an ERCP test?
Before undergoing an ERCP test, Dr. Borcich will perform a thorough review of your medical history, including addressing all major medical problems, the medications you are currently taking and any known allergies. This is an important step that will impact his decision to perform an ERCP test on you.
To ensure you have a proper examination, your stomach must be completely empty. You may be asked to stop eating at least six hours before the procedure. You’ll also need to arrange for someone to escort you home after the procedure.
What can I expect during an ERCP test?
Before the procedure begins, you’ll receive an anesthetic in order to help you relax and not feel any discomfort. Once the anesthesia is administered, Dr. Borcich will insert a thin, flexible tube with a camera on the end (called an endoscope) into your mouth, passing through your esophagus and stomach and into the first part of the small intestine, called the duodenum. With the camera, he can examine the common opening to the ducts from the liver and pancreas.
Next, Dr. Borcich will pass a narrow plastic tube (called a catheter) through the endoscope and into the ducts themselves. Then he will inject a special dye into the pancreatic or biliary ducts and images will be taken to identify where blockages or drainage problems may be occurring. If needed, other special instruments can be placed through the endoscope and into the ducts in order to perform biopsies, to insert plastic or metal tubing to relieve obstruction of the bile ducts or pancreatic ducts caused by scarring or cancer, or to perform incisions by using finely controlled surgical electric current (electrocautery).
If you believe you have symptoms that may warrant an endoscopic retrograde cholangiopancreatography (ERCP) test, the first step is scheduling an evaluation with an experienced Manhattan gastroenterologist and ERCP doctor. Anthony Borcich, M.D. has more than 30 years of experience and is known for his compassionate care and personalized approach. Schedule an appointment today by contacting our office or filling out the schedule appointment form on this page.