ERCP with Cholangioscopy: Advanced Precision in Biliary and Pancreatic Care
ERCP is a minimally invasive procedure that uses
endoscopy and
fluoroscopy (X-ray imaging) to diagnose and treat conditions of the
bile ducts,
gallbladder, and
pancreas.
- A flexible endoscope is gently passed through the mouth into the small intestine.
- Contrast dye is injected into the bile and pancreatic ducts to visualize blockages, stones, or narrowing on X-ray.
- Doctors can treat many problems immediately, such as removing stones, opening strictures, or placing stents to restore bile flow.
When
cholangioscopy is added, a
tiny high-definition camera is inserted through the ERCP scope, allowing
direct visualization inside the bile ducts. This real-time view enables doctors to:
- Detect small lesions or tumors not visible on X-ray
- Perform targeted biopsies for accurate diagnosis
- Remove large or complex stones precisely using laser or electrohydraulic energy
Together,
ERCP with cholangioscopy provides unmatched diagnostic clarity and treatment precision, offering patients a safer, faster, and more effective solution for complex biliary and pancreatic disorders.
Common Reasons for ERCP with Cholangioscopy:
- Bile duct stones (choledocholithiasis)
- Bile duct narrowing or blockage (strictures)
- Bile leaks after surgery
- Suspicious bile duct or pancreatic lesions
- Evaluation and biopsy of tumors
Key Benefits at Bumrungrad
|
Feature
|
Conventional ERCP
|
ERCP with Cholangioscopy
|
|
Visualization
|
Indirect, using X-ray images
|
Direct view of bile ducts with micro-camera
|
|
Accuracy
|
Good
|
Excellent, real-time visualization
|
|
Stone Removal
|
Limited for large stones
|
Effective using laser or electrohydraulic lithotripsy
|
|
Biopsy Precision
|
Image-guided
|
Direct visual biopsy for high accuracy
|
Internationally Accredited Excellence
At
Bumrungrad International Hospital, ERCP with cholangioscopy is performed at the
GI-Broncho Endoscopy Unit, certified by the
Endoscopy Unit Recognition Program (EURP) under the
American Society for Gastrointestinal Endoscopy (ASGE).
Bumrungrad is proud to be
the first hospital in Thailand and Southeast Asia to receive this recognition, affirming its commitment to world-class safety, quality, and endoscopic care.
FAQ
Q: Is ERCP with cholangioscopy painful?
A: No. The procedure is done under sedation or anesthesia to ensure comfort.
Q: How long does it take?
A: Usually 45–90 minutes, depending on the complexity of the case.
Q: What are the possible risks?
A: Minor complications such as mild pancreatitis or infection can occur but are rare. Bumrungrad’s strict safety protocols help minimize these risks.
Q: How soon can I return home?
A: Most patients can return home after a short observation period.
Q: What makes Bumrungrad unique?
A: International accreditation, advanced imaging systems, and a dedicated team specializing in complex pancreatic and biliary care.
Key Takeaways
- ERCP with cholangioscopy combines endoscopy and real-time imaging for precise diagnosis and treatment.
- Enables direct visualization inside the bile ducts for accurate detection of stones, strictures, or tumors.
- Allows targeted biopsies and minimally invasive stone removal with faster recovery.
- Performed at Bumrungrad International Hospital’s ASGE-accredited GI-Broncho Endoscopy Unit.
- Ensures world-class safety, accuracy, and outcomes for complex biliary and pancreatic conditions.
For more information or to schedule an appointment with our gastroenterologists, please contact the
Bumrungrad Digestive Disease Center.
By
Asst. Prof. Dr. Veeravich Jaruvongvanich, Gastroenterology and Hepatology
For more information please contact:
Last modify: November 03, 2025