ERCP - Endoscopic Retrograde Cholangiopancreatography



Gallstone diseases are highly prevalent in the northeastern region of India, particularly in Guwahati. These troublesome stones can be found in various areas, including the gallbladder, common bile duct, and minor ducts of the liver, which are responsible for draining bile from the liver into the intestines. While laparoscopic cholecystectomy is a relatively straightforward procedure for gallbladder stone removal, the extraction of stones from the common bile duct often necessitates open surgery, resulting in longer incisions and extended recovery periods. However, thanks to the groundbreaking technique known as ERCP - Endoscopic Retrograde Cholangiopancreatography,that has revolutionized the treatment process by enabling the removal of biliary tract stones without any surgical incisions. Swagat Superspeciality Hospital in Guwahati offers a game-changing solution for gallstone removal without any incisions.

What is ERCP? Full form of ERCP

ERCP, or Endoscopic Retrograde Cholangiopancreatography, is an advanced endoscopic procedure that allows medical professionals to access the liver endoscopically and remove stones from within. Additionally, ERCP serves as both a diagnostic and therapeutic tool for various diseases associated with the common bile duct, which connects the liver and the intestines. During the procedure, doctors can also insert stents to alleviate any narrowing in the ducts, utilize laser technology to break down stones in the smaller liver ducts, and even perform spyglass cholangioscopy.

ERCP Procedure in North East

Swagat Hospitals has been at the forefront of ERCP procedures since its inception in Guwahati in 1997, accumulating vast experience in performing several thousand successful ERCPs in the region.

Swagat Hospitals introduced ERCP for the first time in the northeast region, specifically in Guwahati, in 1997. With several thousand ERCPs successfully performed in the region, we have established ourselves as the leading hospital for ERCP procedures.Our expertise also extends to spyglass cholangioscopy, where we employ a disposable single-use spy camera to access the hepatic ducts, the smaller ducts within the liver. Previously, open surgery or laparoscopic procedures performed by a limited number of experienced surgeons were the only options for removing liver stones. Swagat Hospitals has been at the forefront of gallbladder stone removal, liver stone treatment, and other related disorders.

Additionally, our hospital is recognized as a center of excellence in advanced liver surgery and transplant surgery in the northeastern region of India. With a successful track record of over 3000 ERCP procedures and several hundred spy cholangioscopies, Swagat Hospitals remains dedicated to providing cutting-edge diagnostic and treatment options. Spy cholangioscopy has proven instrumental in diagnosing early-stage cancers in the small ducts of the liver and common bile duct, where biopsies through conventional methods are challenging to obtain.

At Swagat Hospitals, we combine our extensive experience, state-of-the-art technology, and the visionary leadership of Prof. Dr. Subhash Khanna to deliver the highest quality care in the field of ERCP. We strive to ensure optimal patient outcomes, quick recovery periods, and personalized attention throughout the treatment journey. Choose Swagat Hospitals, the number one super-specialty hospital in Guwahati and North-East India for ERCP procedures, and entrust your health to our skilled and compassionate team of medical professionals.

Why is ERCP Performed?

ERCP is performed for several reasons. Primarily, it is used to remove gallstones from the biliary tract, including the gallbladder, common bile duct, and liver ducts. The procedure is highly effective and minimally invasive, resulting in faster recovery times compared to traditional open surgeries. In addition to gallstone removal, ERCP can diagnose and treat a range of conditions such as bile duct strictures, tumors, and even early-stage cancers in the small ducts of the liver and common bile duct.

Swagat Hospitals in Guwahati excels in utilizing ERCP for various therapeutic interventions, including the placement of stents to alleviate narrowing in the ducts and using laser technology to break down stones within the smaller liver ducts.

How is ERCP Performed?

During an ERCP procedure, a specialized endoscope, called a duodenoscope, is carefully inserted through the mouth and guided through the esophagus and stomach until it reaches the duodenum, the first part of the small intestine.

This enables the medical team to access the bile ducts. A contrast dye is then injected, allowing for clear visualization of the biliary system using fluoroscopy, a real-time X-ray imaging technique. With this enhanced visibility, the stones can be located and removed using specialized tools attached to the endoscope. Swagat Hospitals, with its state-of-the-art facilities and experienced medical professionals, ensures the highest precision and safety during the ERCP procedure.

What preparation is required?

Prior to an ERCP procedure, certain preparations are necessary to ensure its success and the patient safety. The medical team at Swagat Hospitals will provide detailed instructions regarding dietary restrictions, which may involve fasting for a specific period. It is crucial to inform the medical team about any existing medical conditions, allergies, or medications being taken, as certain medications may need to be adjusted or temporarily stopped to avoid complications during the procedure. Patients will receive personalized guidance from the dedicated staff at Swagat Hospitals, ensuring a smooth and hassle-free preparation process.

What are possible complications of ERCP?

While ERCP is generally safe, as with any medical procedure, there are potential risks and complications to be aware of. These can include adverse reactions to sedation or the contrast dye, bleeding, infection, and pancreatitis, which is inflammation of the pancreas.

However, these complications are relatively rare, and the highly skilled medical professionals at Swagat Hospitals take every precaution to minimize risks and ensure patient safety.

What can I expect after ERCP?

After the ERCP procedure, patients are typically observed in a recovery area for a brief period. The medical team will closely monitor vital signs and assess for any immediate post-procedure complications. Some patients may experience mild discomfort, bloating, or a sore throat, which should subside within a short time. Patients are advised to arrange for a companion to drive them home following the procedure, as the sedation may take some time to wear off fully.

What Is the Recovery Period Like?

The recovery period after an ERCP procedure is generally quick, allowing patients to resume their normal activities within a short span of time. Most patients can resume eating and drinking as usual once the effects of sedation have worn off. It is important to follow any post-procedure instructions provided by the medical team, such as dietary guidelines or restrictions on certain activities.

Swagat Hospitals provides comprehensive post-procedure care, including follow-up appointments to monitor progress and ensure optimal recovery.

ERCP Hospital in Guwahati

Swagat Hospitals proudly stands as the premier ERCP hospital in Guwahati. Our commitment to excellence, coupled with the visionary leadership of Prof. Dr. Subhash Khanna, has positioned Swagat Hospitals as the go-to medical center for ERCP procedures in the region. With a team of highly skilled medical professionals and cutting-edge facilities, Swagat Hospitals ensures the highest quality care and successful outcomes for patients seeking gallstone removal and related treatments.

Gallstone Removal in Guwahati

Swagat Hospitals in Guwahati specializes in gallstone removal, offering advanced techniques such as ERCP to provide patients with efficient and non-invasive solutions. The experienced medical team at Swagat Hospitals utilizes ERCP to access the biliary tract, including the gallbladder, common bile duct, and liver ducts. Through this procedure, stones can be safely and effectively removed, resulting in faster recovery times and improved patient outcomes.


As the leading ERCP hospital in Guwahati, Swagat Hospitals has established itself as a pioneer in gallstone removal procedures. With a successful history of several thousand ERCP procedures, Swagat Hospitals brings advanced medical care to the northeastern region of India. Led by visionary Prof. Dr. Subhash Khanna, our skilled team of medical professionals is dedicated to providing personalized care and utilizing the latest techniques for optimal patient outcomes.

Additionally, our hospital is renowned as a center of excellence for advanced liver surgery and transplant surgery in the northeastern region of India. Experience personalized care and exceptional outcomes at Swagat Hospitals, where your well-being is our top priority.