What is an ERCP?

Endoscopic retrograde cholangiopancreatography is a procedure that combines upper gastrointestinal (GI) endoscopy and x rays to treat problems of the bile and pancreatic ducts. Upper GI endoscopy is a procedure that uses a lighted, flexible endoscope to see and perform procedures inside the upper GI tract. The upper GI tract includes the esophagus, stomach, and duodenum—the first part of the small intestine.

An ERCP is performed to evaluate the gallbladder, pancreas, and associated structures. This procedure is used to locate gallstones, and evaluate the causes of jaundice (yellow eyes) and chronic abdominal pain.

Before the Procedure:

  • The evening before your exam take 2 Dulcolax tablets.
  • Nothing by mouth should be taken after midnight.
    • CBC
    • PT
    • PTT/INR

Day of Procedure:

  • Administer 1 fleet enema 1 hour before leaving home.
  • You can purchase the Dulcolax tablets and enemas over the counter at any drug store.

Date of Procedure: __________________ Scheduled Time: ______________________

Facility Address: ____________________________________________________________


Facility Phone Number: ( ) ____________________

Patients who take Aspirin or Anti-Coagulants:

  • Stop Aspirin or other non-steroidal Anti-Inflammatory Medications for 7 days prior to the procedure
  • Stop Coumadin (Warfarin) or Plavix (Clopidogrel) 7 days prior to the procedure

Patients with Diabetes:

  • Consult with your primary doctor on how to modify diabetic medication or insulin injection

On the Morning of Procedure Please Bring:

  1. Your current ID and Insurance Card
  2. A list of your current medications, remedies, products, and allergies
  3. You must have a licensed driver to drive you home. Your procedure will be cancelled if you do not have a designated driver.

*You must arrive to the facility 1 & ½ hours before your scheduled time.*

Return Appt. Date: _______________ Time: _______________

Address: 8110 Airport Blvd, Los Angeles, CA 90045 (310) 674-0144

Print Name: ______________________________

Patient Signature: _________________________ Date: ________

Instructions Given By: _____________________ Date: _________