The procedure is usually carried out under conscious sedation.

This is not a general anaesthetic therefore you will not be asleep, the sedative will help to relax you but you will still be able to feel sensations, hear what we say to you and be able to follow simple instructions during the test. You may not remember anything because of the medication but this cannot be guaranteed. You will be able to breathe normally throughout.

During the procedure we will monitor your blood pressure, breathing and pulse rate and you will be given oxygen throughout the test. The sedation can stay in your system for up to 24 hours so you are not allowed to drive, drink alcohol, operate machinery, sign legal documents or look after small children by yourself for that 24 hour period. You will need a responsible adult to take you home after your procedure and stay with you for the next 24 hours.

Diclofenac suppositories in ERCP

We know that ERCP is associated with the risk of pancreatitis in about 3-5% of patients. There is now evidence to suggest that using a single dose of this anti-inflammatory drug can reduce the risk. It is given as a suppository (into the back passage) after the procedure. As with any anti-inflammatory drug the potential side effects of this drug are on the gut or kidneys. It can cause ulcers in the gut or can affect the kidneys. However evidence suggests that benefits of using a single dose of this medication outweigh the potential risk and are therefore recommended. It will not be used if you are known to have allergies to anti-inflammatory drugs or are actively bleeding.