ERCP with Stone Extraction / Stenting
Advanced endoscopic procedure to remove stones lodged in the bile duct and place stents when needed — performed through the mouth without any cuts, often before laparoscopic gallbladder surgery.
What is ERCP with Stone Extraction / Stenting?
ERCP (Endoscopic Retrograde Cholangiopancreatography) is an advanced endoscopic technique used to diagnose and treat problems of the bile duct and pancreatic duct. A flexible endoscope is passed through the mouth and stomach into the upper small intestine, where the bile duct is accessed, stones are removed using specialised tools, and stents are placed if needed to relieve blockage or jaundice. Dr. Tejasree Vengala coordinates ERCP with the gastroenterology team at Lux Hospitals, Hyderabad, often as a planned step before laparoscopic gallbladder surgery in patients with bile duct stones (choledocholithiasis) or obstructive jaundice.
How the Procedure Works
Sedation & Preparation
The procedure is performed under sedation or short anaesthesia. The patient lies in a comfortable position, and a mouthguard is placed.
Endoscope Insertion
A flexible side-viewing endoscope is gently passed through the mouth and stomach into the duodenum, where the opening of the bile duct is identified.
Bile Duct Cannulation & Imaging
A fine catheter is passed into the bile duct, dye is injected, and X-ray imaging maps the anatomy and identifies stones or strictures.
Stone Removal & Stenting
Stones are removed using a balloon or basket. If a stricture or persistent blockage is present, a plastic or metal stent is placed to ensure free bile flow.
Recovery & Next Step
Patients are observed for a few hours and usually discharged within 24–48 hours. Laparoscopic cholecystectomy is then planned as the next step when indicated.
Outcomes
Who Needs This Treatment?
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No external cuts — performed entirely through the mouth
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Immediate relief from bile duct obstruction and jaundice
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Effective removal of stones lodged in the common bile duct
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Allows safe planning of subsequent gallbladder surgery
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Diagnostic and therapeutic in a single sitting
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Useful for biliary strictures, leaks, and palliative stenting
ERCP and laparoscopic cholecystectomy are two halves of the same picture in patients with bile duct stones. Sequencing them carefully — clearing the duct first, then removing the gallbladder — gives a smooth, safe path to a complete cure.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
ERCP with Stone Extraction / Stenting Cost in Hyderabad
The cost of ERCP with stone extraction or stenting in Hyderabad depends on the underlying bile duct condition, size and number of stones, need for stent placement, complexity of the procedure, investigations required, and the care needed before and after treatment.
For patients requiring endoscopic removal of bile duct stones or placement of a biliary stent, the approximate cost ranges between ₹30,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| ERCP with Stone Extraction / Stenting | ₹30,000 – ₹70,000 |
The final cost may vary depending on your individual condition, findings during evaluation, type of intervention required, stent requirements, and whether any additional procedures are needed.
Factors That Influence ERCP with Stone Extraction / Stenting Cost
The overall cost may depend on:
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Bile duct condition: The size, number, and location of bile duct stones, blockage severity, infection, or other biliary conditions may influence treatment planning and procedure complexity.
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Pre-procedure evaluation: Required clinical examination, blood tests, liver function tests, imaging such as ultrasound or MRCP, and medical assessments before ERCP may affect the overall cost.
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Procedure requirements: The complexity of stone extraction, sphincterotomy, balloon or basket extraction, and stent placement may influence the cost.
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Stent-related requirements: The type of stent used, the need for temporary or repeated stent procedures, and follow-up removal or replacement may affect the overall estimate.
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Additional procedures: If management of complications, gallbladder disease, pancreatitis, or other gastrointestinal conditions is required, the cost may vary.
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Hospital stay and post-procedure care: The duration of admission, medicines, monitoring, dietary guidance, and follow-up requirements may influence the final estimate.
Is ERCP with Stone Extraction / Stenting Covered by Insurance?
ERCP with stone extraction or stenting may be covered by health insurance when it is performed for a medically necessary biliary condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine the appropriate treatment approach. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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