{"key":"op_899_AZ","page":{"url":"https://pt.bookimed.com/clinics/country=azerbaijan/procedure=endoscopic-retrograde-cholangiopancreatography-ercp/","procedure":{"id":899,"slug":"endoscopic-retrograde-cholangiopancreatography-ercp","name":"Colangiopancreatografia Retrógrada Endoscópica (CPRE)","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"surgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":135,"iso":"AZ","name":"Azerbaijão"},"currency":"USD","data_date":"2025-09-08"},"pages":{"clinics_url":"https://pt.bookimed.com/clinics/country=azerbaijan/procedure=endoscopic-retrograde-cholangiopancreatography-ercp/","cost_url":"https://pt.bookimed.com/clinics/country=azerbaijan/procedure=endoscopic-retrograde-cholangiopancreatography-ercp/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":2900,"to":6900,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":9500,"to":17500},"uk":{"from":4800,"to":8200},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Bacu","from":2900}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":900,"to":1700},{"country_iso":"FR","from":3500,"to":6500},{"country_iso":"GB","from":4800,"to":8200},{"country_iso":"US","from":9500,"to":17500},{"country_iso":"IL","from":5500,"to":8000},{"country_iso":"TR","from":1500,"to":4300},{"country_iso":"MX","from":2500,"to":4000},{"country_iso":"DE","from":3600,"to":6200},{"country_iso":"CA","from":4200,"to":7500},{"country_iso":"AE","from":3900,"to":6200},{"country_iso":"TH","from":2400,"to":5200},{"country_iso":"PL","from":1800,"to":3200},{"country_iso":"KR","from":450,"to":4500},{"country_iso":"CZ","from":1800,"to":3200},{"country_iso":"AT","from":3800,"to":5800},{"country_iso":"ES","from":4400,"to":5800},{"country_iso":"IT","from":3200,"to":5400},{"country_iso":"CN","from":3000,"to":5200},{"country_iso":"AU","from":6500,"to":10500},{"country_iso":"IN","from":2200,"to":3500},{"country_iso":"MY","from":2300,"to":4000},{"country_iso":"VN","from":1500,"to":2400},{"country_iso":"BR","from":3200,"to":5500},{"country_iso":"RO","from":2700,"to":{"status":"missing","reason":"not_collected"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":69,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":3325,"name":"Liv Bona Dea Hospital Baku","city":"Baku","rating":4.6,"reviews_count":21,"accreditations":["Joint Commission International","Patient choice for Check-up","Patient choice for IVF","Patient choice in Plastic surgery","Patient choice in Oncology & Hematology Oncology","Bariatric Surgery Center of Excellence","Colorectal Surgery Center for Excellence","Turkish Medical Association","Best clinic for IVF"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8441,"name":"West Hospital","city":"Baku","rating":2.9,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":321,"slug":"baku","name":"Bacu","clinics_count":1,"price_from":2900,"profile":{"city_type":"Capital and largest city of Azerbaijan","access":["Heydar Aliyev Airport (GYD), 20 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Baku","https://en.wikipedia.org/wiki/Heydar_Aliyev_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Common bile duct stones","Biliary obstruction or stricture","Cholangitis requiring biliary decompression","Bile leak after surgery or trauma","Selected pancreatic duct disorders (strictures, stones, leaks, recurrent pancreatitis)","Sphincter of Oddi dysfunction in selected cases","Indeterminate biliary strictures needing tissue sampling"],"contraindications":["Severe cardiopulmonary instability or unfit for sedation/anesthesia","Suspected or known bowel perforation","Uncorrected severe coagulopathy, especially before sphincterotomy","Anatomy blocking endoscopic papilla access","Acute pancreatitis without cholangitis or persisting obstruction (relative)"],"operation_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Procedure time for a typical uncomplicated ERCP, excluding preparation, sedation recovery and observation; complex interventions take longer."},"anesthesia":["sedation"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single ERCP session in the typical uncomplicated case; repeat sessions may be needed for complex stones or strictures."},"stages":[{"code":"ercp_session","label":"ERCP with cannulation, cholangiography/pancreatography and indicated intervention","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical standalone single-session ERCP."},"hospital_nights":{"value":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after several hours of observation; overnight stay is common after sphincterotomy or abdominal pain."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated ERCP; no formal rehabilitation program."},"fly_home_after_days":{"min":2,"max":3,"unit":"days","qualifier":"After observation and no pain, fever or bleeding; sphincterotomy, stent placement or complications can extend this."},"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Same-day discharge after uncomplicated therapeutic ERCP; desk work usually resumes in 1-3 days, depending on intervention and symptoms."},"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous exercise and heavy lifting for 1-2 weeks after sphincterotomy."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Duct clearance or biliary drainage is immediate; symptom and liver test improvement within days to weeks, depending on indication."},"result_longevity":"Stone clearance is usually durable, though bile duct stones can recur in some patients. Plastic stents typically need exchange or removal after about 3 months; metal stents last longer, depending on the disease.","main_risks":["Post-ERCP pancreatitis","Bleeding, particularly after sphincterotomy","Cholangitis or other infection","Duodenal or bile duct perforation","Sedation-related cardiopulmonary events","Stent occlusion or migration","Radiation exposure from fluoroscopy"],"complication_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Any adverse event within 30 days (pancreatitis, bleeding, cholangitis, perforation); serious ones about 1-2%"},"revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat ERCP for incomplete stone clearance, failed cannulation or stent exchange; higher with strictures and stents"},"success":{"metric":"Bile duct stone clearance","value":90,"horizon":"Immediately after the procedure, within 1-2 sessions","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No skin incisions or scars; the procedure is performed through the mouth with an endoscope.","pain":"Procedure is done under sedation and is usually painless. Mild to moderate abdominal discomfort, bloating, and sore throat are common for 1-2 days afterward; severe or worsening pain needs urgent evaluation.","preparation":["Fasting for about 6-8 hours before the procedure","Blood tests and imaging review (ultrasound, CT, MRCP)","Review history, allergies, and anticoagulant use","Pre-sedation assessment","Informed consent and arrangement for an escort home","Antibiotics only if indicated"],"recovery_timeline":[{"phase":"Same day (observation)","description":"Several hours of monitoring after sedation for pain, bleeding or fever; light diet if well.","restrictions":["No driving, alcohol, or key decisions for 24 hours"]},{"phase":"Days 1-3","description":"Mild bloating or sore throat may persist; most resume light activities and normal diet. Report severe pain, fever, vomiting, black stools, jaundice.","restrictions":{"status":"missing","reason":"not_collected"}},{"phase":"Week 1-2","description":"Usually back to full activity; follow-up on results and any stent plan.","restrictions":["Avoid strenuous exercise and heavy lifting until about week 2"]}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Clinical review with test results and plan for the underlying disease."}},{"purpose":"splint_removal","requirement":"conditional","after":{"min":30,"max":90,"unit":"days","qualifier":"Only if a biliary or pancreatic stent needs removal or exchange; timing depends on stent type."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a consultant will perform the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"The procedure will be performed by a consultant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are given time to ask questions at your appointment","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will also be given the opportunity to ask questions in the department when you attend for your appointment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a doctor weighs the risks against your likely benefit","scope":"procedure","source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3526-endoscopy-leaflet-endoscopic-retrograde-cholangiopancreatography-ercp","host":"ashfordstpeters.nhs.uk","quote":"Your doctor will carefully assess the risks and weigh them to see how much you can benefit from this procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a doctor assesses patients with significant health problems before the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Older patients and those who have significant health problems, for example, people with significant breathing difficulties, may be assessed by a doctor before having the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that a fully trained endoscopy nurse monitors your sedation closely","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Careful monitoring by a fully trained endoscopy nurse ensures that any potential problems can be identified and treated rapidly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic provides a copy of the procedure report after ERCP","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will be given a copy of the procedure report, and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe belly pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Vomiting that won't stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Black or bloody poop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Needed when post-ERCP symptoms prompt urgent care","document":"ercp report","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"Please bring your ERCP report with you to Accident and Emergency department","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Lists stent-blockage warning signs the home doctor should watch for","document":"discharge advice leaflet","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"If you have had a stent inserted and you find that after sometime your urine becomes darker, you develop a temperature, have tummy/back pain or feel unwell it is possible that your stent may have blocked.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["sedation"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Same-day discharge after uncomplicated therapeutic ERCP; desk work usually resumes in 1-3 days, depending on intervention and symptoms."},"complication_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Any adverse event within 30 days (pancreatitis, bleeding, cholangitis, perforation); serious ones about 1-2%"},"contraindications":["Severe cardiopulmonary instability or unfit for sedation/anesthesia","Suspected or known bowel perforation","Uncorrected severe coagulopathy, especially before sphincterotomy","Anatomy blocking endoscopic papilla access","Acute pancreatitis without cholangitis or persisting obstruction (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after several hours of observation; overnight stay is common after sphincterotomy or abdominal pain."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous exercise and heavy lifting for 1-2 weeks after sphincterotomy."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Duct clearance or biliary drainage is immediate; symptom and liver test improvement within days to weeks, depending on indication."},"fly_home_after_days":{"min":2,"max":3,"unit":"days","qualifier":"After observation and no pain, fever or bleeding; sphincterotomy, stent placement or complications can extend this."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Clinical review with test results and plan for the underlying disease."}},{"purpose":"splint_removal","requirement":"conditional","after":{"min":30,"max":90,"unit":"days","qualifier":"Only if a biliary or pancreatic stent needs removal or exchange; timing depends on stent type."}}],"indications":["Common bile duct stones","Biliary obstruction or stricture","Cholangitis requiring biliary decompression","Bile leak after surgery or trauma","Selected pancreatic duct disorders (strictures, stones, leaks, recurrent pancreatitis)","Sphincter of Oddi dysfunction in selected cases","Indeterminate biliary strictures needing tissue sampling"],"main_risks":["Post-ERCP pancreatitis","Bleeding, particularly after sphincterotomy","Cholangitis or other infection","Duodenal or bile duct perforation","Sedation-related cardiopulmonary events","Stent occlusion or migration","Radiation exposure from fluoroscopy"],"pain":"Procedure is done under sedation and is usually painless. Mild to moderate abdominal discomfort, bloating, and sore throat are common for 1-2 days afterward; severe or worsening pain needs urgent evaluation.","preparation":["Fasting for about 6-8 hours before the procedure","Blood tests and imaging review (ultrasound, CT, MRCP)","Review history, allergies, and anticoagulant use","Pre-sedation assessment","Informed consent and arrangement for an escort home","Antibiotics only if indicated"],"recovery_timeline":[{"phase":"Same day (observation)","description":"Several hours of monitoring after sedation for pain, bleeding or fever; light diet if well.","restrictions":["No driving, alcohol, or key decisions for 24 hours"]},{"phase":"Days 1-3","description":"Mild bloating or sore throat may persist; most resume light activities and normal diet. Report severe pain, fever, vomiting, black stools, jaundice.","restrictions":[]},{"phase":"Week 1-2","description":"Usually back to full activity; follow-up on results and any stent plan.","restrictions":["Avoid strenuous exercise and heavy lifting until about week 2"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated ERCP; no formal rehabilitation program."},"result_longevity":"Stone clearance is usually durable, though bile duct stones can recur in some patients. Plastic stents typically need exchange or removal after about 3 months; metal stents last longer, depending on the disease.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat ERCP for incomplete stone clearance, failed cannulation or stent exchange; higher with strictures and stents"},"scars":"No skin incisions or scars; the procedure is performed through the mouth with an endoscope.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single ERCP session in the typical uncomplicated case; repeat sessions may be needed for complex stones or strictures."},"stages":[{"code":"ercp_session","label":"ERCP with cannulation, cholangiography/pancreatography and indicated intervention","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical standalone single-session ERCP."},"success":{"metric":"Bile duct stone clearance","value":90,"unit":"percent","horizon":"Immediately after the procedure, within 1-2 sessions","population":"Adults with common bile duct stones undergoing sphincterotomy and extraction","evidence_status":"limited"},"techniques":[{"name":"Biliary sphincterotomy with stone extraction (balloon or basket)","suits_whom":"Patients with common bile duct stones.","recovery":"Usually same-day or overnight stay; light activity within 1-3 days."},{"name":"Biliary stent placement (plastic or metal)","suits_whom":"Patients with biliary strictures, obstruction, or leaks needing drainage.","recovery":"Similar short recovery; plastic stents may need exchange or removal later."},{"name":"Pancreatic duct stenting","suits_whom":"Selected patients with pancreatic duct disorders, or as prophylaxis against post-ERCP pancreatitis in high-risk cases.","recovery":"Short recovery; follow-up to confirm stent passage or removal."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Procedure time for a typical uncomplicated ERCP, excluding preparation, sedation recovery and observation; complex interventions take longer."},"initial_assessment_documents":["Abdominal ultrasound report","MRCP or CT abdomen report and images","Liver function and pancreatic enzyme blood tests","Previous endoscopy or ERCP report","Discharge summary of recent cholangitis or pancreatitis","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-session procedure; stay 2-3 days including observation. Second trip only if a stent needs later removal or exchange."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a consultant will perform the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"The procedure will be performed by a consultant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are given time to ask questions at your appointment","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will also be given the opportunity to ask questions in the department when you attend for your appointment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a doctor weighs the risks against your likely benefit","scope":"procedure","source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3526-endoscopy-leaflet-endoscopic-retrograde-cholangiopancreatography-ercp","host":"ashfordstpeters.nhs.uk","quote":"Your doctor will carefully assess the risks and weigh them to see how much you can benefit from this procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a doctor assesses patients with significant health problems before the procedure","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Older patients and those who have significant health problems, for example, people with significant breathing difficulties, may be assessed by a doctor before having the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that a fully trained endoscopy nurse monitors your sedation closely","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"Careful monitoring by a fully trained endoscopy nurse ensures that any potential problems can be identified and treated rapidly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic provides a copy of the procedure report after ERCP","scope":"procedure","source":{"url":"https://www.ulh.nhs.uk/patients/patient-information-library/endoscopic-retrograde-cholangio-pancreatography/","host":"ulh.nhs.uk","quote":"You will be given a copy of the procedure report, and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe belly pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Vomiting that won't stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Black or bloody poop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Severe belly pain Fever or chills Trouble swallowing Chest pain Vomiting that won’t stop Black or bloody poop Yellowing of your skin or the whites of your eyes Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Needed when post-ERCP symptoms prompt urgent care","document":"ercp report","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"Please bring your ERCP report with you to Accident and Emergency department","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Lists stent-blockage warning signs the home doctor should watch for","document":"discharge advice leaflet","source":{"url":"https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/ercp-advice-on-discharge/","host":"bedfordshirehospitals.nhs.uk","quote":"If you have had a stent inserted and you find that after sometime your urine becomes darker, you develop a temperature, have tummy/back pain or feel unwell it is possible that your stent may have blocked.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"ERCP is not successful for your bile duct problem","name":"Transhepatic cholangiography","source":{"url":"https://my.clevelandclinic.org/departments/digestive/medical-professionals/hepatology/gallbladder-biliary-tract-disease","host":"my.clevelandclinic.org","quote":"Percutaneous transhepatic cholangiography can be a useful alternative when ERCP is not successful, although it is sometimes not successful in the absence of dilated bile ducts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"biliary-sphincterotomy","name":"Biliary sphincterotomy with stone extraction (balloon or basket)","how_it_works":{"text":"Tools are passed through the tubes to remove gallstones","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"biliary-stent-placement","name":"Biliary stent placement (plastic or metal)","how_it_works":{"text":"Stents are placed to relieve blockages in the ducts","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"pancreatic-duct-stenting","name":"Pancreatic duct stenting","how_it_works":{"text":"A stent can be placed in a blocked pancreatic duct","source":{"url":"https://patient.gastro.org/?p=992","host":"patient.gastro.org","quote":"Stones can be removed from the common bile duct or pancreatic duct and blocks can be dilated, biopsied and/or stented.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.uhb.nhs.uk/services/endoscopy/endoscopy-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/","host":"uhb.nhs.uk","quote":"The effect of the sedation will have worn off by the next day and most patients will be able to resume normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"biliary-sphincterotomy","name":"Biliary sphincterotomy with stone extraction (balloon or basket)","how_it_works":{"id":"H1","text":"Tools are passed through the tubes to remove gallstones","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Patients with common bile duct stones.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Usually same-day or overnight stay; light activity within 1-3 days."},{"id":"biliary-stent-placement","name":"Biliary stent placement (plastic or metal)","how_it_works":{"id":"H1","text":"Stents are placed to relieve blockages in the ducts","source":{"url":"https://my.clevelandclinic.org/health/diseases/22982-gallstone-pancreatitis","host":"my.clevelandclinic.org","quote":"They can insert tools through the tubes to remove gallstones and place stents to relieve blockages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4951-ercp-endoscopic-retrograde-cholangiopancreatography","host":"my.clevelandclinic.org","quote":"Many people feel back to normal within a day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Patients with biliary strictures, obstruction, or leaks needing drainage.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar short recovery; plastic stents may need exchange or removal later."},{"id":"pancreatic-duct-stenting","name":"Pancreatic duct stenting","how_it_works":{"id":"H1","text":"A stent can be placed in a blocked pancreatic duct","source":{"url":"https://patient.gastro.org/?p=992","host":"patient.gastro.org","quote":"Stones can be removed from the common bile duct or pancreatic duct and blocks can be dilated, biopsied and/or stented.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.uhb.nhs.uk/services/endoscopy/endoscopy-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/","host":"uhb.nhs.uk","quote":"The effect of the sedation will have worn off by the next day and most patients will be able to resume normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Selected patients with pancreatic duct disorders, or as prophylaxis against post-ERCP pancreatitis in high-risk cases.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Short recovery; follow-up to confirm stent passage or removal."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"ERCP is not successful for your bile duct problem","name":"Transhepatic cholangiography","source":{"url":"https://my.clevelandclinic.org/departments/digestive/medical-professionals/hepatology/gallbladder-biliary-tract-disease","host":"my.clevelandclinic.org","quote":"Percutaneous transhepatic cholangiography can be a useful alternative when ERCP is not successful, although it is sometimes not successful in the absence of dilated bile ducts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders must have a visa to visit Azerbaijan","source":{"url":"https://www.gov.uk/foreign-travel-advice/azerbaijan/entry-requirements","host":"gov.uk","quote":"You must have a visa to visit Azerbaijan.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US travelers need both a passport and a visa to enter Azerbaijan","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Azerbaijan.html","host":"travel.state.gov","quote":"You need a passport and a visa to enter Azerbaijan.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A visitor's passport must usually be valid at least 6 months after arrival in Azerbaijan and have at least 2 blank pages","source":{"url":"https://www.gov.uk/foreign-travel-advice/azerbaijan/entry-requirements","host":"gov.uk","quote":"To enter Azerbaijan as a visitor, your passport must usually have an ‘expiry date’ at least 6 months after the date you arrive and at least 2 blank pages for entry stamps.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"us","volatile":false,"text":"Azerbaijan strictly restricts importing many pain killers and other prescription narcotics available in the United States","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Azerbaijan.html","host":"travel.state.gov","quote":"Azerbaijan imposes strict restrictions on the importation of many pain killers and other prescription narcotics available in the United States.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"us","volatile":false,"text":"Carry prescription medication in its original packaging, together with your doctor's prescription, when traveling to Azerbaijan","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Azerbaijan.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Azerbaijan usually require advance payment or proof of adequate insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Azerbaijan.html","host":"travel.state.gov","quote":"Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 103 and ask for an ambulance in Azerbaijan","source":{"url":"https://www.gov.uk/foreign-travel-advice/azerbaijan/health","host":"gov.uk","quote":"Call 103 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","colombia","egypt","germany","india","israel","mexico","republic-of-korea","romania","spain","thailand","turkey","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.6,"count":21,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p class=\"bm-h1-lead\">Endoscopic retrograde cholangiopancreatography in Azerbaijan is offered by Liv Bona Dea Hospital Baku, a JCI-accredited clinic. The clinic is rated 4.6/5 in 21 verified patient reviews on Bookimed.</p>","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Qual é o Custo de Colangiopancreatografia Retrógrada Endoscópica (CPRE) em Azerbaijão? Descubra Agora","kind":"content"},{"text":"Seus Benefícios e Garantias com a Bookimed","kind":"content"},{"text":"Seu assistente Bookimed pessoal","kind":"content"},{"text":"Descubra as Melhores Clínicas de Colangiopancreatografia Retrógrada Endoscópica (CPRE) em Azerbaijão: 2 opções Verificadas e Preços","kind":"content"},{"text":"Visão geral de Colangiopancreatografia Retrógrada Endoscópica (CPRE) em Azerbaijão","kind":"content"},{"text":"Obtenha uma avaliação médica para Colangiopancreatografia Retrógrada Endoscópica (CPRE) em Azerbaijão: escolha seu especialista entre os melhores da área","kind":"content"},{"text":"Histórias em vídeo de pacientes da Bookimed","kind":"content"},{"text":"Avaliações sobre Bookimed: descubra percepções de pacientes","kind":"content"},{"text":"Compartilhar este conteúdo","kind":"content"},{"text":"Obtenha uma consulta gratuita","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}