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endoscopic retrograde cholangiopancreatography ercp is a procedure that combines endoscopy and fluoroscopy to diagnose and treat disorders associated with the pancreatic and biliary ductal systems as well as the liver gallbladder and pancreas endoscopy is a medical procedure in which an endoscope a thin long flexible tube with a light and Tiny camera at one end is inserted into the body to examine an internal organ or tissue in detail fluoroscopy is a medical imaging technology that uses radiography or a continuous x-ray beam passing through your body to produce real-time moving images of a body part being examined on a monitor surgical procedure you will be asked to lie on an examination table for the procedure the procedure may be performed under sedation and local anesthesia or general anesthesia an intravenous IV needle will be placed in your arm after administering a local anesthetic to the throat your doctor will insert an endoscope through your mouth esophagus and stomach to rea