Aims: To find the indications and diagnosed conditions in the cases reported in Fatima Memorial Hospital Lahore. Also, the prevalence of this procedure amongst the genders in our setting. To establish statistical association between indications and diagnosis.

Methodology: All the ERCP procedures done in 4 years from January, 2011 to January 2014 were compiled. The data was gathered using a simple form after the intervention. A total of 554 patients’ data was available, all participants were above the age of 18 years. A response rate 93% was recorded for who consented and allowed to share their information anonymously in the study. Chi square was used to find statistical association, with p-value <0.005 was taken as significant. IBM SPSS 22 was used for data input and evaluation.

Results: In our study 35% of the participants were males and 65% were females. 58.33% of the patients underwent sphincterotomy. The highest number of patient’s indicated of undergoing ERCP was 58.33% because of obstructive jaundice without any cause on further investigations. Choledocholithiasis was the commonest diagnosis with 36.6%. A strong association between the indications and the final diagnosis was also found with p-value of 0.000. The success rate of the intervention was 79% making it a safer procedure to be applied.

Conclusion: More females have undergone this procedure. Obstructive jaundice was declared as major indication with choledocholithiasis as the commonest condition diagnosed. It was a successful procedure in our setting.

Keywords: ERCP, Gastroenterology, Intervention