India Endoscopic Retrograde Cholangiopancreatography Market Size, Share, Trends and Forecasts 2031

Key Findings

• The India Endoscopic Retrograde Cholangiopancreatography (ERCP) Market is expanding due to rising prevalence of biliary and pancreatic disorders requiring minimally invasive diagnostic and therapeutic interventions.
• Demand for advanced ERCP devices including duodenoscopes, guidewires, stents, and sphincterotomes is increasing across hospitals and specialty gastroenterology centers in India.
• Growing burden of gallstones, pancreatitis, biliary strictures, and pancreatic cancer is accelerating adoption of ERCP procedures.
• Advancements in single-use duodenoscopes, infection-control technologies, and high-definition endoscopic imaging are reshaping procedural safety and outcomes.
• Increased healthcare expenditure, improved hospital infrastructure, and greater availability of skilled endoscopists are strengthening the ERCP market.
• Rising preference for minimally invasive biliary drainage, stent placement, and therapeutic interventions is propelling procedural volumes in India.
• Integration of fluoroscopy, AI-assisted navigation, and hybrid endoscopy platforms is improving diagnostic precision.
• Strategic collaborations among medical device companies and gastroenterology centers are enhancing technological adoption across India.

India Endoscopic Retrograde Cholangiopancreatography Market Size and Forecast

The India ERCP Market is projected to grow from USD 2.12 billion in 2025 to USD 3.84 billion by 2031, at a CAGR of 10.4%. The market benefits from rising demand for minimally invasive management of pancreaticobiliary diseases, including gallstones, bile duct obstruction, malignant strictures, and chronic pancreatitis. Adoption of single-use duodenoscopes is increasing due to heightened awareness around infection risks associated with reusable devices. Technological advancements in imaging, balloon dilation, lithotripsy, and stent placement systems are improving procedural efficiency. As specialist training, hospital modernization, and patient awareness increase across India, ERCP demand will continue to grow.

Introduction

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a minimally invasive diagnostic and interventional procedure used to examine and treat conditions affecting the bile ducts, pancreatic ducts, and gallbladder. The procedure utilizes a duodenoscope, fluoroscopic imaging, and specialized accessories such as guidewires, catheters, and stents. In India, ERCP plays a central role in managing obstructive jaundice, gallstone disease, pancreatitis complications, and biliary malignancies. Healthcare providers prefer ERCP due to its ability to combine endoscopy and radiology techniques for precise diagnosis and immediate therapeutic action. With improvements in imaging quality, device reprocessing, and single-use technologies, ERCP continues to evolve as a critical component of gastrointestinal care.

Future Outlook

By 2031, ERCP systems in India will be increasingly dominated by single-use duodenoscopes, advanced fluoroscopy integration, AI-based lesion detection, and robotic-assisted endoscopy. Hospitals will utilize hybrid endoscopy suites equipped with advanced contrast imaging, navigation systems, and automated workflow tools. ERCP will increasingly merge with endoscopic ultrasound (EUS) to perform combined therapeutic interventions, expanding clinical capabilities. The adoption of minimally invasive cholangioscopy-guided lithotripsy, drug-eluting stents, and enhanced infection-control solutions will drive innovation. As pancreaticobiliary diseases rise and healthcare facilities modernize, ERCP demand will strengthen significantly across India.

India Endoscopic Retrograde Cholangiopancreatography Market Trends

• Growing Adoption of Single-Use Duodenoscopes to Reduce Infection Risks
  Hospitals in India are increasingly shifting toward disposable duodenoscopes due to concerns over contamination and reprocessing challenges associated with reusable scopes. Single-use devices eliminate cross-contamination risks and reduce sterilization costs. Manufacturers are improving image quality, maneuverability, and ergonomics, enabling broader adoption in GI centers. This trend reflects a global shift toward safety-focused endoscopy solutions.

• Increasing Use of ERCP in Managing Gallstones, Biliary Obstruction, and Pancreatic Disorders
  ERCP is becoming the preferred method for treating choledocholithiasis, strictures, cholangitis, and obstructive jaundice across India. Rising incidence of gallstone disease linked to lifestyle changes and aging populations significantly increases ERCP procedural volumes. Therapeutic procedures such as stent placement, sphincterotomy, and stone extraction reinforce ERCP’s clinical importance. The trend is driven by improved patient outcomes and reduced hospitalization times.

• Advancements in Fluoroscopy and High-Definition Imaging Systems
  Enhanced imaging technologies including real-time fluoroscopy, 4K endoscopic visualization, and contrast-enhanced imaging are improving diagnostic accuracy in ERCP. These technologies help clinicians detect small strictures, pancreatic duct abnormalities, and complex biliary stones. Improved imaging reduces complications and enhances therapeutic success, driving adoption across India.

• Integration of AI Assistance and Navigation Systems
  AI-assisted ERCP tools are emerging to support real-time anatomy identification, navigation of complex duct pathways, and predictive complication analysis. Hospitals in India are adopting systems that offer automated measurements, enhanced visualization, and decision support. AI integration reduces operator fatigue and enhances procedural precision. As digital endoscopy advances, AI-supported ERCP will become increasingly mainstream.

• Expanding Adoption of Lithotripsy, Cholangioscopy, and Hybrid Interventions
  ERCP is increasingly used in combination with cholangioscopy for targeted stone fragmentation, tissue sampling, and visualization of difficult biliary strictures. Lithotripsy technologies such as EHL (electrohydraulic lithotripsy) and laser lithotripsy are gaining traction in complex stone management. Hybrid ERCP-EUS procedures are also becoming more common, enhancing therapeutic capabilities across India.

Market Growth Drivers

• Rising Incidence of Pancreatic and Biliary Diseases
  Increasing cases of gallstone disease, acute and chronic pancreatitis, bile duct strictures, and pancreatic tumors are driving demand for ERCP in India. Early detection and minimally invasive intervention significantly reduce complication risks and improve outcomes, supporting strong market growth.

• Increasing Demand for Minimally Invasive Therapies
  ERCP offers significant advantages over open surgical interventions, including reduced trauma, shorter hospital stays, and faster recovery times. As patient preference shifts toward minimally invasive approaches, ERCP continues to gain prominence across healthcare systems in India.

• Healthcare Infrastructure Modernization and GI Specialty Expansion
  Hospitals and endoscopy centers in India are upgrading to advanced GI suites equipped with state-of-the-art imaging and endoscopic systems. Improved access to trained gastroenterologists and subspecialists increases ERCP utilization. Government investment in healthcare expansion further strengthens market growth.

• Advancements in ERCP Accessories and Therapeutic Tools
  The development of guidewires, dilation balloons, advanced stents, sphincterotomes, and cannulation devices enhances the therapeutic efficacy of ERCP. Technological innovation improves procedural safety and broadens ERCP’s clinical applications across India.

• Rising Geriatric Population Requiring Pancreaticobiliary Care
  Elderly patients face higher incidence of bile duct disorders, gallstones, and pancreatic diseases. As the aging population increases in India, ERCP will remain essential in managing complex biliary and pancreatic conditions in older adults.

Challenges in the Market

• High Risk of Procedure-Related Complications
  ERCP carries risks such as pancreatitis, infection, bleeding, and perforation. Managing these risks requires specialized expertise and post-procedure care. Hospitals must maintain high clinical standards to minimize adverse outcomes.

• Shortage of Skilled and Experienced ERCP Specialists
  ERCP is technically demanding, requiring significant training and expertise. Many regions in India face a shortage of trained gastroenterologists, limiting procedural capacity. Expanding clinical training programs is essential for broader adoption.

• High Cost of Advanced ERCP Equipment and Imaging Systems
  Acquisition and maintenance of sophisticated duodenoscopes, fluoroscopy units, and disposable instruments increase procedural costs. Smaller hospitals may face challenges adopting advanced ERCP solutions due to budget constraints.

• Stringent Regulatory and Safety Compliance Requirements
  Medical device regulations, infection-control guidelines, and reprocessing standards impose additional complexity for ERCP providers. Compliance increases operational workload and cost, particularly for reusable duodenoscopes.

• Infection Risks Associated with Reusable Duodenoscopes
  Despite reprocessing, contamination risks remain a major concern with reusable ERCP scopes. This challenge drives the need to transition toward single-use devices but increases cost burden.

India Endoscopic Retrograde Cholangiopancreatography Market Segmentation

By Product Type

• Duodenoscopes (Reusable & Single-Use)

• Guidewires

• Sphincterotomes

• Catheters

• Stents (Plastic & Metal)

• Balloon Dilators

• Baskets and Retrieval Devices

• Cannulation Devices

• Lithotripsy Equipment

• Accessories & Consumables

By Procedure Type

• Diagnostics

• Therapeutic ERCP

• Stone Removal

• Stent Placement

• Sphincterotomy

• Tissue Sampling

By Application

• Gallstone Disease

• Bile Duct Obstruction

• Pancreatitis

• Pancreatic Cancer

• Biliary Strictures

• Cholangiocarcinoma

• Others

By End-User

• Hospitals

• Gastroenterology Clinics

• Ambulatory Surgical Centers

• Cancer Centers

• Academic & Research Institutions

Leading Key Players

• Olympus Corporation

• Boston Scientific Corporation

• Medtronic

• Pentax Medical

• Fujifilm

• Cook Medical

• CONMED

• Steris Healthcare

• Micro-Tech Endoscopy

• Taewoong Medical

Recent Developments

• Olympus Corporation introduced next-generation single-use duodenoscopes to enhance infection control standards in India.

• Boston Scientific expanded its ERCP accessory portfolio with advanced stents and guidewires designed for complex biliary interventions.

• Medtronic launched innovative imaging-enhanced ERCP tools integrated with AI-assisted visualization for improved diagnostic accuracy.

• Fujifilm deployed hybrid ERCP-EUS platforms to support advanced therapeutic applications across India.

• Cook Medical released improved cannulation and stone extraction devices tailored for difficult ERCP procedures.

This Market Report Will Answer the Following Questions

1. What is the projected size and growth rate of the India ERCP Market by 2031?

2. Which diseases and clinical applications are driving ERCP demand across India?

3. How are advancements in single-use endoscopes, AI imaging, and cholangioscopy shaping the future of ERCP?

4. What challenges affect safety, cost, clinical expertise, and regulatory compliance?

5. Who are the major device manufacturers leading innovation and competition?