Can anyone tell me if their relative has had the above? The medical name for it is Endoscopic retrograde cholangio-pancreatography (ERCP). My mother was recently admitted to hospital with an infection in her biliary duct which turned out to be caused by a stone. A gastro-enterologist told me that this procedure was advised for someone with this condition but, looking at my mother, didn't think she was fit enough to have it done. She is 91 years old and has had Alzheimer's for five years and has been bedbound for two of them. Despite apparently being in the late stages of Alzheimer's, my mother can still communicate - she can tell me what is wrong and even have sensible conversations with me. She sleeps a lot but still enjoys food. I feel she has some quality of life. I originally agreed with him that it was best not to have the procedure. He said she would be a high-risk patient but looking it up I find that it has been performed on the elderly successfully, presumably the comparatively fit. It involves placing an endoscope down the oesophagus. The person is sedated. When she was in her 80s, before the start of dementia, my mother had a gastroscopy and didn't know anything about it due to the sedation. The doctor has given my mother the oral dissolution tablets without much hope that they will work. It seems recurrence of the infection is likely and I got the feeling they didn't think she should be hospitalised again if this situation recurs. This time my mother was admitted with a fever and shortness of breath and the discharge sheet says "sepsis". She was on oxygen for one day, IV antibiotics and fluids. They didn't think she would last the weekend but she started to pick up quickly and I got her to eat from the first afternoon after going in. Of course, the infection must have been stopped quickly before it travelled to other organs but I think she has a strong constitution. For this reason, I wonder if I have done the right thing. Should she have no medical interventions apart from antibiotics? Is the doctor unwilling to take the risk as he is afraid it would reflect badly on his statistics were the procedure to fail? Has anyone else made the decision to have this type of intervention?