ERCP metal stenting was done at Manipal Hospitals. It is a complex process involving drainage of blocked biliary ducts into the intestine to relieve jaundice. ERCP metal stenting relieves blockage of the bile duct caused by cancer. During ERCP, a self-expanding metal stent is placed to allow bile to flow freely. Metal stents are wider than plastic stents, last longer, and require fewer repeat procedures. They are mainly used when the cancer cannot be cured and treatment is palliative. ERCP helps cancer patients by relieving bile duct blockage caused by tumors. Many cancers, such as pancreatic, gallbladder, or bile duct cancer, can stop bile from flowing, leading to jaundice, itching, infection, and liver damage. During ERCP, a stent is placed inside the blocked bile duct to keep it open, allowing bile to drain normally. This reduces jaundice, improves appetite and comfort, prevents cholangitis, and improves liver function. By improving liver tests, ERCP also helps patients safely receive chemotherapy or other cancer treatments. Overall, ERCP improves symptoms and quality of life in cancer patients..