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Stone in CBD
Discussion in 'All Categories' started by Chaman - Jan 5th, 2024 8:56 am.
I have 9 mm stone in CBD. Is surgery necessary, or are there non-surgical options available for treating the stone?
re: Stone in CBD by Dr. B. S. Bhalla - Jan 5th, 2024 9:02 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
The appropriate treatment will depend on various factors, including the stone's composition, your overall health, and the severity of your symptoms.

Non-surgical options for treating gallstones may include:

Medications: Certain medications, such as bile acids, can be prescribed to dissolve cholesterol stones. However, they may not be effective for all types of stones.

Endoscopic Retrograde Cholangiopancreatography (ERCP): This procedure involves using a combination of endoscopy and X-rays to locate and remove stones from the bile duct. Stones can be extracted during the procedure, or a stent may be placed to help keep the duct open.

Lith-otripsy: In some cases, shock waves may be used to break up gallstones into smaller fragments that can be passed more easily.

However, for larger stones or those causing significant symptoms or complications, surgical intervention may be necessary. The surgical options include:

Laparoscopic Cholecystectomy: This is a minimally invasive surgery to remove the gallbladder, which is often recommended for gallstones causing symptoms.

Open Surgery: In some cases, open surgery may be required, especially if there are complications or if the stones cannot be removed through less invasive methods.
re: Stone in CBD by Hemant - Feb 8th, 2024 5:29 am
What treatment options are available for removing the CBD stone?
re: Stone in CBD by Dr. Bishal - Feb 8th, 2024 5:46 am
Dr. Bishal
Dr. Bishal
CBD (common bile duct) stones can cause significant discomfort and complications if left untreated. Treatment options for removing CBD stones include:

Endoscopic Retrograde Cholangiopancreatography (ERCP): ERCP is a procedure where an endoscope is passed through the mouth into the stomach and then into the duodenum (the first part of the small intestine). A catheter is then inserted through the endoscope into the bile ducts, and the stones can be removed using specialized tools such as a balloon or basket.

Laparoscopic Cholecystectomy with Common Bile Duct Exploration: This surgical procedure involves removing the gallbladder (where gallstones commonly originate) and exploring the common bile duct for stones. If stones are found, they can be removed during the same procedure.

Percutaneous Transhepatic Cholangiography (PTC): In this procedure, a needle is inserted through the skin into the liver, and contrast dye is injected to visualize the bile ducts on X-ray. Once the stones are located, they can be removed using specialized tools.

Open Surgery (Cholecystectomy with Choledocholitho-tomy): In cases where other methods are not suitable or have failed, open surgery may be necessary. This involves making an incision in the abdomen to access the bile ducts directly and remove the stones.

Oral Dissolution Therapy: This option is typically reserved for patients who are not suitable candidates for surgery or other procedures. It involves taking medications that help dissolve the stones over time. However, this method can take months to years, and not all stones are amenable to dissolution.
re: Stone in CBD by Manoj - Jun 6th, 2024 11:14 am
Having stone in CBD. Are there any non-surgical treatment options, such as medication or procedures to break down the ston
re: Stone in CBD by Dr. Rishi - Jun 6th, 2024 11:15 am
Dr. Rishi
Dr. Rishi
Yes, there are non-surgical treatment options for stones in the common bile duct (CBD). These options include:

Endoscopic retrograde cholangiopancreatography (ERCP): This procedure involves passing an endoscope through your mouth and into the small intestine to access the CBD. A small incision is made in the CBD, and the stone is removed or crushed using instruments passed through the endoscope.

Lith-otripsy: This procedure uses shock waves to break down the stone into smaller pieces, which can then pass through the bile duct more easily. It is often used in combination with ERCP.

Medication: Certain medications, such as ursodeoxycholic acid (UDCA), can be used to dissolve small cholesterol stones in the bile duct. However, this treatment may take months to be effective and is not suitable for all types of stones.

Percutaneous transhepatic cholangiography (PTC): In this procedure, a needle is inserted through the skin into the liver to access the bile ducts. A catheter is then used to remove the stone or to place a stent to help the bile drain more easily.
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