| Discussion in 'All Categories' started by Aarav - Jan 1st, 2024 11:56 am. | |
Aarav
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I have 8 mm stone in CBD. What are the available treatment options for a stone in the CBD? |
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re: Stone in CBD
by Dr. B. S. Bhalla -
Jan 1st, 2024
12:21 pm
#1
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Dr. B. S. Bhalla
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I can provide some general information about potential treatment options for a common bile duct (CBD) stone. Observation: Small stones may pass through the common bile duct on their own without causing significant issues. Your doctor may choose to monitor the stone's progress through regular imaging and manage any symptoms. Medication: In some cases, medications such as ursodeoxycholic acid (UDCA) may be prescribed to dissolve cholesterol stones. However, this approach is often less effective for larger stones and may take a long time. Endoscopic Retrograde Cholangiopancreatography (ERCP): This procedure involves the insertion of a flexible tube (endoscope) through the mouth, esophagus, and stomach into the duodenum. Contrast dye is injected, and X-rays are taken to locate and remove the stone. In some cases, a sphincterotomy (cutting the muscle around the opening of the bile duct) may be performed to facilitate stone removal. Percutaneous Transhepatic Cholangiography (PTC): This procedure involves the insertion of a thin needle through the skin and into the liver to inject contrast dye into the bile ducts. X-rays are then taken to locate and remove the stone. Laparoscopic or Open Surgery: Surgical removal of the stone may be considered in certain cases, particularly if other methods are not suitable or successful. This can involve either laparoscopic (minimally invasive) or open surgery. |
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re: Stone in CBD
by Dr. Suresh Karki -
Jan 4th, 2024
10:16 am
#2
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Dr. Suresh Karki
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Having an 8 mm stone in the Common Bile Duct (CBD) can be a challenging situation, and it's essential to explore appropriate treatment options. Here's an overview of potential treatment options: Observation: For small stones that are not causing symptoms, a watch-and-wait approach may be considered. Regular monitoring and lifestyle modifications, such as dietary changes, might be recommended. Endoscopic Retrograde Cholangiopancreatography (ERCP): This procedure involves the insertion of an endoscope through the mouth and into the small intestine to remove or break down the stone. ERCP can be effective for stones in the CBD. Laparoscopic Surgery: In some cases, minimally invasive surgery may be recommended to remove the stone. Laparoscopic common bile duct exploration (LCBDE) is a surgical option. Cholecystectomy: If the stone is associated with gallstones, your doctor may recommend the removal of the gallbladder (cholecystectomy) to prevent further stones from forming and migrating to the CBD. Extracorporeal Shock Wave Litho tripsy (ESWL): This non-invasive procedure uses shock waves to break down the stone into smaller fragments, making it easier for the body to pass or for further interventions. Dissolution Therapy: For specific types of stones, medications may be prescribed to dissolve the stones. This approach is less common and depends on the composition of the stone. Stent Placement: Temporary or permanent stent placement might be considered to keep the CBD open and facilitate the passage of bile and stones. The choice of treatment depends on factors such as the size and type of the stone, associated symptoms, and overall health. |
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re: Stone in CBD
by Siddharth -
Feb 3rd, 2024
10:16 am
#3
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Siddharth
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I have stone in CBD. Are there any potential complications associated with the stone in the CBD? |
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re: Stone in CBD
by Dr. Bishal -
Feb 3rd, 2024
10:24 am
#4
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Dr. Bishal
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The common bile duct is a tube that carries bile from the liver and gallbladder to the small intestine, and a stone in this duct can lead to various complications. Common bile duct stones can cause: Obstruction: A stone in the CBD can block the flow of bile, leading to an obstruction. This can result in symptoms such as jaundice (yellowing of the skin and eyes), dark urine, pale stools, and abdominal pain. Inflammation: The presence of a stone can cause inflammation in the duct, a condition known as cholangitis. Symptoms may include fever, chills, abdominal pain, and jaundice. Pancreatitis: If a stone blocks the pancreatic duct, it can lead to inflammation of the pancreas, known as pancreatitis. This can cause severe abdominal pain, nausea, and vomiting. Infection: Bile duct stones can increase the risk of bacterial infection in the bile duct, leading to cholangitis. Infections can be serious and may require prompt medical attention. Complications during surgery: If the stone requires surgical removal, there can be risks associated with the procedure, including bleeding, infection, or injury to nearby structures. |
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