CBD Stone
Common bile duct stone, also known as choledocholithiasis, is the presence of gallstones in the common bile duct (CBD) (thus choledocho- + lithiasis). This condition can cause jaundice and liver cell damage.
Gallstones that form in the gallbladder are the most common cause for blocked bile ducts. Additionally, bile duct stones can develop anywhere in the biliary tract where there is bile: within the liver, gallbladder and common bile duct. Gallstones and bile duct stones are usually comprised of cholesterol or bile salts — common components of bile — that have hardened into a stone.
Symptoms of Gallstones and Bile Duct Stones
Gallstones can be miniscule in size or as large as a ping-pong ball. You may have one stone or develop many of them. Not all gallstones or bile stones cause symptoms. Some are discovered incidentally during imaging studies for other reasons.
About 15 percent of people with gallstones will develop stones in the common bile duct. Obstruction of the common bile duct may also lead to obstruction of the pancreatic duct because these ducts are usually connected.
The most common symptom is upper abdominal pain on the right side of the body, where the liver and gallbladder are situated. The pain may start suddenly and be intense. Or it may be a slow, dull pain or occur intermittently. The pain may shift from the abdominal area to the upper back or shoulder.
Prolonged blockage of a bile duct can cause a buildup of waste products in the biliary tract and in the bloodstream, leading to an infection called cholangitis. It also can prevent the release of bile into the small intestine to help digest food or cause a serious bacterial infection in the liver called ascending cholangitis.
A blocked bile duct may result in inflammation of the gallbladder, called cholecystitis. A gallstone or bile stone in the common bile duct may block the pancreatic duct, causing painful inflammation of the pancreas or pancreatitis.
If a stone completely blocks the ducts of the gallbladder, liver, common bile duct or pancreas, other symptoms may include:
- Nausea
- Fever
- Chills
- Yellow skin or eyes (from the build up of bilirubin, a waste product in blood)
- Dark urine
- Itching
- Fatigue
- Weight loss
- Night sweats
- Loss of appetite
- Greasy or light-colored stools
Diagnosing Gallstones and Bile Duct Stones
Your gastroenterologist can diagnose and treat gallstones and bile duct stones at the same time with minimally invasive endoscopic technology. Common diagnostic tests and procedures for confirming the presence of stones include:
- Blood Tests
- Abdominal Ultrasound
- Abdominal Ct Scan
- ERCP
- ERCP With Endoscopic Ultrasound
- MRCP
Treatment:
Mainstay of treatment is removal of stone. This can be done by various techniques depending on the condition of the patient and size of stone. The options are:
1. ERCP
2. Laparoscopic Common Bile duct exploration
3. Open common bile duct exploration
Book an appointment
If you feel that we can be of any assistance please take a moment to fill out the enquiry form below and one of our staff members will answer your question as soon as possible.
Visit us anytime
We all know how life can be challenging and hard. And that there’s no answer always to all the issues you may face. We are here to help you.
Address
Sir Ganga Ram Hospital
Old Rajinder Nagar, New Delhi
Delhi Laparoscopic Surgery Clinic
VBS Medics, D-148, near Manav Rachna School, Block D, Sector 51, Noida, Uttar Pradesh 201307
Ahuja Clinic
Pahari Bazar, Roorkee, Uttarakhand
Old Rajinder Nagar, New Delhi
Delhi Laparoscopic Surgery Clinic
VBS Medics, D-148, near Manav Rachna School, Block D, Sector 51, Noida, Uttar Pradesh 201307
Ahuja Clinic
Pahari Bazar, Roorkee, Uttarakhand
Call us
+91-9818675150
+91-8586089385
+91-8586089385
Write us
dr.anmol14@gmail.com