Choledocholithiasis - Symptoms, Causes, Treatment, Diagnosis, Risk Factor & Prevention
What is Choledocholithiasis
Choledocholithiasis refers to the presence of gallstones in the common bile duct (CBD), which is the tube that carries bile from the liver and gallbladder to the small intestine.
Symptoms of Choledocholithiasis
Causes of Choledocholithiasis
Gallstones
Small, hardened deposits of bile formed in the gallbladder that may migrate into the common bile duct.
Bile duct stricture
Narrowing of the bile duct, which can trap stones.
Biliary tract infections
Infections can lead to stone formation.
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Diagnosis of Choledocholithiasis
Imaging tests
Ultrasound, CT scan, or MRI to visualize the bile duct and detect stones.
Blood tests
Elevated liver enzymes and bilirubin levels suggest bile duct obstruction.
ERCP
Both a diagnostic and therapeutic procedure where a flexible tube is inserted through the mouth, stomach, and into the small intestine to remove stones.
MRCP
MRI-based imaging to visualize the bile ducts and detect stones non-invasively.
Choledocholithiasis Treatment in Ahmedabad
ERCP with sphincterotomy
Endoscopic removal of stones and cutting of the sphincter muscle to allow stones to pass.
Laparoscopic surgery (choledocholithotomy)
Minimally invasive surgery to remove stones from the bile duct.
Medication
Ursodeoxycholic acid to dissolve small stones, although less commonly used.
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Risk Factor of Choledocholithiasis
Prevention of Choledocholithiasis
- Obesity is a significant risk factor, so maintaining a healthy weight through diet and exercise can help prevent gallstone formation.
- A diet low in cholesterol and saturated fats, and high in fiber, may reduce the risk of gallstones.
- Drinking plenty of water helps maintain proper bile flow and reduces the risk of gallstones.
- Rapid weight loss can increase the risk of gallstones, so aim for a steady and gradual weight loss if needed.
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Read All The Frequently Asked Questions About Choledocholithiasis
FAQ’S
Imaging tests such as ultrasound, CT scan, or MRI can detect gallstones in the bile duct. Blood tests may also show elevated liver enzymes and bilirubin levels.
Yes, maintaining a healthy weight, eating a balanced diet low in cholesterol and saturated fats, staying hydrated, and exercising regularly can help reduce the risk of gallstones and choledocholithiasis.
Complications may include infections of the bile duct (cholangitis), pancreatitis (inflammation of the pancreas), and potentially serious liver damage.