Understanding Choledocholithiasis

What is Choledocholithiasis? Choledocholithiasis occurs when gallstones lodge in the common bile duct, the tube carrying bile from your liver and gallbladder to your intestine. These stones can block bile flow, causing symptoms like:

• Sharp upper abdominal pain

• Yellowing of skin/eyes (jaundice)

• Nausea or vomiting

• Fever or dark urine

If untreated, it may lead to serious issues like infections or pancreatitis.

How is it Diagnosed?Your doctor may use:

• Blood tests to check liver function.

• Ultrasound or MRCP to spot stones.

• ERCP, a procedure to see and remove stones.

Treatment Options

1. ERCP and Gallbladder Surgery (Cholecystectomy): A tube is inserted through your mouth to remove stones from the bile duct. ERCP is effective but carries risks like pancreatitis. Cholecystectomy is often done after ERCP to prevent future stones. Usually minimally invasive.

2. Laparoscopic bile duct exploration: Minimally invasive option to remove bile duct stones along with cholecystectomy.

   

   Management of Choledocholithiasis

   
   

Recovery Tips

• Diet: Avoid fatty foods initially; eat balanced meals.

• Follow-up: Regular doctor visits to check for complications.

• Watch for: Severe pain, fever, or jaundice—seek help immediately.

With treatments like ERCP and surgery, most patients recover fully. Talk to your doctor about the best plan for you.