The gall bladder is a small sac that collects and holds bile which is a digestive juice secreted by the liver to break the dietary fats.
Bile duct is a plumbing that connect the liver to the intestine and that carries the bile produced from the liver to the intestine.
Gallstones are formed by cholesterol, calcium salts, bile pigments, and other mixtures that are formed in the gallbladder.
Gallstones that move out of the gallbladder may get lodged in your bile duct due to the size of gallstones, which are known as bile duct stones
Treatment for Gallstones and Bile Duct Stones. This can be achieved under single anesthesia utilizing any of the following methods.
- Common Bile Duct Exploration
- This procedure can remove gallstones within the bile duct
- It can be laparoscopically or during open cholecystectomy
- ERCP (Endoscopic retrograde cholangiopancreatography)
- This procedure is appropriate for removing gallstones that are passed from the gallbladder and stuck in the bile stone
- This may lead to jaundice or pancreatitis
Can you have gallstones and bile stones at the same time?
According to studies, 10-18% of people who have gallstones have associated with bile duct stone. These patient present with jaundices or serious biliary infections(Cholangitis)
Can I have both managed under Single Anesthesia??.
Yes. You can have both bile duct stones and gallstones removed under single surgery.
Newer technologies and advancement makes it easier for doctors to remove both stones under single anesthesia.
Laparoscopic Cholecystectomy with common bile duct exploration is the safest procedure used to remove both stones
How does this procedure work?
Dr. Srikanth Gadiyaram has performed more than 12000+ successful surgeries.
We here at Sahasra Hospital along with Dr. Srikanth Gadiyaram, will guide you through the procedure that will take place. You will be well aware of all ins and outs of the surgery
- Firstly, General Anesthesia will be given, ensuring that you are unconscious and your surgery goes pain-free
- Laparoscopic Cholecystectomy- The surgeon with start by making a smaller incision near the abdomen. These incisions are small and scar free. Through this incision laparoscopic tube with the camera along with surgical instruments is inserted. Then gallstones with the gallbladder are removed
- Common bile duct exploration – Once the gallbladder is removed, the surgeon will move towards the common bile duct to explore it for the stones. When the stones are found, the surgeon removes them. Depending on the complexity, if there are larger or more stones open surgery might be required
- Endobiliary/T-tube placement – Once the surgeon is satisfied that all stones are removed, an endobiliary stunts/ t-tube is placed for drainage of the bile duct that are removed after a few weeks
- Closure- Once the procedure is completed, all the incisions are closed with sutures or surgical staples, and dressing is given.
Laparoscopic Cholecystectomy with common bile duct exploration is a very specialized procedure and needs a lot of expertise and Dr. Srikanth Gadiyaram has excelled in this kind of procedure
If you are facing any symptoms, you can directly visit us or get in touch with us to book an appointment with Dr. Srikanth Gadiyaram at 8880837000/ 9880105829.