Common Bile Duct Stones

Common bile duct stones are calculi in the CBD, causing obstruction, jaundice, cholangitis, or gallstone pancreatitis. Treatment: ERCP with sphincterotomy and stone extraction; stent if incomplete clearance; antibiotics for cholangitis; laparoscopic cholecystectomy post-ERCP to prevent recurrence; intraoperative cholangiography if found at surgery; monitor for post-ERCP pancreatitis; follow-up MRCP/US if recurrent.

Common Symptoms

RUQ pain; jaundice; fever/chills; by CBD obstruction

Causes and Pathogenesis

Stones in CBD cause obstruction and ascending infection.

Treatment

ERCP extraction; cholecystectomy; antibiotics if cholangitis

Preventive Measures

Early cholecystectomy; monitor biliary symptoms.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Gastroenterology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.