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Doctor insights on: Bile Duct Obstruction With No Gallbladder

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Gallbladder and bile duct are normal but have stones and had one attack. Can diet do the trick or do I need surgery?

Gallbladder and bile duct are normal but have stones and had one attack. Can diet do the trick or do I need surgery?

Biliary colic or not: Additional testing may clarify the need for surgery. Do you have elevated liver tests? Have you had a CCK-HIDA scan? ...Read more

Obstruction (Definition)

Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more


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What causes your common bile duct to be dilated 12mm when you don't have a gallbladder.

What causes your common bile duct to be dilated 12mm when you don't have a gallbladder.

Sphincter muscle: At the end of the duct, just at it's entry to the intestine. There is a circular muscle that closes off the duct when bile is not needed to digest foods. Since the liver never stops making bile, it will build up inside the bile ducts and stretch them out when a gallbladder has been removed. A stone could block the duct but will produce symptoms. The stretched open ducts happen without symptoms. ...Read more

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Age63, f, remove 1 stone from bile duct during ercp. What r the possible reasons 2 remove gallbladder? Can this be avoided?

Age63, f, remove 1 stone from bile duct during ercp. What r the possible reasons 2 remove gallbladder? Can this be avoided?

Gallbladder: The stone removed from the bile duct came from your gallbladder. If you don't get your gallbladder removed you will be at risk of having the same problem again. ...Read more

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I have an inflammed common bile duct with no stones determined during gallbladder removal. What can be the other reasons?

The stone passed: If you are otherwise recovering well from gallbladder removal surgery, you can rest assured the inflammation was part of the disease process and nothing more. If you have jaundice, yellow eyes and skin, losing weight, feeling poorly then get in to your doc, consider ERCP and biopsy. Be well. ...Read more

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No gallbladder but keeps getting stones in the bile duct leading to surgery, where are they coming from, why and can they prevented?

No gallbladder but keeps getting stones in the bile duct leading to surgery, where are they coming from, why and can they prevented?

Biliary stones: It has been suggested that the biliary ducts have some stone forming potential. There are medications that can be used in the long term that may help, ursodiol for example. ...Read more

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Before and after my gallbladder removal my bile duct has been dilated even still a year later, this causes a lot of pain, will this go away itself?

Depends: Ask your doctor how dilated the bile duct is. After gallbladder removal, it is normal to have a slightly enlarged bile duct. Additionally, as you age, your bile duct usually enlarges a bit, usually about 1 mm per 10 years. If you have stones in your bile duct, you certainly need to have this addressed. Finally, proving that your pain is from the dilated bile duct is quite difficult. ...Read more

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How likely are you to have gallstones in the bile duct years after gallbladder removal?

Rare but can happen: It is not unheard of to have bile duct stones after removal of the gallbladder. Usually it occurs within two year of the operation, but can occur later. An ERCP can usually take care of it. ...Read more

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I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

Yes: I do not know why you had a biliary stent placed, but it is usually for some type of bile duct blockage. Upper abdominal discomfort and yellow jaundice would be very common, and would gradually resolve over a few days after the stent is placed. ...Read more

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F, 63, what is the alternative to remove stone instead of removing gallbladder? (remove 1 stone from bile duct through ercp) any risk?

F, 63, what is the alternative to remove stone instead of removing gallbladder? (remove 1 stone from bile duct through ercp) any risk?

Gallbladder: The stone removed from the bile duct came from your gallbladder. If you don't get your gallbladder removed you will be at risk of having the same problem again. ...Read more

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Gallbladder removed 9 wks ago. Clipped bile duct resulted in open procedure. Still exhausted all the time. Is this normal? How long will I be tired?

Gallbladder removed 9 wks ago. Clipped bile duct resulted in open procedure. Still exhausted all the time. Is this normal? How long will I be tired?

Post op tiredness: Hello, most people bounce back after 6 weeks but have your doc do a fingerprick Hemaglobin or get a blood count to exclude ANEMIA. If not then check TSH to see that thyroid is normal and check electrolyes, sodium and potasssium. Take a vitamin suppplement and Iron and get some exercise. It will get better.. ...Read more

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What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

Yes you should: It depend on the circumstances around the inflammation and what symptoms you have. I will be concerned and I will check with my GI for proper evaluation. ...Read more

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What can I expect from GI doc when us shows bile duct dilated at 16mm. My gallbladder was removed 9/28/12. Bile duct was previously 12.9mm. Thank you?

It depends: If you have no symptoms and a stone in the bile duct has been ruled out, you should not have to worry. Common duct often appears slightly dilated after removal of gall bladder. You can also easily follow this up with future ultrasounds to assure that it is stable. ...Read more

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Gallbladder is contracted and contain multiple echogenic calculi. The common bile duct is 4mm and no filling defect is seen. Please advice me.

Gallbladder is contracted and contain multiple echogenic calculi. The common bile duct is 4mm and no filling defect is seen. Please advice me.

Do You Have Pain?: The presence of gallstones in the absence of symptoms does not warrant gallbladder surgery. In fact, most people with "silent" gallstones will never develop symptoms, as high as 75% of the time. I advise my patients to be familiar with the symptoms of gallbladder disease and return if these develop. While surgery is safe and easy, it is not risk-free. ...Read more

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Gallbladder had gangrene and ruptured during surgery. Bile duct was cut in half and is draining bile, has to stay in for 3 months. What is the outlook?

Bile duct injury: It sounds like you had a very hostile gallbladder but to this point things have been repaired and that you have a t-tube in place. That tube help strain the bile and people helps prevent stricture. Overall the outlook is good and it is rare for people to have major complications or long-term effects after surgery in which the ball that was repaired. Routine follow-up as recommended by your surgeon will however be important to make sure that any problem that arises is attended to a timely fashion. ...Read more

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How long will jaundice last after a stent has been inserted to clear a bile duct in the gallbladder?

How long will jaundice last after a stent has been inserted to clear a bile duct in the gallbladder?

Usually 2-3 days: It can take several days for the jaundice to clear after the obstruction is opened by the stent. ...Read more

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I haven't had a period in 45 days. I had my gallbladder removed and a gallstone taken out of my bile duct. Can this make my cycle stop?

I haven't had a period in 45 days. I had my gallbladder removed and a gallstone taken out of my bile duct. Can this make my cycle stop?

If no pregnancy risk: Any major stress - like having a cholecystectomy and stone retrieval - could impact your menstrual cycle. Do take a pregnancy test if there's any risk of pregnancy, though. Good luck. LGromkoMD ...Read more

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I had 2 hydascans after gallbladder surgery for spasms in the bile duct, showed partial blockage probably SOD, 1 doctor said the test were a waste?

I had 2 hydascans after gallbladder surgery for spasms in the bile duct, showed partial blockage probably SOD, 1 doctor said the test were a waste?

Not a "waste": I disagree with the "waste" comment...It is important to determine if a residual stone is blocking the COMMON BILIARY DUCT which also drains your PANCREAS. If youy symptoms continue see a GASTROENTEROLOGIST!

Hope this helps

Dr Z ...Read more

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What does moderately fluid distended gallbladder mean? Noted on abdominal MRI, common bile duct diameter at 6mm. & I have alot of abdominal symptoms.

As an isolated: Finding it is of uncertain significance, it may mean nothing. It has to be interpreted in the context of your entire clinical picture, i.e. does your doctor suspect gallbladder dysfunction or biliary problem. Likewise, a 6mm common bile duct is borderline abnormal. If you have no signs, symptoms, or lab values suggesting biliary obstruction, it may be normal for you. ...Read more

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I have gastritis had gallbladder removed a year ago. Don't drink alcohol don't take any medicines. MRI show bile duct normal so what's the cause?

I have gastritis had gallbladder removed a year ago. Don't drink alcohol don't take any medicines. MRI show bile duct normal so what's the cause?

More info needed.: When you say "gastritis", what kind of symptoms are you actually referring to? Without more detail, it is hard to know what kind of advice is appropriate. If you give more detail, I'll be happy to try to help. Good luck. ...Read more

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My 89 year old mother had her gallbladder removed 10 years ago. She has a gallstone that is 8 CM in her bile duct. What is the best way to remove it?

My 89 year old mother had her gallbladder removed 10 years ago. She has a gallstone that is 8 CM in her bile duct. What is the best way to remove it?

Several options: An 8 cm stone in the common bile duct is extremely unusual but should be addressed quickly. There are two main ways of dealing with this, she could have an endoscopic retrograde cholangiopancreatography (ERCP) and have the stone extracted thru the duodenum with an endoscope - she may need lithotripsy to break up the stone first; she could have surgery, probably open but possibly laparoscopic. ...Read more

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MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms. ...Read more

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Severe pain, swelling and sudden weight gain had ct then mrcp both showed enlarged gallbladder and dilated common bile duct but nonspecific, poss causes?

Severe pain, swelling and sudden weight gain had ct then mrcp both showed enlarged gallbladder and dilated common bile duct but nonspecific, poss causes?

Need more info: The dilated common bile duct is more concerning and could possibly cause your symptoms. I would more information to be able to discuss further testing. Are your liver function tests abnormal? How big was the common duct? Depending on the above you may need an endoscopic ultrasound of the duct and the head of the pancreas. ...Read more

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I have elevated liver enzyme ast (sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins.

An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm.

Complete history needed for this. ...Read more

Dr. Dariush Saghafi
1 Doctor shared a insight

Gallbladder (Definition)

The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more


Dr. Stephen Scholand
5 Doctors shared insights

Gall Bladder (Definition)

Sac like organ that serves to store bile, a digestive detergent which is made in the liver. Typically contracts after eating and sends the stored bile down ducts to ...Read more