Doctor insights on:
Ercp Biliary Stent
Tube inserted orally or nasally, down esophagus, through stomach to duodenum, then slight turn into the commond duct so that a pictures can be taken and/or contrast injected into the ductwork to see if there are blockages of the common duct (from gall bladder) or ...Read more
Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?
Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more
Gallstone: Just the presence of a gallstone on a study in and of itself is not an indication for surgery. Symptoms of recurrent upper abdominal discomfort with gas bloating & nausea after eating, painful yellow jaundice, recurrent vomiting after eating, abnormal liver blood tests; each can be an indication for surgery. Discuss and review your symptoms with your doctor. ...Read moreSee 1 more doctor answer
What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?
ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP. ...Read more
Can biliary hyperkinesia damage gallbladder, pancreas, liver, or biliary tree? My ultrasound was normal, but ejection fraction=91%.
What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read moreSee 1 more doctor answer
Possibly: The best gallbladder test is an ultrasound of the abdomen, and if there is concern for a blockage, a HIDA scan (pronounced hide-a) may be ordered. This HIDA scan will also show if the gallbladder is functioning normally. If there is abnormal function one can have symptoms even if no gallstones are present. CT can miss most of this, so its not ordered as a first test if gallbladder a concern. ...Read more
Gall bladder removed coz of gallstones. No alcohol. Liver function tests all normal. 2 GGT tests- 89, 124 IU/L. Bile duct disease? Need liver scan?
Bile induced IBS after gallbladder removal?? True?? Best med for diarrhea cholestyramine after gb removal ?
Yes but will resolve: After gallbladder surgery, some people have ongoing abdominal symptoms, such as pain, bloating, gas, and diarrhea (postcholecystectomy syndrome). Following cholecystectomy, bile which was once stored in the gallbladder and released only after meals, now flows continuously into the intestines and cause irritation. Cholestyramine absorbs bile, but these symptoms will often resolve over time. ...Read more
Diagnose vs. therapy: Mrcp (magnetic resonance cholangiopancreatography) or eus (endoscopic ultrasound) are sensitive alternatives to finding biliary stones. However, when it comes to removing stones in the bile ducts, a procedure is needed: ERCP (as you already know), percutaneous techniques via interventional radiology, or surgical duct exploration & stone extraction. When choosing, consider your age & comorbidities. ...Read more
Kasai procedure: Biliary atresia is most often diagnosed in the neonates. The first line treatment is a surgical procedure called portoenterotomy (kasai) in which a loop of intestine is connected to the liver to act as a conduit for bile drainage in place of the missing bile ducts. The beneficial effects of this procedure, however, is often short-lived many children went on to require liver transplantation. ...Read moreSee 1 more doctor answer
Right upper abd pain: Gallstones can cause no symptoms or pain in the upper abd especially when eating fatty food. Go to your doc for referral for ultrasound. If you have symptomatic gallstones you may need to see a surgeon for gall bladder removal. Untreated, it can cause a more serious infection. ...Read moreSee 2 more doctor answers
MRCP showed biliary stricture. No mass etc. Now having a ERCP. Afraid of biliary cancer. How common?
Low likelihood: Since the mrcp didn't show any mass there is a low likelihood of there being a biliary tract tumor. In my experience biliary strictures are not usually associated with cancer, but your gastroenterologist is much better qualified to answer your question. ...Read moreSee 1 more doctor answer
As for anyone: Many people have gallstones and most give little or no trouble. You'd get the idea from reading the internet that most diseases can be made to improve by selecting a magic diet. This is entertainment, not science. A person with gallstones may have a relatively poor tolerance for fatty meals. That's about it. Thanks for asking. ...Read more