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Retained Stones: In the era prior to ercps, stones that left the gallbladder and entered into the common bile duct (cbd) had to be surgically removed by opening the cbd. At the end of the cbd exploration, a t-shaped tube is placed into the bile duct to prevent bile leakage from the duct and to allow a portal of entry into the cbd to retrieve any cbd stones left behind. The t-tube 'gram searches for these stones. ...Read more
I had my gallbladder removed & cholangiogram. It showed minimal mucosal irregularity of cbd due to inflammation. GB had mucosal fibrosis.Advice?
Asked your surgeon?: Have you asked your surgeon about it? Are you having any symptoms? Usually people with those findings get better after GB removal, but if you are still having problems, you need to talk to your surgeon about it. Sometimes a surgical complication can cause continued or delayed symptoms. ...Read more
36 year old with cholestasis of pregnancy during 2nd pregnancy. 6 months after delivery liver enzymes were still elevated, but GB been removed.....?
Consult doctor: As you mention that you are having nausea ,may be you are not eating enough to avoid nausea . are you taking any medicine for it .discuss with doctorYour consistent persisting problem is loss of weight ,while your present test -ALT, AST and alkaline phosphatase result are almost O.K..It may be good idea to rule out -any gastrointestinal disorder which is affecting your digestive process or to test for chronic viral disease and to be tested autoimmune diseases . Better discuss with your doctoryour doctor . parasitic infection are also known for weight loss , get your stool examination .Hope you get better ,good luck ...Read moreSee 1 more doctor answer
27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?
See answer: Symptoms sound typical of post-cholecystectomy syndrome but the fact that you had symptoms before cholecystectomy brings the possibility of IBS / functional bowel which is usually worse with bile acids irritating an already sensitive bowel. I would recommend getting a 48 hour fecal fat to ensure there is no fat malabsorption. Cholestyramine is usually helpful in such cases. Another possibility is small bowel bacterial overgrowth. Low-FODMAP diet is helpful but you may benefit from antibiotics such as rifaximin (Xifaxan) if symptoms persist despite following the diet. I hope this helps you get better soon! ...Read moreSee 2 more doctor answers
Bile Duct X-ray: A cholangiogram is an x-ray of the bile duct utilizing an injection of dye in order to look for abnormalities such as bile duct stones, strictures, tumors, etc. The injection may be performed by a surgeon at the time of gallbladder surgery, by a gastroenterologist at the time of an ercp, or by a radiologist, by using ct- or ultrasound guidance, to inject through the liver. ...Read more
If my surgeon sees a stone in the pancreatic duct or common bile duct during intra-operative cholangiography, can he remove the stone during surgery?
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