CBD Stones (Choledocholithiasis) Treatment in Ludhiana
Consult Dr. Rajiv Grover, a highly accomplished digestive disorders specialist in Ludhiana, for immediate relief from CBD stones and the prevention of future stone formation.
What are CBD Stones (Choledocholithiasis)?
The Common Bile Duct (CBD) is the duct that carries bile from your liver and gallbladder to the small intestine. Choledocholithiasis is the condition where a gallstone (hardened deposits of cholesterol or bilirubin) migrates out of the gallbladder and becomes lodged in this duct. The gallstone, which can range in size from a tiny sand-like grain to a golf ball-sized stone, that migrates from the gallbladder to the common bile duct is called a CBD stone.
The seriousness of Choledocholithiasis depends upon the size of CBD stones. While small CBD stones may pass spontaneously, larger stones often get stuck in biliary tract. When this happens, they grow large enough overtime, obstructing the flow of bile and causing serious complications like infection, pancreatitis, and jaundice. CBD stones, in such cases, becomes a medical priority and need to be precisely diagnosed and treated to prevent life-threatening consequences.
Symptoms of CBD Stones
Intense upper abdominal pain
Nausea/ vomiting
Dark urine
Pale stools
Fever/ sweating
Fast heart rate
When to See a Doctor for CBD Stones?
If you notice any of these warning signs, you must seek immediate medical help:
- Persistent, intense abdominal pain
- Severe pain that makes sitting difficult
- Jaundice
- High fever with chills
- Rapid heartbeat
- Low blood pressure
Treatment Approach
Dr. Rajiv Grover’s Treatment Approach for CBD Stones
Dr. Rajiv Grover, a highly regarded liver and pancreas specialist in Ludhiana, leverages his sharp clinical acumen, modern medical protocols, and advanced techniques for the removal of CBD stones and prevention of future stone formation.
Initial Consultation
In the first, deep-dive consultation, the doctor gathers information about the patient’s personal and family medical history, symptoms, lifestyle, and nutrition through a two-way conversation, followed by a physical examination.
Advanced Diagnosis
The doctor leverages one or more of the following tests for the precision-led diagnosis of CBD stones.
- Blood tests
- Bilirubin test
- Pancreas function tests
- Liver function tests
- MRI/ CT scan
- Abdominal ultrasound
- EUS (Endoscopic Ultrasound)
- ERCP (Endoscopic Retrograde Cholangiopancreatography)
Tailored Treatment
The individualized treatment plan may include one or more of the following:
- Medical treatments
- Biliary drainage
- ERCP for stone removal
- SpyGlass Cholangioscopy for stone removal
- Laparoscopic Cholecystectomy
- Nutritional and lifestyle optimization
Risks & Complications
What Happens If You Leave Choledocholithiasis Untreated?
Untreated CBD can lead to serious, life-threatening complications.
Cholecystitis (gallbladder inflammation)
Acute Cholangitis
Bile duct infections
Gallstones pancreatitis
Why Choose Us?
Why You Should Trust Dr. Rajiv Grover For The Best Treatment Of GERD and Heartburn
Leave your gastro and liver care in the expert hands of Dr. Rajiv Grover, proficient in handling complex cases with great comprehension.
01
International-based health protocols
Grover Gastro and Fertility Centre is aligned with international protocols that regulate the standard of effective treatments with the aim of achieving lasting results. As such, the clinic can be trusted to provide high-quality treatment procedures.
02
Evidence- based treatments
Dr. Rajiv Grover provides scientifically proven treatments that have a track record in achieving satisfying, effective results. He is vastly experienced in providing customized treatments that address the root of the condition with precision.
03
State-of-the-art technical facility and treatments
Grover Gastro and Fertility Centre has various advanced facilities that help to give better results for treatments. Dr. Rajiv Grover endeavors to provide treatments that achieve precision, long-lasting results and prioritises the safety of the patient.
04
Patient-centric care throughout the procedures
Grover Gastro and Fertility Centre goes beyond providing treatments, but also aims to ensure that patients receive the care and comfort they need throughout the treatments.
Frequently Asked Questions
Bile is the digestive fluid produced by the liver and stored in the gallbladder. When you eat, the bile is emptied through the bile duct into the small intestine to aid digestion. Gallstones form if your bile contains excessive cholesterol, too much bilirubin, or insufficient bile salts. Such imbalances are caused by certain risk factors including:
- Unbalanced/ fatty/ low-fibre diet
- Family history
- Advanced age (over 40 years)
- Sedentary lifestyle
- Diabetes
- Liver disease
- Losing weight too quickly
- Pregnancy
- Certain medications
Yes, CBD stones are highly curable. Through a combination of medications, endoscopic techniques such as ERCP, EUS, and SpyGlass Cholangioscopy, and laparoscopic surgery, it is possible to remove gallstones, ensure pain relief, and prevent formation of future stones. Dr. Rajiv Grover, an advanced endoscopy specialist in Ludhiana, is widely known for his use of SpyGlass Cholangioscopy to treat CBD stones and ensure immediate pain relief to patients.
Yes, CBD stones are serious even though may may not always cause problems. They are particularly considered a medical priority when they get lodged in the bile duct and/or grow overtime in the CBD, causing a blockage to the flow of bile. In either case, they warrant immediate medical attention. If left untreated, this could lead to severe digestive crisis, infection, jaundice, and pancreatitis.
If you notice any of these warning signs, you must seek immediate medical help:
- Persistent, intense abdominal pain
- Severe pain that makes sitting difficult
- Jaundice
- High fever with chills
- Rapid heartbeat
- Low blood pressure
While a standard ERCP (Endoscopic Retrograde Cholangiopancreatography) uses X-ray shadows to guess the location of a stone or blockage, SpyGlass Cholangioscopy allows the doctor to actually see inside your bile ducts in high definition.
- Direct Visualization: It uses a tiny, spy camera – about the size of a pencil lead – that is inserted directly into the bile or pancreatic ducts.
- Precision Stone Breaking: For stones that are too large or stuck to be removed by traditional ERCP, specialists like Dr. Rajiv Grover use the SpyGlass to perform Laser or Electrohydraulic Lithotripsy, breaking the stone into tiny fragments under direct vision.
- Accurate Biopsies: If there is a suspicious growth or narrowing (stricture), SpyGlass allows for a targeted biopsy, ensuring the tissue sample is taken from the exact spot needed for a 100% accurate diagnosis.
While oral medications do exist for dissolving small cholesterol stones, the process takes months and even years. These stones often return after the medication course has stopped. Advanced endoscopic interventions and cholecystectomy are preferred methods to treat CBD stones.
Dr. Rajiv Grover leverages his sharp clinical acumen, modern medical protocols, and advanced techniques for the removal of gallbladder and CBD stones and prevention of future stone formation. He is a highly regarded ERCP specialist in Ludhiana and a regional authority in the use of advanced endoscopic techniques such as ERCP, MRCP, EUS, and SpyGlass Cholangioscopy for the location and removal of obstructive gallstones. He individualizes the treatment plan based on the location and severity of gallstones and may include a combination of medical treatments, endoscopic techniques, laparoscopic interventions, biliary drainage, lifestyle optimization and nutritional support.