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The - SystemCholedocholithiasis Synonyms : Clinical features, Diagnosis, Management, Prognosis, Nutrition, Herbs, Stones in the
common bile duct usually come by migration from the gallbladder (secondary
stones). Primary bile duct stones may develop many years after a
cholecystectomy (removal of the gallbladder). A stone in the common bile duct
can cause partial or complete bile duct obstruction which may be complicated
by secondary bacterial infection since obstructed biliary tree is quickly
colonised usually with gram-negative gut bacteria. Such infection may spread
and become a systemic one. Clinical features: < BACK TO TOP >
The
condition may be asymptomatic or manifest as recurrent abdominal pain located
in the right upper abdominal quadrant, that resembles biliary pain in
gallstones.
Jaundice,
pruritus (itch) and dark urine may be present due to the intermittent
obstruction of bile flow. The presence of abdominal pain, jaundice and fever-chills (so-called Charcot’s triad) strongly indicates cholangitis (biliary duct infection) and requires emergency attention. Diagnosis: < BACK TO TOP >
Liver
function tests show a cholestatic pattern and bilirubinuria is present, but
occasionally these tests are normal.
Ultrasonography
will demonstrate dilated extra and intra-hepatic bile ducts together with
gallstones. Endoscopic retrograde cholangiography not only can diagnose the obstruction, but common bile duct stones can be removed after sphincterotomy has been carried out. Management < BACK TO TOP >
Prognosis < BACK TO TOP >
Nutrition < BACK TO TOP > Nutrition that alleviate or prevent Choledocholithiasis :- Herbs < BACK TO TOP > Herbs that alleviate or prevent Choledocholithiasis :- (source : -) |
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