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Treatment of choledocholithiasis

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Initial treatment of gallstones in the biliary tree may involves stabilizing the patient if infection is present. This entails IV fluids, analgesia and antibiotics.

The removal of a stone is best achieved via ERCP, sphincterotomy and extraction with Dormia basket or balloon. ERCP is only successful in about 90% of patients. Large stones are difficult to remove. These patients need surgical exploration of the bile ducts, removal of the stones and closure of the duct over a T-tube. Usually, the T-tube is removed ten days later following a T-tube cholangiogram.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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