Solutions for bile duct stones The best treatment for bile duct stones

The best method for bile duct stones is surgery, which can also be performed with ERCP technology and oral medications.

1.Surgery**: The operation is the most thorough, mainly with the assistance of laparoscope and da Vinci machine, the abdomen is directly incised, and then the lower end of the bile duct is incised, and the stones are removed through the enteroscopy to relieve intestinal obstruction and maintain bile drainage.

Technique: ERCP technology is also assisted by laparoscopy and a da Vinci robot to remove bile duct stones through the lower end of the bile duct. The main reason for this is that the ERCP technology is less traumatic and the recovery is faster.

3.Oral medications: For those with mild symptoms, some choleretic drugs, such as ursodeoxycholic acid, and some liver-protecting drugs, can be taken orally to treat anti-infection**.

There will also be a certain rate of bile duct stones after **, so it is necessary to pay attention to diet and re-examination after surgery. After surgery, the diet should be regular, avoid overeating, and avoid eating high-cholesterol and high-fat foods. Proper exercise can be used to control weight.

1.Drug**: Generally, the reason why gallstone patients are sick has a lot to do with the patient's own physical constitution, and there may be genetic factors, and it should also be noted that if the patient's body has endocrine disorders, then the risk of gallstones will also increase at this time, so patients should be conditioned by drugs.

2.Surgery**: Although surgery is**gallstones more thoroughly, it has a great impact on the body, removing the gallbladder can not be done once and for all, gallstones may also be in the common bile duct and intrahepatic bile duct**, so try not to operate lightly**.

However, if the number of stones in the gallbladder is too large and too large, it will affect the shape of the gallbladder, and even the gallbladder will rupture, so surgery should be performed at this time**!

3.Daily care: patients with gallstones should pay attention to ensuring regular work and rest, eat a healthy diet, do not eat foods that are easy to form stones, such as milk, eggs, etc., and also need to enhance the body's immunity, participate in more physical exercise, do not get angry often, should keep a comfortable and cheerful mood, and also need to actively face the condition after illness!

If you are unfortunate enough to suffer from such diseases to regulate yourself in time, there is a patient's article "Long Stone Road: Tortured by gallstones and stones has no way out, and finally discharged" wrote about his experience of gallstones over the years, and finally found his own way of health, I think it is very meaningful for the majority of patients, and interested friends can search for "Long Stone Road" to see her experience.

1. Pay attention to your diet. It is advisable to eat light food, reduce greasy, fried and grilled food, and consume high-fat food in moderation.

2. Keep the stool smooth. The six organs are used for general use, the liver and gallbladder are damp and hot, and the symptoms are aggravated when constipation is knotted. So it's important to keep your stool flowing.

3. Change the lifestyle of meditation, do physical exercise regularly, and be timely**.

4. Nurture your temperament and get less angry. People who have been in a bad mood for a long time can cause or aggravate this disease, so they should be broad-minded and feel comfortable.

5. Overcome the bad habit of skipping breakfast to avoid fat accumulation, which can lead to gallstones.

6. Pay attention to dietary hygiene and develop good hygiene habits (intestinal parasitic diseases and intestinal infections are the main ones for gallstones in China).

7. Regular physical examination, once a stone is found, it should be timely**.

This type of stone depends on the size and location of the stone, as well as the patient's own pain level, and the body's ability to retain body fluids, different patients have different conditions in this regard, if the patient's stone size is small, it may be excreted on its own, and the pain level that causes the obstruction is also within a tolerable range, and the appetite is not affected, then the patient can do it at home.

However, if the patient has unbearable pain, or nausea, vomiting, or difficulty eating, then the patient needs to use some painkillers with intravenous fluids**. If there is a patient with a high fever, we must be hospitalized as soon as possible** to avoid infection, which endangers our lives, for patients at home**, we can take some over-the-counter painkillers until our stones are naturally excreted, but it should be noted that when we use these drugs, it is best to take them according to the dosage specified by the doctor under the advice of the doctor, and at the same time, it can also be supplemented with some drugs that help to pass stones**.

After we naturally pass the stones, it is best to take the stones to the doctor for an analysis of the composition of the stones, and when we understand the composition of the stones, we can better take some measures to prevent the stones.

Many times we will have abdominal pain, but many people do not think so, their own diagnosis, may feel that they have eaten the wrong thing, in fact, it is not, sometimes it may be suffering from gallstones, if we do not pay attention, gallstones are quite harmful to the human body, so it is recommended that Chinese medicine to heal the tea to dissolve stones.

The harm of gallstones to the human body.

1. Cause biliary colic.

About 20 per year"Asymptomatic"Biliary colic occurs in patients with gallstones. During the intermittent period without symptoms, the stones float in the gallbladder, in which case the patient does not feel anything. Once the stones are incarcerated, the bile in the gallbladder cannot flow out, so that the pressure in the gallbladder increases, the gallbladder swells, and the gallbladder has to strengthen contraction in order to discharge its bile.

The gallbladder expands and contracts rapidly in a short period of time, resulting in severe colic. This kind of colic is often a continuous paroxysmal exacerbation, and in severe cases, shock and even life-threatening.

2. All kinds of biliary inflammation.

In the past, people were only familiar with gallstones and cholecystitis, but now bile duct cancer is also very common, and gallbladder cancer patients often have gallstones, which proves that gallbladder cancer and gallstones are directly related, and there are data that gallstones can be complicated by gallbladder cancer.

3. Complications.

Cholecystitis caused by gallstones may be well known. In addition, some small stones fall into the common bile duct and drain into the duodenum, and each time they fall into the common bile duct, they can damage the hepatopancreatic ampullary sphincter at the end of the common bile duct, and repeatedly this will cause narrowing at the end of the common bile duct, secondary to common bile duct stones and biliary pancreatitis. Some large stones can form biliary fistulas due to incarceration and compression of the gallbladder and its adjacent organs, such as gallbladder duodenal fistula, gallbladder transverse colonic fistula, gallbladder common bile duct fistula, etc.

4. Cause gallbladder cancer.

A hepatobiliary surgeon said that in the past, people were only familiar with gallstones and cholecystitis, but now bile duct cancer is also very common, and gallbladder cancer patients often have gallstones, which proves that gallbladder cancer and gallstones are directly related, and there are data showing that gallstones are complicated by gallbladder cancer. This situation leads to frequent misdiagnoses, and there are statistics that can reach the rate of misdiagnoses. Gallbladder cancer is often found only at the time of gallstone surgery, and most of them are advanced and have very poor efficacy, and the vast majority of patients die within one year.

Experts point out that if early diagnosis can be carried out, gallbladder cancer without metastasis can be removed in time, and the 5-year survival rate can reach 92.

Cystic duct stones are a very common stone disease, most patients will have abdominal cramps, at this time we go to the hospital for examination, usually find that there are stones in the body, but if the following conditions occur, we should choose aggressive surgery**.

First of all, if the diameter of the gallbladder stone is greater than two centimeters, or some multiple stones, the diameter is less than five centimeters, or it falls in the cystic duct, causing obstruction, it is necessary to consider surgery, this situation is more critical, not only the patient has frequent pain, but also may cause some acute inflammation, or some complications.

If the gallstone has been found for more than 10 years, surgery to remove the gallbladder is recommended. For some atypical gallstones that have no symptoms or only manifest as indigestion or bloating, such gallstones are usually misdiagnosed as gastric diseases, and if there are symptoms similar to gastric diseases, it is still necessary to go to the hospital in time to determine the type of disease.

Common bile duct stones refer to stones located in the common bile duct, mostly located in the middle and lower sections of the common bile duct, but with the increase and enlargement of stones and the expansion of the common bile duct, the accumulation of stones or the upward and downward movement, often involve the common hepatic duct, so its meaning should actually include the entire extrahepatic bile duct stones including the common hepatic duct.

According to the stones**, common bile duct stones can be divided into primary common bile duct stones and secondary common bile duct stones from the gallbladder. Primary choledocholithiasis is a component of primary choledocholithiasis that can form in the common bile duct or fall into the common bile duct by a stone originating in the intrahepatic bile duct. Secondary choledocholithiasis is a stone that originates in the gallbladder and descends through the cystic duct into the common bile duct.

Common bile duct stones can be carried out with "Miaoshan gallstone soup**. "Miaoshan Gall Stone Soup" is the ancestral prescription of Dr. Jiang, which is specially used for ** common bile duct stones, and has outstanding curative effects. According to the ** and symptoms of common bile duct stones, this prescription follows the principle of Miao treatment and treatment, selects rare seedling medicinal materials from Qianling, and is made by reasonable formulation and fine compatibility.

It has the effects of soothing the liver and regulating qi, clearing heat and detoxifying, and softening and eliminating stones, which can dissolve stones in the body and promote the discharge of stones, so as to treat common bile duct stones as a symptom and restore the health of patients.

"Miaoshan gallbladder stone soup" is composed of magnolia, wood, fossil grass, citrus aurantium and other multi-flavored Miaoling authentic medicinal materials, and the combination of various medicines plays a significant role in fossil and stone discharge. Each herb used in this recipe is collected from Leigong Mountain, a "natural medicine storehouse", and thanks to the favorable soil and climatic conditions of Leishan County, Qianling, the quality of the medicinal materials is high, so it can exert a stronger medicinal value, and the medicinal value is several times stronger than that of ordinary medicinal materials.

You can choose:

1. Laparotomy of the gallbladder + choledocholithotomy + T tube drainage, one-time solution to the problem, T tube is generally placed for 40 days;

2. Laparoscopic cholecystectomy + choledocholithotomy, if conditions permit, part of it can be sutured in one stage without T tube;

3. Two steps, ERCP common bile duct stone removal first, and then laparoscopic cholecystectomy one week later, the advantage is that there is no need to place a T tube, and the trauma is minimal, but the disadvantage is that ERCP has more complications, higher cost, and gallbladder stones are easy to fall off to the common bile duct or incarceration again after ERCP.

The clinical manifestations of common bile duct stones depend on the degree of obstruction of the bile ducts and the presence or absence of infection, and most patients have had one or more acute or chronic cholecystitis attacks or biliary ascaris in the past, and then jaundice after a severe biliary colic, indicating that the stone has entered the common bile duct, or that incarceration and obstruction have occurred after the formation of the common bile duct. Biliary obstruction caused by gallstones is usually incomplete and non-persistent, and complete obstruction is rare after all, so about 20% of patients can feel no right upper quadrant cramp, 40% of patients have colic but no jaundice, and most of the rest of the patients have jaundice starting to have jaundice a few hours to 1 or 2 days after the onset of abdominal pain, and it can gradually resolve after a few days. If the stones in the common bile duct cannot be discharged to the duodenum, the abdominal pain is bound to recur, and jaundice may reappear, and the frequency of ** tends to become more frequent and more severe; However, there are also cases that no longer occur after an attack more than 10 years apart, and the stones in the common bile duct have reached a diameter of more than 2cm by the next attack, or there is only slight abdominal pain at the time of the attack and jaundice does not reappear.

Common bile duct stones are very harmful to the human body, so when you find out that you have common bile duct stones, you should go to the hospital in time**.

If the stone is only in the gallbladder or common bile duct, laparoscopic cholecystectomy and choledochiotomy can be performed.