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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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55year Female With Biliary Stent (pigtail) To Bypass CBD Stone

hi,please, help 55year female with biliary stent (pigtail) to bypass CBD stone, 3month ago,now jaundice relieved but still theres astone &sonography shows normal daimeter CBD with stent .ERCP FAILED.
Sun, 23 Oct 2011
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Gastroenterologist, Surgical,  's  Response
From the description you have given it seems that the stone in the CBD is impacted. It is dangerous to reattempt endoscopic removal. The safest method would be open surgical exploration of the common bile duct which will not only help in complete clearance of the stone load but also provide a opportunity to carry out a prophylactic surgical procedure in order to prevent the condition from recurring (biliary enteric anastomosis) depending upon the actual size of the CBD as observed during surgery.
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55year Female With Biliary Stent (pigtail) To Bypass CBD Stone

From the description you have given it seems that the stone in the CBD is impacted. It is dangerous to reattempt endoscopic removal. The safest method would be open surgical exploration of the common bile duct which will not only help in complete clearance of the stone load but also provide a opportunity to carry out a prophylactic surgical procedure in order to prevent the condition from recurring (biliary enteric anastomosis) depending upon the actual size of the CBD as observed during surgery.