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Multiple Calculi In Gallbladder, Alkaline Phosphatase Levels Abnormal. Is ERCP The Next Option?
I am 16 year old girl. Doctors have examined me done LFT with two readings of alkaline phosphate as 98 & 130. done EUS, US & MRI. findings are multiple calculi in my gallbladder. largest one measuring 1.4*1.4 cm. what precautions can i take and what procedure can be carried out further. as such doctors have recommened another LFT and then if the alkaline phosphate level is increased then ERCP is the next step. i would like to know what according to you can be done further?
Wed, 20 Nov 2013
Hello there!
Thank you for asking. If gallbladder has stones the things we need to worry about is if it involves nearby bile duct and dilates the common bile duct and adds to the yellowish discoloration of the skin(jaundice). Also the pancreatic profiles Serum amylases lipases amylase to lipase ratios .
Alkaline phospahtases and bilirubin levels hike means that the common Bile Duct CBD is involved. And yes in that case ERCP (Endoscopic retrogade cholangiopancreaticography) is the next step as it would be both diagnostic and therapeutic.
Then you will be prepared for simple laproscopic cholecystectomy/ removal of gall bladder through minimal invasive procedures Providing the anesthesiologists and general surgeons give a green signal after ruling out all the contraindications for it.As you are 16 years old only. This young age with rest of it with out gall bladder might advise a conservative approach. But what your doctors decide for you will be best for you and i am sure you are in safer hands.
Hope i was of some help. Take care
regards
Dr S Khan
Thank you for asking. If gallbladder has stones the things we need to worry about is if it involves nearby bile duct and dilates the common bile duct and adds to the yellowish discoloration of the skin(jaundice). Also the pancreatic profiles Serum amylases lipases amylase to lipase ratios .
Alkaline phospahtases and bilirubin levels hike means that the common Bile Duct CBD is involved. And yes in that case ERCP (Endoscopic retrogade cholangiopancreaticography) is the next step as it would be both diagnostic and therapeutic.
Then you will be prepared for simple laproscopic cholecystectomy/ removal of gall bladder through minimal invasive procedures Providing the anesthesiologists and general surgeons give a green signal after ruling out all the contraindications for it.As you are 16 years old only. This young age with rest of it with out gall bladder might advise a conservative approach. But what your doctors decide for you will be best for you and i am sure you are in safer hands.
Hope i was of some help. Take care
regards
Dr S Khan
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Hello,
Your doctor is absolutely right in suggesting an ERCP if alkaline phosphatase is increased in the repeat LFT ,because that would suggest an obstruction in common bile duct.
There is no requirement of any other investigation.
The ultimate answer is gall bladder removal,which is ideally done LAPROSCOPICALLY.
Thanks
Your doctor is absolutely right in suggesting an ERCP if alkaline phosphatase is increased in the repeat LFT ,because that would suggest an obstruction in common bile duct.
There is no requirement of any other investigation.
The ultimate answer is gall bladder removal,which is ideally done LAPROSCOPICALLY.
Thanks
I find this answer helpful
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