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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Best Methods To Remove Small Calculi In The Gall Bladder

hi this is anupam. In my sister s case the Ultra sound report says The Gall bladder is poorly visualized. in The lumen and the wall are not outlined. Multiple small calculi are seen all along the length of the GB, casting dense acoustic shadows . The USG doctor says the GB is collapsed, needs immediate operation. However, the other doctor said, wait for 3 weeks. Now after 3 weeks now she is quite well. i personally think that since the stone size is not big (small small calculi), we must first try to flush them out by medicine through the duodenum path. i need opinion/ suggestions from professional doctors pls.
Thu, 25 Feb 2021
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General & Family Physician 's  Response
Hello,

- Unfortunately, flushing of stones from the gall bladder is not something that is done
- She can undergo an ERCP (Endoscopic Retrograde Cholangio Pancreaticography) which will help visualize the biliary tree better but can be used for treatment only if there are larger stones in the common bile duct
- A cholecystectomy done laparoscopically is a relatively safe procedure that can be done electively now that she doesn't have any symptoms
- The issues with small stones is that they have the chance to aggregate and for new stones to form if ignored.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pranav Balakrishnan, General & Family Physician
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Suggest Best Methods To Remove Small Calculi In The Gall Bladder

Hello, - Unfortunately, flushing of stones from the gall bladder is not something that is done - She can undergo an ERCP (Endoscopic Retrograde Cholangio Pancreaticography) which will help visualize the biliary tree better but can be used for treatment only if there are larger stones in the common bile duct - A cholecystectomy done laparoscopically is a relatively safe procedure that can be done electively now that she doesn t have any symptoms - The issues with small stones is that they have the chance to aggregate and for new stones to form if ignored. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pranav Balakrishnan, General & Family Physician