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Choledocholithiasis

In Houston, GastroDoxs offers comprehensive choledocholithiasis treatment, combining cutting-edge ERCP diagnostics and minimally invasive bile duct stone removal with personalized care, ensuring faster recovery and improved health outcomes for patients across the local community, trusted by numerous Gulf Coast families.

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Bharat Pothuri
Symptoms

What is Choledocholithiasis?

Choledocholithiasis occurs when gallstones become lodged in the common bile duct, blocking the flow of bile from the liver and gallbladder. This obstruction can cause pain, infection, and complications like pancreatitis. The ICD-10 code for choledocholithiasis without inflammation is K80.5. At GastroDoxs in Houston, we specialize in diagnosing, treating, and providing follow-up care for this condition.

Common Symptoms

Symptoms often start suddenly and may include:

  • Pain in the upper right abdomen that can last for hours
  • Jaundice (yellowing of the skin and eyes)
  • Dark urine
  • Pale or clay-colored stools
  • Fever and chills (if infection develops)
  • Nausea and vomiting

Causes

The primary cause is gallstones formed in the gallbladder that migrate into the bile duct. Other risk factors include:

  • Rapid weight loss or frequent dieting
  • Personal or family history of gallstones
  • Liver disease (for example, cirrhosis)
  • Female gender
  • Age over 40
Treatment

Treatment Options for Choledocholithiasis in Houston

Treatment includes endoscopic, surgical and supportive care:

  • ERCP (Endoscopic Retrograde Cholangiopancreatography): Use an endoscope to locate and remove bile duct stones.
  • Laparoscopic bile duct surgery: Minimally invasive procedure when ERCP isn't feasible or fully effective.
  • Pain management: Prescription medications to control abdominal pain and discomfort.
  • Antibiotics: Treat or prevent infection in the bile ducts (cholangitis).
  • Follow-up imaging: Ultrasound, MRCP or repeat ERCP to confirm complete stone clearance.
  • Dietary guidance: Low-fat diet and balanced nutrition to help prevent future gallstone formation.

Book Your Appointment

Don't wait for symptoms to get worse. Call GastroDoxs in Houston today at 832-632-4070 to schedule your visit. Our caring, board-certified team will guide you every step of the way-so you can find relief from choledocholithiasis and get back to living well.

265

Patients Treated

We've successfully treated more than 265 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for choledocholithiasis?

The primary ICD-10 code for choledocholithiasis without inflammation is K80.5. If you have an associated bile duct infection (cholangitis), codes in the K80.6 range are used.

How is choledocholithiasis diagnosed?

Diagnosis typically involves blood tests to check liver enzymes, an abdominal ultrasound, and advanced imaging such as MRCP (Magnetic Resonance Cholangiopancreatography) or ERCP (Endoscopic Retrograde Cholangiopancreatography) to visualize and confirm stones in the bile duct.

Can gallstones in the bile duct go away on their own?

Small bile duct stones may occasionally pass into the intestine without intervention, but most require removal via ERCP or surgery to prevent complications like infection or pancreatitis.

What are the main risk factors for choledocholithiasis?

Key risk factors include a history of gallbladder stones, rapid weight loss or yo-yo dieting, liver disease such as cirrhosis, being female, and age over 40.

Are there different ICD-10 codes for complicated choledocholithiasis?

Yes. Uncomplicated stones use K80.5. If there's ascending cholangitis or other complications, you would use a K80.6 code to reflect infection or inflammation of the bile duct.

When should I seek urgent care for suspected choledocholithiasis?

Seek immediate medical attention if you experience high fever with chills, severe upper right abdominal pain, worsening jaundice (yellowing of the skin or eyes), persistent vomiting, or signs of systemic infection.

What's the typical recovery time after an ERCP procedure?

Most patients feel back to normal within one to two days after ERCP. Complete recovery, including resolution of any mild abdominal discomfort, usually occurs within a week.

Are non-surgical treatments available for bile duct stones?

While pain and infection can be managed with medications, actual stone removal typically requires ERCP. In rare cases where ERCP isn't possible, surgery may be performed.

How can I find a choledocholithiasis specialist in Houston?

You can schedule an appointment at GastroDoxs Houston by calling our office or visiting our website. Our board-certified gastroenterologists have extensive experience treating bile duct stones.

Will I need surgery after an ERCP to remove all stones?

If ERCP successfully clears the duct, no further surgery may be needed. However, recurrent stones or underlying gallbladder disease could lead your physician to recommend laparoscopic gallbladder removal later.

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