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Choledocholithiasis

GastroDoxs in Houston offers all the facilities to treat choledocholithiasis using a combination of the latest ERCP diagnostics and the least invasive removal of bile duct stones along with the personal approach that solidifies recovery and an improved rate of patient health in the local community and is relied upon by numerous families throughout the Gulf Coast.

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Bharat Pothuri
Symptoms

What is Choledocholithiasis?

Choledocholithiasis occurs when the presence of the stones blocks the flow of the bile in the common bile duct causing the failure to pass bile in the liver and gallbladder. Such blockage can cause pain, infection and pancreatitis among others. The ICD-10 code of choledocholithiasis without inflammation is K80.5. At this point we are at GastroDoxs in Houston which deals with diagnosing, treating and follow up of this disease.

Common Symptoms

The symptoms are likely to come suddenly and they might consist of:

  • Abdominal pains in the upper right that can be taken up to 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

This is largely attributed by the existence of stones in the gallbladder that spread to the bile duct. Other risk factors include:

  • Anorexia or Maladaptive dieting
  • History of gallstones in the family or Gallstones
  • Liver disease (for example, cirrhosis)
  • Female gender
  • Age over 40
Treatment

Treatment Options for Choledocholithiasis in Houston

Treatment includes endoscopic, psychosurgical and supportive:

  • ERCP (Endoscopic Retrograde Cholangiopancreatography): An endoscope is used to locate and remove endoscopic site of bile duct stones.
  • Laparoscopic surgery of the bile duct: Minimal surgery in case of inability to perform ERCP, or failure.
  • Pain control: Oral pain and treatment drugs to control and treat abdominal pain and discomfort.
  • Antibiotics: Prevention or treatment Infection of bile ducts (cholangitis).
  • Follow-up imaging: Ultrasound, MRCP or repeat ERCP to ensure that the stones have cleared.
  • Restrictive food measures: Low-fat nutrition and balanced diet in order to prevent further development of gallstones.

Book Your Appointment

One cannot wait and see when symptoms deteriorate. To make your appointment at Call GastroDoxs in Houston, you can call the 832-476-1649 phone. You will have to go through all that you want us to do, to make you feel relieved with choledocholithiasis and to help you be on course again in the path of living well.

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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

Which is the ICD-10 of choledocholithiasis?

The K80.5 is the chief ICD-10 code of choledocholithiasis without inflammation. Should there be any associated bile duct infection (cholangitis) you may take the codes in the range of the K80.6.

Diagnosis What is choledocholithiasis?

Diagnosis is normally done by a blood test to measure liver enzymes, an abdominal ultrasound and more complicated tests such as MRCP (Magnetic Resonance Cholangiopancreatography) or ERCP (Endoscopic Retrograde Cholangiopancreatography) to visualize and confirm bile duct stones.

Would the stones in bile duct remove?

The small bile duct stones can at times pass through the intestine without taking any treatment, however, most of them have to be eliminated by use of either ERCP or surgery to prevent complications like infection or pancreatitis.

Which are the most significant risk factors of choledocholithiasis?

The primary risk factors are the history of the presence of stone in the gallbladder, rapid weight loss or yoyo dieting, liver disease such as cirrhosis, gender (female) and age (above 40).

Does ICD-10 identify different codes of complicated choledocholithiasis?

Yes. Uncomplicated stones use K80.5. In case of ascending cholangitis or other complications, the code of 90.6 would be used to show that the ducts have become infected or inflamed.

When will I order an urgent treatment of potential choledocholithiasis?

Immediately consult the doctor when experiencing high fever with chills, pains in the upper right abdomen, increased jaundice (yellowing of the skin or eyes), persistent vomiting or signs of systemic infection.

What is the average length of ERCP recovery time?

Most of the patients are restored to their normal after one to two days of ERCP. One week is normally required to recover fully and to then take away any traces of slight abdominal discomfort.

Can the bile duct stones be treated non-surgically?

Even though drugs are adequate to treat pain and infection, dumping of real stones, is normally done through ERP. In some exceptional cases where ERCP is not possible, surgery can also be performed.

Where am I going to find a more local authority in choledocholithiasis in Houston?

In order to book an appointment at GastroDoxs Houston, one can call our office or come to our site. Our gastroenterologists are board-certified and have been in the treatment of the bile duct stones over the years.

Does that mean that I need an ERCP to be done after to take all the stones out?

No further operation may be required in case ERCP succeeds in clearing duct. However, once again, the stones which could recur in your history of either the same or previous history of gallbladder disease may lead your doctor to suggest to you that the gallbladder should be removed laparoscopically in the future.

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