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Dilated Cbd

A Dilated common bile duct (CBD) often indicates a blockage or issue affecting bile flow. This condition can be linked to gallstones, tumors, or strictures. Early diagnosis is essential to prevent complications and ensure proper digestive system function.

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Symptoms

What is Dilated CBD?

A dilated common bile duct (CBD) means that the tube carrying bile from your liver and gallbladder to your small intestine is wider than normal (typically over 6 mm). This enlargement often signals an obstruction or other underlying issue and is usually detected by ultrasound, CT scan, or MRCP.

Common Symptoms

When bile flow is slowed or blocked, you may experience:

  • Yellowing of the skin and eyes (jaundice)
  • Dark-colored urine
  • Light-colored or clay-colored stools
  • Pain or discomfort in the upper right abdomen
  • Itchy skin
  • Nausea or vomiting
  • Unexplained weight loss

Causes

Several conditions can cause the CBD to dilate, including:

  • Gallstones lodged in the duct (choledocholithiasis)
  • Changes after gallbladder removal surgery
  • Scar tissue or strictures from prior inflammation
  • Tumors of the bile duct, pancreas, or liver
  • Infections or cholangitis (bile duct inflammation)
Treatment

Treatment Options for Dilated CBD in Houston

Treatment includes procedures and ongoing care:

  • ERCP: Endoscopic Retrograde Cholangiopancreatography to remove gallstones or place a stent, restoring normal bile flow.
  • Laparoscopic surgery: Minimally invasive approach to correct strictures or remove tumors compressing the bile duct.
  • Drainage procedures: Percutaneous or endoscopic drainage to relieve pressure when bile cannot pass on its own.
  • Medications: Antibiotics for cholangitis or other infections and pain management as needed.
  • Follow-up imaging: Repeat ultrasound, MRCP, or CT scans to monitor duct diameter and ensure bile is draining properly.
  • Nutritional support: Low-fat diet guidance to reduce bile workload and support digestive health during recovery.

Book Your Appointment Today

Don’t wait to address a dilated common bile duct. At GastroDoxs in Houston, our board-certified specialists offer personalized evaluations, cutting-edge diagnostics, and advanced treatments to get you back to health. Contact us now to schedule your consultation and take the first step toward lasting relief and improved digestive well-being.

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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 dilated CBD?

The ICD-10 code for dilated common bile duct is K83.1, which covers bile duct dilation and related conditions.

Can the CBD dilate after gallbladder removal?

Yes. It is common for the common bile duct to enlarge slightly after gallbladder surgery as your body adapts to changes in bile storage and flow.

Is a dilated CBD always a serious problem?

Not always. Mild dilation can be benign, especially post-surgery, but any dilation should be evaluated to rule out obstruction, stones, strictures, or tumors.

What causes the common bile duct to dilate most often?

The leading causes include gallstones blocking the duct (choledocholithiasis), strictures from scarring, tumors in the bile duct or pancreas, and post-surgical changes.

What does it mean if my CBD is dilated on an ultrasound?

It means the duct's diameter exceeds the normal 4-6 mm range. Further imaging or tests will be needed to determine the underlying cause.

What treatment options are available for a dilated CBD?

Treatment depends on the cause but may include ERCP to remove stones or place a stent, laparoscopic surgery for strictures or tumors, and drainage procedures to relieve pressure.

What is the long-term outlook after treating a dilated CBD?

With appropriate treatment and follow-up, most patients recover well. Regular imaging and liver function tests help ensure normal bile flow returns.

Can the common bile duct dilate without causing any symptoms?

Yes. Some people have asymptomatic dilation discovered incidentally during routine imaging for other reasons.

Is a normal CBD measurement a good sign?

Yes. A normal diameter (4-6 mm) generally indicates your bile is flowing properly and there is no obstruction or significant disease.

Where can I get expert evaluation and treatment for a dilated CBD in Houston?

At GastroDoxs in Houston, our board-certified specialists offer advanced imaging, ERCP, minimally invasive surgery, and personalized follow-up care to treat bile duct conditions.

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