Expert Treatment for Choledocholithiasis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He evaluates your pattern of epigastric pain-onset, severity, triggers (like fatty meals)-and reviews any prior gallstone or biliary issues.
Blood Tests
We check liver function tests (ALT, AST, ALP), total and direct bilirubin, plus pancreatic enzymes (amylase, lipase) to assess for cholestasis or pancreatitis.
Imaging Studies
- Abdominal ultrasound to look for common bile duct dilation and visible stones.
- MRCP (Magnetic Resonance Cholangiopancreatography) for a noninvasive, high-resolution view of the bile ducts.
- Endoscopic ultrasound (EUS) when tiny or impacted stones evade detection on other scans.
ERCP Diagnostic and Therapeutic
When imaging confirms stones, ERCP allows Dr. Pothuri to directly visualize the bile duct and remove lodged stones in the same procedure.
Advanced Testing (if needed)
In rare or complex cases, peroral cholangioscopy or intraoperative cholangiography may be used to pinpoint hard-to-find stones or assess duct anatomy precisely.
Frequently Asked Questions
What is the ICD-10 code for choledocholithiasis?
K80.5 is used to classify bile duct stones without infection.
Can bile duct stones cause pancreatitis?
Yes. If a stone blocks the pancreatic duct, it can trigger inflammation of the pancreas (pancreatitis).
Who is at risk for choledocholithiasis?
Risk factors include existing gallstones, being female over 40, rapid weight loss or obesity, high-fat/low-fiber diet, hormone therapy or pregnancy, and family history of gallbladder disease.
Is ERCP safe?
Yes. Dr. Pothuri uses the latest ERCP techniques and equipment to minimize risks and maximize stone removal success.
How soon will I feel better after treatment?
Many patients notice symptom relief within a few days. Full recovery generally takes one to two weeks, depending on the procedure.
Do I always need gallbladder surgery?
Not always. If stones recur or gallbladder disease is present, laparoscopic removal may be recommended to prevent future episodes.