Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
He examines your health history, the history of the prior problems of the gallbladder or the bile duct, risk factors, and your current symptoms which can be pain, jaundice or itch.
To regulate the liver activity, to exclude other factors, we test liver enzymes (AST, ALT, ALP), bilirubin and inflammatory markers.
Direct visualisation of the ducts can be done using endoscopic ultrasound (EUS) or endoscopic retrograde cholangiopancreatography (ERCP) to remove stones or place stents and to sample tissues in case additional information is required.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Patients may experience sharp or full pain in the upper right abdomen, along with jaundice (yellowing of the skin or eyes) and abdominal discomfort.
No. A dilated CBD simply means the bile duct is enlarged, while cholangitis refers to an infection of the bile duct, which is a separate condition.
Mild cases may improve with dietary and lifestyle modifications, but most patients require medical evaluation and treatment to address the underlying cause.
Yes. ERCP is a minimally invasive procedure performed under sedation. It is generally safe when conducted by an experienced specialist.
Surgery is only recommended when less invasive treatments fail or when tumors or long-term complications need to be corrected surgically.
Most patients experience symptom relief within a few days after stent placement, although full recovery time varies depending on individual factors.
Yes. These procedures are typically covered by most insurance plans. Our team can assist with preauthorization and benefit verification.
The pancreatic and bile ducts share a common outlet into the intestine. Therefore, an obstruction in one duct can affect the function of both systems.
Yes. Strictures or new bile stones can recur within scar tissue. Regular imaging and follow-up exams are important to prevent future complications.
The ICD-10 code for bile duct dilation is K83.1.
