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Dilated Cbd
A dilated common bile duct occurs when the biliary channel exceeds 7 mm, potentially causing pain, jaundice, and complications. In Houston, Dr. Scott at GastroDoxs offers expert diagnosis and personalized treatment plans using advanced diagnostic imaging and minimally invasive procedures.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Gallstones blocking the common bile duct
Dilation of the duct after gallbladder removal
Tumors or strictures (narrowing) in the bile duct
Inflammation from pancreatitis or infections
Primary sclerosing cholangitis
Age over 60 years
Previous gallbladder surgery
Signs and Symptoms
Pain or discomfort in the upper right abdomen
Jaundice (yellowing of the skin and eyes)
Dark urine or pale, clay-colored stools
Itching (pruritus)
Fever and chills, if an infection is present
How Dr. Scott Diagnoses Epigastric Pain from a Dilated CBD?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews your epigastric and right-upper-quadrant pain, checks for jaundice or itching, and discusses past gallbladder surgery or risk factors like PSC.
Blood Tests
We measure liver function (ALT, AST, ALP), total and direct bilirubin, and pancreatic enzymes to identify cholestasis or inflammation.
Imaging Studies
Abdominal ultrasound evaluates CBD diameter, gallstones, and ductal dilation.
MRCP (Magnetic Resonance Cholangiopancreatography) gives a non-invasive, detailed view of the bile ducts.
Endoscopic ultrasound (EUS) offers high-resolution images to detect small stones, strictures, or masses.
Advanced Testing (if needed)
ERCP with SpyGlass cholangioscopy can clear obstructing stones, place stents, and obtain biopsies for suspected strictures or tumors.
Treatment
Our Team offers a full range of care for dilated common bile duct.
1. Diet and Lifestyle Tips
Eat low-fat, smaller meals
Drink plenty of water
Avoid greasy or fried foods
Add fruits, vegetables, and fiber to your meals
2. Medications
Ursodeoxycholic acid to improve bile flow
Pain relievers for discomfort management
Antibiotics if an infection is detected
3. Minimally Invasive Procedures
ERCP to remove stones or dilate strictures
SpyGlass cholangioscopy for direct bile duct visualization
Drainage or surgical intervention in complex cases
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for dilated CBD?
The ICD-10 code for a dilated common bile duct is K83.1.
What causes a dilated common bile duct?
Common causes include gallstones blocking the duct, strictures or tumors narrowing it, and widening after gallbladder surgery.
What are the signs of a dilated CBD?
Look for upper right abdominal pain, jaundice (yellow skin or eyes), dark urine, light-colored stools, itching, or fever if an infection is present.
Can diet help manage symptoms?
Yes. A low-fat diet with smaller, frequent meals, plenty of water, and high fiber can improve symptoms and support bile flow.
Is ERCP painful?
No. ERCP is performed under sedation. You may feel mild throat or abdominal soreness afterward, but most patients recover quickly.
When should I see a doctor?
Schedule a visit if you develop jaundice, severe abdominal pain, or fever with chills, as these may indicate complications needing prompt evaluation.
