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Dilated Cbd

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Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
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Bharat Pothuri
Symptoms

What is Dilated CBD?

A dilated CBD (common bile duct) means the small tube that carries bile from your liver to your small intestine is wider than normal. On imaging, mild dilation is typically 7-8 mm, while measurements above 10 mm often prompt further evaluation. Because the pancreatic duct runs alongside the common bile duct, issues in one can affect the other.

Common Symptoms

Many people with a mildly dilated CBD have no symptoms. When signs do appear, they may include:

  • Pain in the upper right abdomen or back
  • Yellowing of the skin or eyes (jaundice)
  • Dark urine and pale stools
  • Itchy skin
  • Fever and chills (if infection develops)

Causes

Several factors can lead to a widened common bile duct:

  • Gallstones blocking the duct
  • Scar tissue after gallbladder removal (post-cholecystectomy dilatation)
  • Pancreatitis or tumors near the duct
  • Bile duct infection (cholangitis)
  • Fusiform (spindle-shaped) dilatation of the CBD
Treatment

Treatment Options for Dilated CBD in Katy

Treatment includes endoscopic, surgical, medical and monitoring approaches:

  • Endoscopic Retrograde Cholangiopancreatography (ERCP): A minimally invasive procedure to remove stones, dilate strictures or place stents for immediate bile flow relief.
  • Surgical intervention: Open or laparoscopic surgery to bypass or repair blockages, remove tumors, or correct complex ductal injuries when ERCP is not sufficient.
  • Antibiotics: Targeted antibiotic therapy for cholangitis or bile duct infections to eradicate pathogens and prevent sepsis.
  • Imaging surveillance: Regular ultrasound or MRI exams to measure duct diameter, track progression and detect new obstructions early.
  • Lifestyle modifications: Adopting a low-fat diet, staying hydrated and maintaining healthy body weight to support optimal bile production and flow.
  • Post-cholecystectomy follow-up: Customized monitoring plans and interventions for patients with post-surgical ductal dilation to ensure long-term ductal health.

Why Choose GastroDoxs?

At GastroDoxs in Katy, TX, our specialists deliver expert care for dilated common bile duct conditions using advanced imaging, ERCP services, and tailored treatment plans. We combine cutting-edge technology with compassionate, patient-centered support to help you achieve lasting relief and optimal digestive health. Ready to restore healthy bile flow? Book your appointment with GastroDoxs today.

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Patients Treated

We've successfully treated more than 443 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

How is a dilated CBD diagnosed?

A dilated CBD is most often identified with imaging tests such as ultrasound or MRI. In many cases, an ERCP (Endoscopic Retrograde Cholangiopancreatography) is used both to confirm the diagnosis and to provide immediate treatment if needed.

What size counts as a dilated CBD?

In adults under 60 years old, a common bile duct measuring over 7 mm is considered dilated. For older adults, measurements above 10 mm typically warrant further evaluation.

Can a dilated CBD cause pain?

Yes. When the duct is blocked by gallstones, scar tissue, or other obstructions, patients may experience upper right abdominal or back pain, and sometimes jaundice.

What is fusiform dilatation of the CBD?

Fusiform dilatation refers to a uniform, spindle-shaped enlargement of the common bile duct, often visible on cross-sectional imaging.

Is post-cholecystectomy CBD dilatation serious?

Post-cholecystectomy dilatation is often mild and asymptomatic. However, if patients develop pain, jaundice, or signs of infection, prompt evaluation and treatment are required.

Are there non-surgical treatments for a dilated CBD?

Yes. ERCP is a minimally invasive procedure that can remove stones, clear blockages, and place stents without the need for open surgery.

What is the ICD-10 code for a dilated CBD?

The ICD-10 classification for bile duct disorders, including dilated CBD, often falls under code K83.1, though exact coding may vary based on specific findings and documentation.

Can diet help manage a dilated CBD?

While dietary changes-such as a low-fat diet-may reduce bile production and ease symptoms, they cannot reverse an existing obstruction or dilation in the duct.

How often should I have follow-up imaging?

Your gastroenterologist will tailor follow-up intervals to your condition. For stable, asymptomatic dilatation, imaging (ultrasound or MRI) is often recommended every 6-12 months.

When should I see a specialist for a dilated CBD?

You should consult a gastroenterologist if you develop jaundice, persistent abdominal pain, fever or chills, or if imaging shows a dilation greater than 10 mm.

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