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GALLBLADDER & PANCREAS

Common bile duct stones

A stone in a bile duct may need treatment beyond gallbladder removal.

Understanding the condition

A common bile duct stone can obstruct the flow of bile from the liver. It can cause jaundice, infection or pancreatitis. These problems may occur before or after gallbladder surgery.

What the evaluation looks for

Blood tests and ultrasound, MRCP or endoscopic ultrasound may be used to assess suspected stones. ERCP combines endoscopy with x-ray imaging and is often used to treat a duct problem.

How treatment is chosen

A duct stone may be removed endoscopically or during surgery. The team coordinates duct treatment with any needed gallbladder operation. ERCP has risks, including pancreatitis, bleeding, infection and perforation, so its purpose should be clear.

Questions worth asking

  • Is a stone confirmed or only suspected?
  • Would another imaging test answer the question first?
  • How will duct clearance and follow-up be confirmed?

When to seek help promptly

Jaundice with fever, shaking chills or abdominal pain needs emergency assessment; bile-duct infection can become serious quickly.

Patient resources

KEEP EXPLORING

Understand the next step.

Use these guides to prepare questions for your treating clinician.

All condition guides →