Can ERCP be used for choledocholithiasis

summary

Choledocholithiasis is a common disease. Many people will have residual choledocholithiasis after choledocholithiasis surgery. Now I'll share with you whether ERCP is OK for residual choledocholithiasis.

Can ERCP be used for choledocholithiasis

First, the best treatment is to remove the stones in the common bile duct through endoscopy. Patients with cholecystolithiasis can be treated for 2-3 days after removal of cholecystolithiasis, and then underwent laparoscopic cholecystectomy to remove cholecystolithiasis. In this way, patients can avoid the pain of lithotomy. Of course, in some primary hospitals, laparoscopic cholecystectomy also leads to residual stones in the common bile duct, which also can be removed by endoscopy.

Second, for patients with large or multiple stones, a special endoscopic sphincterotomy should be inserted on the basis of ERCP. After the opening is enlarged, a stone basket or a stone balloon should be inserted to remove the stones.

Third, for small stones, such as some small gallstones discharged into the common bile duct, the guide wire can be inserted on the basis of ERCP for a single stone with a diameter of 6-8mm, and the duodenal papilla can be dilated with a balloon, and then the stones can be removed with a stone basket. The advantage of this method is to retain the function of the sphincter and prevent postoperative retrograde biliary tract infection.

matters needing attention

Patients with choledocholithiasis should eat three meals at a fixed time. When the bile excretion is irregular, the bile in the gallbladder is easy to coagulate into stones. Eat less pungent spices, carbonated drinks, alcohol and other food to promote the secretion of gastric juice, gastric juice will stimulate gallbladder contraction, increase the occurrence of stones. Limit the fat diet. Cholesterol rise is easy to produce gallstones, to limit rich in animal fat eggs, butter, butter, liver, fish eggs and other food.