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Question
Hello doctor,
My mother has gallstones, elevated liver enzymes, acute pancreatitis, size 18mm stone bag. My mother is being treated at the hospital, but the doctor did not specify the treatment method. The doctor asked me if I had to have surgery? What is the treatment for gallstones?
Tuan Rong (1995)
Answer
Answered by Master, Doctor Dao Duc Dung - Gastroenterologist - Hepatobiliary tract - General Surgery - Vinmec Times City International General Hospital.
Hello,
With the question “How to treat gallstones? , the doctor would like to answer as follows:
Your mother has gallstones, elevated liver enzymes and pancreatitis. In particular, gallstones are the cause, pancreatitis is often a complication of gallstones. Stones may be in the gallbladder or there may be stones from the gallbladder that fall into the main bile duct (common bile duct stones).
The direction of treatment is laparoscopic cholecystectomy. The test that should be done immediately is an MRI of the biliary tract to assess whether there are common bile duct stones associated with gallstones. If gallstones are present, both gallstones and common bile duct stones must be treated simultaneously. Common bile duct stones can be performed by the following methods:
Endoscopic retrograde cholangiopancreatography (ERCP) to remove stones. Laparoscopic opening of the common bile duct to remove stones (or open surgery if necessary). Percutaneous lithotripsy of the common bile duct and gallstones (this is a new technique). If you still have questions about gallstones, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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