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Best treatment of Difficult and Large CBD stones in Delhi- NCR, Best treatment of Difficult and Large CBD stones in Faridabad, Best treatment of Difficult and Large CBD stones in Noida, Best treatment of Difficult and Large CBD stones in Ghaziabad Dr. Kapil Kumar Sharma discusses the Difficult Common Bile Duct Stones in this educational awareness video. Watch the full video to learn more. Title: Effective Management of Difficult and Large CBD Stones: A Comprehensive Approach Introduction Biliary stones, also known as gallstones, can pose significant health challenges when they migrate from the gallbladder into the common bile duct (CBD). While most CBD stones can be managed with conventional treatments like endoscopic retrograde cholangiopancreatography (ERCP), some cases present unique difficulties due to their size and location. This article aims to explore the treatment options available for difficult and large CBD stones, focusing on the latest advancements in medical technology and procedures to ensure optimal patient outcomes. Understanding Difficult and Large CBD Stones CBD stones can be categorized based on their size, location, and composition. Difficult and large CBD stones typically measure over 1 cm in diameter and can be lodged in the narrow passages of the biliary system. Their size and location make them challenging to extract, and they may lead to severe complications such as obstructive jaundice, cholangitis, and pancreatitis if left untreated. Traditional Treatment Approaches 1. Endoscopic Retrograde Cholangiopancreatography (ERCP): ERCP is a widely used procedure for extracting CBD stones. During ERCP, an endoscope is passed through the mouth and into the duodenum, allowing access to the biliary system. A catheter is then used to remove or dislodge the stones. However, large and difficult stones may not be amenable to this approach, and multiple sessions might be required, increasing the risk of complications. 2. Percutaneous Transhepatic Cholangioscopy (PTCS): PTCS involves the insertion of a needle through the skin and liver directly into the biliary system to visualize the stones using a cholangioscope. While effective for some difficult stones, it is an invasive procedure with its own set of risks, such as bleeding and infection. Emerging Techniques and Procedures 1. Laser Lithotripsy: Laser lithotripsy is a promising technique that utilizes laser energy to break down large CBD stones into smaller fragments. The fragmented stones can then be extracted using conventional methods or washed out with the bile. This procedure is particularly useful for stones that are challenging to remove intact and can significantly reduce the need for invasive surgeries. 2. Electrohydraulic Lithotripsy (EHL): EHL employs high-frequency electric sparks generated at the tip of the probe to fragment the stones into smaller pieces. These smaller fragments are then easier to extract or pass naturally. EHL is particularly useful for stones with hard compositions, but it may not be suitable for all cases. 3. Mechanical Lithotripsy: Mechanical lithotripsy involves using specialized instruments, such as baskets or balloons, to crush or capture stones, making them easier to remove. This technique is often used in combination with other procedures and can be effective for certain large stones. 4. Extracorporeal Shockwave Lithotripsy (ESWL): While mainly used for gallstones in the gallbladder, ESWL is sometimes considered for larger CBD stones. It utilizes shock waves to break stones into smaller fragments, allowing for easier removal through non-surgical means. 5. Cholangioscopy-Guided Lithotripsy: Cholangioscopy provides direct visualization of the biliary system and allows for precise stone targeting. Combined with lithotripsy techniques, cholangioscopy-guided procedures can be effective for complex stone cases. Difficult CBD stones treatment in Delhi Large CBD stones surgery Delhi CBD stone removal Delhi ERCP for difficult CBD stones Delhi CBD stone lithotripsy Delhi Endoscopic treatment for large CBD stones Delhi Advanced CBD stone treatment in Delhi Non-surgical CBD stone treatment Delhi Choledocholithiasis therapy Delhi CBD stone laser treatment Delhi Expert gastroenterologists for CBD stone treatment Delhi Affordable CBD stone surgery in Delhi Best hospital for large CBD stone treatment Delhi Call us @ +91 9625818164 Visit us: Gastroqure, K 81 B Kalkaji, New Delhi follow us on: Website:@https://drkapilgastro.com Facebook - @drkapilsharmagastro Instagram - @drkapilsharmagastro #drkapilsharma #gastroqure #DifficultCommonBileDuctStones #BileDuctStones #Gallstones #ERCP #EndoscopicRetrogradeCholangiopancreatography #BiliaryObstruction #Choledocholithiasis #BiliaryDucts #GallbladderSurgery #LaparoscopicCholecystectomy #ERCPProcedure #Gastroenterology #HepatobiliarySurgery #MinimallyInvasiveSurgery #BileDuctDilatation