ToggleButtonTogglenavigation中亞粉絲團依部位依症狀藥品查詢依症狀依部位衛教資訊藥品查詢線上掛號中亞粉絲團會員中心搜尋熱門：腸病毒、母乳哺餵、疫苗施打、腎臟保健...中亞健康網優質老化中醫養生婦女健康兩性關係兒童健康醫學美容癌症腫瘤風濕免疫心臟血管新陳代謝優生孕產健康減重腦中風整形重建眼睛保健牙齒口腔DryLab醫療新知好站分享衛教資訊衛教搜尋衛教內容Choledocholithiasis膽管結石(英文)列印此頁  QRCode  Mini-MedicalSchoolCholedocholithiasis 膽管結石(英文)WhatisCholedocholithiasis?Choledocholithiasisisthepresenceofagallstoneinthecommonbileduct.Thestonemayconsistofbilepigmentsorcalciumandcholesterolsalts.IntroductionBileformedbythehepatocytesabout800~1000mlperdayisimportantfordigestingfoodintestine,particularlyfat.Thegallbladderstoresandconcentratesbile.Bilepassesthroughbileductsandreleasesintotheintestineswhenyoueat. Choledocholithiasismayformanywherewhenthereisbileinthegallbladder,cysticducts,hepaticducts,andcommonbileducts.EtiologyAge:increaseswithageGender:womenMetabolicproblemInfectiousdiseaseCommonbileductstrictureortumorobstructionHemolyticanemiaIntrahepaticductstrictureIlealdisease,bypass,orresectionTypesofbiliarystonesCholesterolstonesPigmentstonesClinicalManifestations:EpigastricpainorrightupperabdominalpainNauseaorvomitingFeverorchillsJaundicedarkurineandpalestoolsDiagnosisAbdominalsonography:theinitialdiagnostictestofchoiceintheworkupofgallstonedisease.CTscan:anexcellentmethodtodemonstrateCBDstones,especiallythosewithcalcium.EndoscopicRetrogradeCholangiopancreatography(ERCP):atechniquethatcombinestheuseofendoscopyandfluoroscopytodiagnoseandtreatcertainproblemsofthebiliaryorpancreaticductalsystems.TreatmentPercutaneousTranshepaticCholangiographyandDrainage(PTCD)PTCDisawayofexaminingthebileductsystemintheliver.Duringtheexam,athinneedleisinsertedthroughtheskinandthroughtheliverintoabileduct.Thendyeisinjected,andthebileductsystemisoutlinedonX-rays.Thisprocedureisdoneunderlocalanesthesiabyaradiologist.Beforetheproceduredonoteatanything4hoursbeforetheexaminationSignaconsentformAftertheprocedureThepatientshouldstayinbedforatleastsixhoursafterthetest,lyingontherightsidetopreventbleedingfromtheinjectionsite.Thepatientmayresumenormaleatinghabit