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    Common Bile Duct Stones: A Serious Condition if Left Untreated Effectively Treated with ERCP

    2 minute(s) read
    Information by
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    Dr. Patsakorn Samakkhetkarn

    Bangkok Hospital Chiang Rai

    Updated on: 16 Mar 2026
    Dr. Patsakorn Samakkhetkarn
    Dr. Patsakorn Samakkhetkarn
    Bangkok Hospital Chiang Rai
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    Urinary Tract Stone Treatment Package 2026
    Common Bile Duct Stones: A Serious Condition if Left Untreated Effectively Treated with ERCP
    Bangkok Hospital Chiang Rai
    Updated on: 16 Mar 2026

    Common bile duct stones occur when stones form within the bile duct system. When blockage develops, bile cannot flow normally into the intestine, which may lead to serious complications such as:

    • Bloodstream infection (sepsis)
    • Acute pancreatitis
    • Liver inflammation
    • Life-threatening conditions if untreated

    Early diagnosis and appropriate treatment by a specialist are therefore essential.

    Symptoms That May Indicate Bile Duct Stones

    Patients may experience the following symptoms:

    • Severe pain in the upper abdomen or right upper quadrant
    • Yellowing of the skin and eyes (jaundice)
    • Dark-colored urine
    • Pale or clay-colored stools
    • High fever and chills

     If you experience these symptoms, seek medical attention promptly to prevent serious complications.

     What is ERCP?

    ERCP (Endoscopic Retrograde Cholangiopancreatography) is an advanced medical procedure used for both diagnosis and treatment of bile duct and pancreatic diseases.

    During the procedure, a flexible endoscope is passed through the mouth into the stomach and duodenum to access the bile duct. Specialized instruments are then used to remove the stones without open surgery.
    ERCP is a highly effective technique and widely accepted worldwide.

    Benefits of ERCP Treatment

    • No open abdominal surgery required
    • Less pain and minimal tissue trauma
    • Faster recovery time
    • Diagnosis and treatment performed in a single procedure
    • Reduced risk of long-term complications

    Preparation Before ERCP

    For safety and optimal results, patients should:

    • Avoid food and drinks for at least 6–8 hours before the procedure
    • Inform the doctor about medical history, underlying diseases, and current medications
    • Undergo pre-procedure medical evaluation as advised

    The procedure typically takes 30–60 minutes, and patients may need to stay in the hospital for 1–2 nights for observation.

    Post-Procedure Care

    After ERCP, patients should:

    • Follow the doctor’s instructions carefully
    • Avoid fatty or difficult-to-digest foods initially
    • Seek medical attention immediately if experiencing severe abdominal pain, fever, or vomiting

    Additional Information

    If gallbladder stones are also detected, doctors may recommend gallbladder removal surgery after ERCP to help prevent recurrence in the future.

    Information by

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    Dr. Patsakorn Samakkhetkarn

    Surgery

    Dr. Patsakorn Samakkhetkarn

    Surgery

    Doctor profileDoctor profile

    For more information, please contact

    Surgical Clinic

    052 051 938

    1719

    [email protected]

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