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Gastroenterology (Expert Forum)
bile duct broken and rebuilt
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
bile duct broken and rebuilt
by val62, Sep 19, 2006 12:00AM
Due to a mistake in surgery (gall-stones), my mother (69 years old) had 12 months ago the bile duct totally broken, and a new operation rebuilt it connecting directly to the intestine (sorry for my english…).
The second operation succeded, as all the exams that followed demonstrate (birilubin is ok and all other indicators are in the range).
But my mother isn’t well. She’s been suffering continuous strong pains for 12 months afterwards. She claims she feels “heating” in the whole body, and pains in the belly.
Until today none of the doctors we went to had any clear idea about how to help my mother. They only prescripted medicines to calm down the pain but her actual living standard is at the limit of human endurance.
Could you give me advice about the best way to improve her condition? Are there any similar case-histories? Obviously I can’t give you enough details by a simple e-mail but I’m willing to, should you be interested in looking into the matter. Any suggestion would be strongly appreciated.
Thank you.
The second operation succeded, as all the exams that followed demonstrate (birilubin is ok and all other indicators are in the range).
But my mother isn’t well. She’s been suffering continuous strong pains for 12 months afterwards. She claims she feels “heating” in the whole body, and pains in the belly.
Until today none of the doctors we went to had any clear idea about how to help my mother. They only prescripted medicines to calm down the pain but her actual living standard is at the limit of human endurance.
Could you give me advice about the best way to improve her condition? Are there any similar case-histories? Obviously I can’t give you enough details by a simple e-mail but I’m willing to, should you be interested in looking into the matter. Any suggestion would be strongly appreciated.
Thank you.
Doctor's Answer
by Kevin Pho, MD, Sep 20, 2006 12:00AM
, Sep 20, 2006 12:00AM
Ensuring there isn't any residual damage to the bile duct should be considered. This can be first evaluated by an ultrasound, but more detail can be elucidated with an MRCP or ERCP.
If the bile ducts are intact, you can consider more uncommon causes like Sphincter of Oddi dysfunction - which can lead to gallbladder-like symptoms.
An ERCP with Sphincter of Oddi manometry can be considered to further evaluate this possibility.
I would discuss these options with your personal physician, or in conjunction with another surgical opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
If the bile ducts are intact, you can consider more uncommon causes like Sphincter of Oddi dysfunction - which can lead to gallbladder-like symptoms.
An ERCP with Sphincter of Oddi manometry can be considered to further evaluate this possibility.
I would discuss these options with your personal physician, or in conjunction with another surgical opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
