Bile duct obstruction?

[eroc78]

  I am 25 yrs of age and had my gallbladder removed three years ago (bilary diskynesis) where my gallbladder had a lot of sludge in it,but no stones. The surgeon had also found that my gallbladder was stuck to my duodem. A liver biopsy was done that showed I had gilberts disease. I felt much better after surgery. I was admitted to the hospital with similar symptoms of a gallbladder attack. I have had poor appetite,bloating, lots of belching and pain/brusing feeling above my right rib cage. My total bilirubin has been around 1.8-2.1 and a ultrasound noticed a dilated bile duct,but MRCP/CAT scan results were normal. I also had high lipase count when admitted that suggested pancreatitis,but this subsided after a few days in the hospital. An ERCP is going to be done,which I am a little nervous about. My present diagnosis is gastritis,but I feel this is something else? Could I have a stone,even if my gallbladder is out? Thanks!

[surgeon]

You could have bile duct obstruction; it's also true that many people who've had their gallbladder out end up with a bile duct of larger than "normal" caliber. It's possible you had small stone in your duct even at the time of the surgery, and it wasn't noticed, and has remained there til now. Of course, gilbert's disease can give abnormal liver tests. The ERCP should shed light; if there's a stone, it usually can be easily removed at that time.

[eroc78]

       sorry to ask so many questions,but the ERCP done the first time could not be done because of my stomach being so big. As I stated in previous response, I am being seen by another GI doctor who has had more experience with this test. Should I be concerned that my stomach is bigger than most and about this test? Any ohter alternatives besides MCRP which was already done. I also forgot to mention that I have also been diagnosed about 5yrs ago with megacolon. This would not be causing my symptoms would it? I do have lots of gas/belching,but without a gallbladder I wouldn't think constipation would be an issue. Thanks for all your help and advise. This has helped me!