common bile duct enlarged

[brio]

Hi All,

New here was wondering if anyone can help me out . ive had my gaulbladder remover 2005. For past
3 years now been having exact same symptons of gaul bladder pain (attack). have had ultrasound
bile duct enlarged 11mm doc wants me to have an urgent ERCP . My skin isint yellow (jaundice) but my eyes show yellow and slight greeney colour. back pain Massive stomach pain right abdo sensitive to touch - swollen like ive eaten a cat and costant itching on right hip. very annoying. I think ive got maybe a gallstone in my bile duct and it excasped when they removed my gallbladder -(only took them 3 years of me yelling at them to do something about it) any suggestions or opions would be greatly sppreciated..thanks in advance brio :)

[brio]

Thanks for your help much appreciated. I will look into it. It seems that ive now got high colesterol associated with my bile duct and the doc warned me today of pancreatitis so im taking all info very seriously.. cheers brio

[CalGal]

Please make sure that when they do the ERCP that you also have manometry done at the same time. You're going to have to make sure that your doc is able to perform that test because a lot of facilities don't have the ability to do it - and it's important that it be done. You want to do some reading on the different forms of SOD - sphincter of Oddi dysfunction - and figure out which forms benefit from a sphincterotomy (cutting the muscular ductal opening to the duodenum). Some forms of SOD benefit greatly, others don't and in those it can cause a LOT of problems in the future. The only way that sphincterotomy should be done is IF your ductal pressures are VERY high as indicated by manometry.

Some doc just routinely cut - that shouldn't be done.

You also need to request stenting after the ERCP - even if the sphincterotomy is done. You need to stent, or other form of keeping the duct open, to reduce your chances of suffering a bout with pancreatitis.

Make sure you and your doc discuss the ERCP with manometry fully and you both agree on what will and will not be done.