ERCP - REMOVAL OF BILE STONES

Gallstones and bile duct stones (also known as choledocholithiasis) are the same, just located in two different areas of the body. Stones may pass spontaneously out of the bile duct on their own. However, when a stone gets stuck in the bile duct, medical intervention is necessary, otherwise inflammation, bacterial infection, and even severe organ damage can occur.

Bile duct stones are typically removed using endoscopic retrograde cholangiopancreatography (ERCP), a minimally invasive procedure that combines x-ray and upper endoscopy exam of the upper gastrointestinal tract, consisting of the esophagus, stomach and duodenum (the first part of the small intestine) using an endoscope, which is a lighted, flexible tube, about the thickness of a finger. Doctor Badenhorst passes the tube through the mouth and into the duodenum, then injects a contrast dye into the bile ducts, which can then be seen on x-ray. Special tools can be guided through the endoscope to remove the stones.

What you need to know:

• The procedure may be carried out either under general anaesthesia or deep conscious sedation – the special circumstances of the each case will determine which method of sedation is chosen. It’s important you you notify us if you are taking any blood thinners such as warfarin, clopidogrel or Xarelto. These may need to be discontinued before the procedure. Please also inform us if you may be pregnant. If you are diabetic you should please contact the office for specific instructions.
• You should bring a driver or arrange transportation home after your procedure. Driving is not permitted for at least 12 hours, due to drowsiness and delayed reflexes from the sedation medication. You should also not conduct any business or sign any legal documents until the next day.