Biliary Tract Disease

Gallstones (Gall Bladder Stones):

• They cause pain, jaundice fever.
• They are diagnosed with the help of Ultrasound.
• Stones occurring in the gall bladder do not need any treatment if they are not causing any problems (Asymptamatic Gallstones)
• When they cause problems like pain etc, only effective treatment is Surgery (Cholecystectomy).

Choledocholithiasis (CBD Stones):

• They cause pain, jaundice fever.
• They are diagnosed with the help of Ultrasound / MRCP. 
• Stones in the CBD require removal either through ERCP (Endoscopically) or Surgery (Open/Laproscopy).

Cholecystitis (Infection/inflamation of Gall Bladder): 

• IT causes pain fever and sometimes Jaundice.
• They are diagnosed with the help of Ultrasound and blood tests.
• It is initially managed conservatively (Injections and Saline).
• It ultimately requires Surgery (Open/Lap Cholecystectomy)

Cholangitis ((Infection of biliary tract): 

• IT causes pain fever and Jaundice.
• They are diagnosed with the help of Ultrasound and blood tests.
• It is initially managed conservatively (Injections and Saline).
• It ultimately requires ERCP or Surgery (Open/Lap)

Gallbladder Polyp:

• It is usually asymptomatic(without causing any problem) and detected on scanning.
• Small, low risk polyps can be managed conservatively (Observation).
• Large, High risk polyps require Surgery (Open/Lap Cholecystectomy)

Gallbladder Cancer: 

• It is usually asymptomatic(without causing any problem) and detected on scanning.
• It requires Surgery (Radical / Extended Cholecystectomy )

Cholangioucarcinoma, Ampullary Carcinoma.

• It causes Jaundice.
• They are diagnosed
• with the help of Ultrasound and CT scan.
• It requires Surgery (Wipple’s Surgery )