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Gallbladder stones!
Hi Doctors,.
Please find the attached MRCP test report done on 3rd June for my mother aged 70 years.
On 5th June, she undergone ERCP below are comments from Discharge Summary "
EUS was suggestive of cholelithiasis, dilated CBD with distal CHD sludge, ERCP balloon done, sphincterotomy done, biliary stent placed on 05-06-25, the procedure was eventful.
Advised - Lap. Cholecystectomy at the earliest f/b ERCP CBD Stent removal 3 weeks after Lap. Cholecystectomy".
Kindly suggest after ERCP stent, gallbladder removal surgery still needed? Or USG and check current status?I dont want to blind go for surgery as the hospital is very commercial. Please advise any test/USG should be done? Stent removal required? Kindly reply in detail! Thanks a lot.
Answers (14)
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Go for lap treatment.
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Yes, gallbladder removal is generally advised to prevent recurrence.
• Do a repeat USG + LFT if you wish to reassess.
• Stent removal is essential even if surgery is deferred.
• A non-commercial, second opinion with USG findings may give more confidence.
Wishing a safe and speedy recovery. Feel free to consult for a second opinion based on imaging.
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USG shall be repeated after which condition shall be cleared
Next Steps
Till that low fat food shall be taken
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Solution available
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Thank you for your detailed message and concern about your motherâs health. Itâs understandable that you want to be fully informed before proceeding with any further procedures, especially surgery.
:â
What You Should Do Now (Practical Steps)
Get a repeat abdominal USG (if not done recently)
Do liver function tests (LFTs) and CBC
Consult a non-commercial or second opinion gastroenterologist or surgeon (can suggest government or trust hospitals if needed)
consult us.
Plan for laparoscopic cholecystectomy â within 1â2 weeks, as advised
Schedule stent removal via ERCP 3â4 weeks after surgery
by consulting us Use ayurvedic/dietary support as a supplement only â not a replacement
ð Final Thoughts
I understand your worry about unnecessary procedures in commercial hospitals. Itâs wise to be cautious. However, based on current evidence and standard medical guidelines, your mother does need gallbladder removal and stent removal for long-term safety.
If you'd like, I can help you:
Find a reputable public hospital or low-cost center
Review the USG or MRCP report (if you upload it here)
Draft questions to ask the doctor for a second opinion
Would you like to proceed with any of these?
Wishing your mother a smooth and safe recovery!
Advice-
for pefect ayurvedic diagnosis and treatment kindly consult us.
Next Steps
kindly book consultaion.
Health Tips
follow the advice.
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Better to remove gallbladder if her health is permitted do all checks which is necessary.in later stage it is problematic.
Next Steps
you can consult.
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Thank you for reaching out and sharing the details of your motherâs recent MRCP and ERCP procedures. I understand your concern, especially when it comes to making surgical decisions.
1. Is gallbladder surgery still needed after ERCP and stent?
Yes, in most cases, ERCP with stenting is a temporary measure used to relieve bile duct obstruction and prevent immediate complications like infection (cholangitis) or pancreatitis. It does not treat the root cause â which is gallstones in the gallbladder.
If the gallbladder is not removed, stones can migrate again into the bile duct, potentially leading to recurrent obstruction, infection, or pancreatitis.
Especially in elderly patients, one-time management via ERCP alone is not considered definitive, unless the patient is unfit for surgery due to other health issues.
2. Should a follow-up test be done before surgery?
You are right to want clarity before proceeding. Here are reasonable steps:
â
Ultrasound (USG Abdomen): A repeat USG after ERCP will help:
Assess if gallstones are still present
Check for gallbladder wall inflammation
Confirm whether the CBD is decompressed
â
LFT (Liver Function Test):
To evaluate current liver function and ensure there's no persistent obstruction.
If these are normal and her general health allows, laparoscopic cholecystectomy is still advised.
3. Is stent removal necessary?
Yes, absolutely. The stent is a temporary device, usually removed within 4â6 weeks. Keeping it longer can lead to:
Infection
Stent blockage
Biliary complications
Since the stent was placed on 5th June, it should ideally be removed around end of June or early July, preferably after the cholecystectomy.
Next Steps
Summary: â
Gallbladder surgery is still required to prevent recurrence. â
Repeat USG abdomen + LFTs can provide further clarity before surgery. â
Stent removal is essential within 3â4 weeks â preferably after cholecystectomy.
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Thanks for trusting Ayurveda and seeking help on authentic platform.
Appreciate the result oriented commercial world and approach oriented Ayurveda.
Both has its advantages. Right
Choices makes world happy
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Is she medically fit for surgery??
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Hi, talk to the doctor about the stent and condition of stone and sludge etc., I think at this stage , she may require cholecystectomy.
( Already they kept the stent)
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Dr. Jayant Singh
Ayurveda
2 yrs exp
Jhunjhunu
Your mother, aged 70 years, is diagnosed with gall bladder stones of 3–4 mm in size. I understand your concern regarding her age and the risks involved with surgery.
In Ayurveda, we have successfully treated similar cases without surgery. In fact, we have observed complete dissolution of gall bladder stones up to 27 mm in size through our Ayurvedic formulations and approach. These results are backed by ultrasound (USG) follow-ups of our patients, showing no residual stones after completion of treatment.
At this age, surgery can carry additional risks, and hence, a safe and natural alternative like Ayurvedic management is often preferable. Our treatment protocol includes classical Ayurvedic medicines that help in gradually dissolving the stones, supporting the liver and gall bladder function, and preventing recurrence.
I recommend a personalized Ayurvedic consultation to assess your mother's condition in detail and to start the appropriate course of treatment.
Warm regards,
Dr. Jayant Singh
Ayurvedic Consultant
Goodwill Ayurveda Clinic
📍 Near Bhagat Singh Chowk, Pilani, Rajasthan
Next Steps
consult
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Dr. Mirza Arif Beg
General Physician
6 yrs exp
Jammu
Get operated..
it will make lifestyle very compromised
Health Tips
Take low fat diet
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Dr. Raghuveer
Ayurveda
4 yrs exp
Hyderabad
Yes, surgery is needed. ERCP cleared the duct but gallstones remain in gallbladderâthey may recur. Do USG and LFT now to check current status. Then go for lap. cholecystectomy, followed by stent removal in 2â3 weeks. Take second opinion if unsure. Don't delay.
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Dr. Rajeev Kumar Verma
Ayurveda
11 yrs exp
Bangalore
Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine
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