BULETINI SHKENCOR

“REALD”

2016,Vol. 2,Issue 1

Koledokolitiaza- Choledocholithiasis
Author(s)

Dr. Fatmir Caushi, Dr. Engjëll Bejtaj, Dr. Jona Skurti
Abstract

Choledocholithiasis refers to the presence of gallstones within the common bile duct. Among those with gallbladder disease, the exact incidence and prevalence of choledocholithiasis are not known, but it has been estimated that 5 to 20 percent of patients have choledocholithiasis at the time of cholecystectomy, with the incidence increasing with age. In Western countries, most cases of choledocholithiasis are secondary to the passage of gallstones from the gallbladder into the common bile duct. Primary choledocholithiasis is less common. Primary choledocholithiasis typically occurs in the setting of bile stasis resulting in a higher propensity for intraductal stone formation. Older adults with large bile ducts and periampullary diverticular are at elevated risk for the formation of primary bile duct stones. Gallstones in the bile duct may not cause symptoms for months or even years. However, if the blockage becomes severe, you may experience the following: abdominal pain in the upper or middle-upper abdomen, fever; jaundice, loss of appetite, nausea and vomiting Treating gallstones in the bile duct focuses on relieving the blockage. These treatments may include: stone extraction, fragmenting stones, surgery to remove the gall bladder and stones, surgery that makes a cut into the common bile duct to remove stones or help them pass (sphincterotomy), biliary stenting.