Prospective Study of Aetiopathogenesis and Management Approaches for Common Bile Duct Stones in Southern Odisha.

ODISHA (India); INDIA

Common bile duct stones (CBD) are prevalent, affecting 6 to 12% of patients with gallbladder stones, with incidence rising with age. Often asymptomatic, they can be discovered incidentally. Typical symptoms include fever, epigastric or right upper quadrant pain, and jaundice, present in approximately two-thirds of cases. Choledochal stones can lead to complications such as cholangitis, gallstone pancreatitis, and obstructive jaundice. This study aims to assess the incidence and aetiopathogenesis of Common Bile Duct stones in the southern region of Odisha, India. This prospective study was conducted from august 2022 to January 2024 with a sample size of 21 patients including 7 males and 14 females with diagnosis of choledocholithiasis supported by imaging. In the study we found the highest incidence of CBD stones was in the elderly population, particularly among females. For non-surgical option and small stone <12mm ERCP with stone retrieval with laparoscopic cholecystectomy is ideal but for large stone, multiple stone and surgical opinion where ERCP is not available CBD exploration with choledochoduodenostomy emerged as the primary management modality in our study. [ABSTRACT FROM AUTHOR]

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