Common bile duct stone
Compared Gall bladder stone, CBD stones are more likely to cause symptoms, and are more likely to cause serious complications. Stones in the CBD are mostly the passed down stones from Gall bladder, however in some patients, stones can be formed de novo in CBD also
- Pain in upper abdomen and jaundice
- Fever with chills
- Low blood pressure
- Decreased urine output
Stones in CBD can be diagnosed on trans abdominal ultrasound, however this test has limited sensitivity. MRCP and EUS are the better modalities for diagnosis of CBD stones
- All patients with CBD stones requires urgent treatment
- ERCP is the standard procedure to remove CBD stones. During ERCP endoscope is introduced through the mouth once the patient is sedated, and with the help of various accessories, stones are taken out of the CBD
- In patients with infection of biliary system, stent needs to be placed in CBD to drain the bile effectively
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Dr Vikas is one of the wonderful,gentle&talented doctor I have come across,he provides the correct direction &also helps in clearing all the doubts/concerns. Moreover his attendent is also very helpful& will heIp you in all possible way.I am very pleased on the overall experience & highly recommend.Thanks doctor for you wonderful support in all ways.May God bless you more & keep on giving great service !!!
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The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.