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Best CBD(Common Bile Duct) Stone Treatment in Delhi - Dr. Kapil Agrawal
Common bile duct stones, also known as choledocholithiasis, can be a serious and painful condition. At Habilite Clinics, our team, led by Dr. Kapil Agrawal, offers advanced and minimally invasive treatment of bile duct stones. Dr. Kapil Agrawal is one of the most trusted laparoscopic and gastrointestinal surgeons who perform both laparoscopic and robotic surgeries for the removal of bile duct stones. We usually recommend these surgeries to patients in whom ERCP is contraindicated or fails to remove bile duct stones.
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What Are CBD Stones?
The common bile duct (CBD) is a small tube that carries bile from the liver and gallbladder into the small intestine. This bile helps in the digestion of fats. Sometimes, stones that form in the gallbladder (gallstones) may slip into the bile duct and can obstruct the flow of bile. These are referred to as common bile duct stones or secondary stones. Less commonly, the stones may form directly in the duct (primary stones).
Causes and Risk Factors of Bile Duct Stones
Common bile duct stones usually occur when gallbladder stones slip from the gallbladder into the bile ducts. Some of the most common causes of bile duct stones include:
Signs and Symptoms of Bile Duct Stones
Sometimes bile duct stones are completely asymptomatic, but when these stones obstruct the flow of bile, the patient might experience the following symptoms:
If you notice any of these symptoms and you have gallstones or you had gallbladder surgery in the past, it is important to seek medical attention immediately.
Complications of Untreated Gallbladder Polyps
CBD stones can sometimes lead to serious complications, and hence, early treatment for the removal of bile duct stones is essential. Some of the most common complications associated with bile stones are:
Acute cholangitis
or severe infection of the bile ducts
Acute pancreatitis
which can sometimes be life-threatening
Liver abscess
Severe Sepsis
Persistent jaundice and malnutrition
That's why early diagnosis and timely treatment are critical.
How to Diagnose Common Bile Duct Stones
Bile Duct Stones can sometimes be easily diagnosed, but stones that are very small in size may require advanced radiological investigations. Some of the common blood tests and radiological investigations used by our team are:
1. Blood Tests
- Liver function tests (LFTs) to detect any bile flow obstruction
- White blood cell (WBC) counts to check for infection
2. Ultrasound
- Initial imaging to detect gallstones and evaluate bile duct dilatation
3. Magnetic Resonance Cholangiopancreatography (MRCP)
- A non-invasive MRI technique is used to visualize stones in the bile duct clearly
4. Endoscopic Ultrasound (EUS)
- A highly sensitive tool to detect even small stones not visible on standard ultrasound
5. Endoscopic Retrograde Cholangiopancreatography (ERCP)
- A diagnostic and therapeutic procedure to visualize and remove stones in the same sitting
Once the presence of stones is confirmed, we proceed with the best-suited treatment based on the patient's symptoms, age, anatomy, and overall health.
Best Treatment Options for Common Bile Duct Stones Offered at Habilite Clinics
Treatment options for choledocholithiasis have advanced significantly in recent years. At Habilite Clinics, our goal is to offer safe, minimally invasive, and effective interventions that reduce hospital stays and complications. Below are the most preferred options:
1. Endoscopic Retrograde Cholangiopancreatography (ERCP)
ERCP is an endoscopic procedure that is performed as a daycare procedure. It means that the patient can be discharged within 2 hours of the procedure. ERCP is the treatment of choice and first-line procedure for all patients suffering from bile duct stones. At Habilite Clinics, we have a team of dedicated gastroenterologists who are highly experienced in conducting this procedure. The procedure involves passing a flexible endoscope through the mouth into the intestine. The common bile duct is accessed through a small opening present in the intestine. A small cut (sphincterotomy) is made in the intestine to allow stone removal with special tools like baskets or balloons.
Benefits:
- The procedure does not require any surgical cuts or scars
- The patient can be discharged within 2-3 hours of the procedure
- Sometimes, stenting has to be done after stone removal to allow adequate flow of bile
ERCP has completely revolutionized the treatment of Common Bile Duct Stones and has minimized the risk of surgical complications associated with the bile duct stones.
2. Laparoscopic Common Bile Duct Exploration (LCBDE)
(Preferred in patients undergoing gallbladder removal simultaneously)
If the patient has gallstones and bile duct stones, a laparoscopic cholecystectomy combined with CBD exploration in a single surgery is ideal. Laparoscopic CBD exploration is also indicated in patients who have large CBD stones or in whom ERCP has failed to retrieve stones. Laparoscopic surgery involves making small incisions. A long telescopic camera and instruments are inserted to clear stones present in the bile ducts.
Benefits:
- One-time solution for the complete management of bile duct stones
- In patients in whom ERCP has failed to retrieve stones, laparoscopic surgery is the treatment of choice for bile duct stones
- Quick return to normal activity
- Minimal postoperative pain
Dr. Kapil Agrawal is highly experienced and one of the best laparoscopic surgeons for the removal of common bile duct stones. Dr Agrawal usually recommends this procedure in patients who have large CBD stones.
3. Percutaneous Transhepatic Cholangiography (PTC)
This procedure is usually recommended for complex or inaccessible stones. This procedure is indicated in patients who failed ERCP attempts or who have undergone gastric bypass. During this surgery, a percutaneous (through the skin) approach is used to access the bile duct.
Why Choose Dr. Kapil Agrawal Habilite Clinics for Bile Duct Stone Treatment?
Expertise of Dr. Kapil Agrawal
With over 23+ years of experience and 7,000+ laparoscopic procedures, Dr. Kapil Agrawal is a trusted and best gallbladder surgeon in Delhi for managing complex gallstone and bile duct stone cases.
Affiliated to Best Hospitals
Dr. Kapil Agrawal is associated with some of the best and most state-of-the-art hospitals where, along with his team, he can conduct advanced laparoscopic and robotic surgeries for most complex cases with excellent outcomes.
Quick Recovery and Minimal Downtime
Our minimally invasive approach ensures faster healing, less pain, and early return to work. We offer cashless insurance facilities for every type of insurance as well as provide zero-interest EMI options.
Recovery & Aftercare
Recovery Time
ERCP usually requires daycare or overnight admission. Laparoscopic surgery may require 1–2 days. Most patients can return to normal activities within a week.
Follow-up Care
Regular follow-up appointments ensure optimal recovery and address any concerns. Dr. Kapil Agrawal provides comprehensive post-operative care.
Aftercare Milestones
Recovery & Aftercare Timeline
A clear, physician-approved recovery roadmap guiding every bariatric patient through the first week after surgery.
24 Hours
24 Hours Hospital Stay if done through medical insurance. For non-insurance patients, discharged within 2 Hours.
24 Hours
24 Hours Hospital Stay if done through medical insurance. For non-insurance patients, discharged within 2 Hours.
24–36 Hours
Return to work and normal activities with full recovery.
24–36 Hours
Return to work and normal activities with full recovery.
48 Hours
Resume regular diet as per customised plan.
48 Hours
Resume regular diet as per customised plan.
CBD Stone Treatment Cost in Delhi
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Habilite Clinics' Free Post-operative Care
We provide comprehensive free post-operative care to ensure your smooth recovery and optimal results. Our dedicated team is committed to your well-being throughout your healing journey.
Comprehensive Care
Complete post-operative support and monitoring
Expert Guidance
24/7 access to our medical team
Dedicated Support
Personalized care coordinator for each patient
Regular Follow-ups
Scheduled check-ups to ensure optimal recovery
What's Included in Our Free Post-operative Care:
- ✓Regular follow-up consultations with Dr. Kapil Agrawal
- ✓24/7 emergency support and guidance
- ✓Nutritional counseling and diet plans
- ✓Wound care and dressing assistance
- ✓Medication management and adjustments
- ✓Progress monitoring and recovery assessment
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Patient Testimonials
Real stories from patients who received treatment from Dr. Kapil Agrawal
Dr. Kapil Agrawal performed my gallbladder surgery with such precision and care. The recovery was much faster than I expected. The entire team at Habilite Clinics was professional and supportive throughout.
Rajesh Kumar
Laparoscopic Gallbladder Surgery
The robotic surgery experience was excellent. Less pain, faster recovery, and minimal scarring. Dr. Kapil Agrawal is truly an expert in his field. The hospital facilities are top-notch.
Ms. Tuba & her mother
Laparoscopic Gallbladder Stone Surgery
At my age, I was worried about surgery, but the team at Habilite Clinics took excellent care of me. The procedure was smooth, and I recovered quickly. Thank you, Dr. Agrawal and team!
Sunita Devi
Laparoscopic Gallbladder Surgery
Frequently Asked Questions
Common questions about CBD stone treatment answered by Dr. Kapil Agrawal
Yes, though rare after proper treatment. We recommend regular monitoring, especially in patients with altered bile duct anatomy or past bile duct surgery.
ERCP is done under sedation. Most patients feel no pain and recover within a few hours.
ERCP usually requires daycare or overnight admission. Laparoscopic surgery may require 1–2 days.
Yes, most insurance plans cover hernia surgery. Our clinic also offers cashless options.
ERCP is an endoscopic procedure done through the mouth without any surgical incisions, ideal for most cases. Laparoscopic CBD exploration involves small surgical incisions and is preferred when ERCP fails or when gallbladder removal is needed simultaneously.
Yes, ERCP is a non-surgical endoscopic procedure that can remove CBD stones without any surgical incisions. It is the preferred first-line treatment for most patients.
Untreated CBD stones can lead to serious complications including acute cholangitis (bile duct infection), acute pancreatitis, liver abscess, severe sepsis, persistent jaundice, and malnutrition.
CBD stones are diagnosed using blood tests (liver function tests), ultrasound, MRCP (Magnetic Resonance Cholangiopancreatography), endoscopic ultrasound (EUS), or ERCP which can both diagnose and treat.