Abstract

The incidence of gall stone disease has increased significantly worldwide including India as has the incidence of CBD stones.The target is to diagnose CBD stones early and treat them with an appropriate treatment modality. There are many modalities of treating common bile duct stones depending upon the availability of resources and expertise, therefore this study was undertaken to found out how common bile duct stones are managed in present era of advanced surgery. Material and Methods: A Cross-sectional study was conducted in the department of Surgery, Rohilkhand Medical College and Hospital, Bareilly from 1st November 2020 to 31st October 2021. Cases diagnosed with common bile duct stones were included in the study. Results: A total of 90 patients with Common Bile Duct stones admitted in the surgery ward of RMCH formed the study population for this study.Alkaline phosphatase was raised from the normal value in all the cases (100%) and there is positive correlation of raised Alkaline Phosphatase(ALP) in diagnosing CBD stones (r=1.000, P<0.001). The sensitivity of USG in detecting ductal dilatation(>6mm) which is an indirect evidence of CBD stones is very high.As per our observations MRCP is the best modality for detecting CBD stones.The stone clearance rate of CBD by open CBD exploration in the present study was 95.59%. Thus the benefit of open CBD exploration exceeded its morbidity with zero mortality in well chosen cases. Conclusion: The management of Common Bile duct stones depends upon numerous factors and cannot be generalized for all patients rather it needs to be tailor made depending upon patient to patient.

Description