Bile is produced by the liver, and is transported to the intestines where it helps in the absorption of fat and lipids. Bile is greenish to yellowish brown in color because of the pigments present in it. This bile is transported to the intestines via a network of ducts which are also referred as bile ducts. The liver, the gallbladder, the pancreas, and the intestines are connected by a common bile duct. Blockage in the bile duct can lead to obstruction of flow of bile and causing excess of bile collection in the liver. When excess of bile collects in the liver, a clinical condition called as jaundice is caused where the skin and the sclera of the eyes turn yellowish.
Bile duct exploration is a procedure where the bile duct is explored to check for any obstructions like stones or swellings.
When is a bile duct exploration advised ?
Bile duct exploration is advised in individuals who suffer with the symptoms of jaundice, infection in the pancreas and individuals who have gall stones which occur in the gall bladder which can obstruct the bile duct.
Who performs a bile duct exploration ?
A bile duct exploration is a procedure which is performed by a gastroenterologist or a surgeon in a hospital setup or an endoscopic clinic.
How do you prepare for a bile duct exploration ?
If your doctor has advised you to go for a bile duct exploration it is important to understand the risks, benefits, and outcomes of the same. It is also important to inform your treating doctor if you are on any medication as some medications might interfere with the procedure and it’s outcomes. Your doctor will advise you to have a light meal a day before the procedure and avoid any food or liquids at least 8-12 hours before the procedure. you will be admitted in the hospital ward or the outpatient clinic and will be asked to change into a hospital gown before the procedure.
Is the bile duct exploration performed under anesthesia ?
Yes, bile duct exploration is performed under the influence of anesthesia and sedation if required.
What are the types of bile duct exploration ?
Bile duct exploration can be mainly performed either by a standard surgical technique or by laparoscopy. Your doctor can assess your condition and suggest which approach could be more suitable for your condition. Recent advances also include modifications in the techniques, you can ask your doctor about details on the same.
What happens during a bile duct exploration procedure ?
You will be made to lie on your back and anesthesia will be administered, mostly along with sedation to relax your body and put you to sleep. In a traditional approach, an incision is given on the abdomen to locate the bile duct, and a tube (catheter) is passed on to the duct. A dye is usually injected via the tube to locate if there is any obstruction or blockage of the duct. The doctor might also conduct an X-ray examination to check the exact site and size of the blockage. If any stones are found your doctor will remove them surgically, and will also put a tube to drain the bile out of the body. The drainage tube is left in place for 7 days to weeks, until the doctor feels that its appropriate to remove the tube. You might have to stay for about 2-3 days in the hospital to monitor your recovery and you will be asked to abstain from any weight lifting, bending over and strenuous exercises to promote faster healing of the surgical wound.
In the laparoscopic technique, the incision is smaller and a scope with a fitted camera is used to visualize the duct and blockage. Ask your treating doctor if laparoscopic could be the choice of treatment for you.
What are the risks and complications associated with a bile duct exploration procedure ?
Since it is a surgical procedure, complications can range from bleeding, infection to leakage of bile, swelling or scarring of the bile duct. It is advisable to ask your treating doctor about the risk, benefits and outcome of the procedure. If you experience any fever, nausea or vomiting or signs of bleeding from the surgical site, it is advised that you consult with your treating doctor immediately.
Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
