CBD Stone Operation in Gopalganj (Common Bile Duct Exploration)

First we do tests such as LFT, clotting tests, ultrasound and MRCP, and treat any infection. Our anaesthesia specialist then gives general anaesthesia. By open or laparoscopic surgery, our surgeon, Dr. Thakur, opens the common bile duct, removes the stones, flushes the duct and checks that it is clear. He closes the duct, often over a T-tube or a stent, and removes the gallbladder. The operation usually takes 2 to 3 hours.

Most patients stay with us for about 4 to 7 days, depending on the method and recovery. Our team helps you walk from the next day, and we start food step by step. A T-tube usually stays for a few weeks, and we remove it in our OPD after a check X-ray. A stent is removed by endoscopy after some weeks. Please avoid heavy lifting for about 6 weeks after open surgery.

We first confirm the cause with LFT, ultrasound and often MRCP. Fever with chills along with jaundice can mean cholangitis, an emergency that first needs antibiotics, fluids and drainage of bile. The stones are then removed in one of two ways: ERCP at a centre that offers it, followed by gallbladder removal, or CBD exploration with gallbladder removal in one operation. Home remedies do not remove duct stones. Dr. Thakur advises the right option after examining you.

Gallbladder stones sit inside the gallbladder and often cause pain after meals. Bile duct (CBD) stones sit in the main bile pipe and can block bile flow. They can cause jaundice, fever and sometimes pancreatitis, so they are more serious. Removing only the gallbladder does not remove stones already in the duct. These need ERCP or CBD exploration as well, and we explain which one suits you after seeing your reports.

A T-tube is a soft rubber tube shaped like the letter T. The short part sits inside the bile duct, and the long part comes out through the skin into a bag. It drains bile while the duct heals and usually stays for a few weeks. Before removal, we may do a dye X-ray to check that the duct is clear. Our team teaches you and your family how to care for it at home.

ERCP is an endoscopic procedure. A special camera is passed through the mouth into the intestine to remove duct stones without a cut. It is done at centres that offer it. Many patients have ERCP followed by gallbladder removal. For others, for example when ERCP is not possible or has not cleared the stones, we advise CBD exploration with gallbladder removal. Dr. Thakur will explain the safer choice for you.

We start food step by step, first liquids and then light home-cooked food such as dal, rice, khichdi and curd. For some weeks, avoid oily, fried and very spicy food, and eat smaller meals. If you have a T-tube, keep the bag below the wound and do not pull the tube. Please come back to us at once if you have fever with chills, increasing yellowness or severe pain, or if the tube slips out.

The cost depends on open or laparoscopic surgery, the number and size of stones, whether a T-tube or stent is placed, tests such as LFT, clotting tests and MRCP, treatment of jaundice or infection before surgery, the number of days in hospital, the room you choose (private room or general ward), any need for ICU care, and medicines. We give you a clear written estimate before admission.

Our hospital has an Ayushman Bharat PM-JAY help desk. If you have an Ayushman card, please bring it with your Aadhaar card and all LFT, ultrasound and MRCP reports. Our help desk will check whether your treatment is covered in your case. Coverage depends on the scheme rules and your eligibility, so please confirm before admission. We explain any costs to you before admission.

Bile duct stone surgery needs an experienced surgeon who can perform both open and laparoscopic surgery. At Dr. R.K. Thakur Hospital, CBD exploration is done by Dr. Rajnish Kumar Thakur, our founder and chief surgeon, MS (General Surgery). He has 16+ years of surgical experience, more than 10,000 surgeries, and professional experience at IGIMS Patna and Lady Hardinge Medical College. We have an ICU, a pathology lab, ultrasound and endoscopy. You can read our patients' reviews on our website and on Google.

Yes. Patients from Chhapra, Siwan, Motihari, Bettiah, Kushinagar and Deoria come to us at Dr. R.K. Thakur Hospital, Gopalganj, for bile duct stone surgery. Please WhatsApp your LFT, ultrasound and MRCP reports to +91 72739 94786 first. Then visit our OPD, Monday to Friday, 10 am to 7 pm, with all reports, your Aadhaar card, your Ayushman card if you have one, and a family member. For jaundice with fever and chills, please come to our 24 hour emergency.

'Pitt ki nali' is the Hindi term many of our patients use for the common bile duct, the pipe that carries bile to the intestine. 'Pitt ki nali mein pathri' means a stone stuck in it. 'Peeliya' means jaundice, which such a stone often causes. 'Pitt ki nali ki pathri ka operation' is the CBD exploration we perform, usually together with gallbladder removal.