What medicine should be taken for intrahepatic bile duct stones?

Written by Zhang Tao
Hepatobiliary Surgery
Updated on September 10, 2024
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The treatment of intrahepatic bile duct stones currently does not have specific medications. Traditional Chinese medicine treatments primarily focus on clearing the liver and facilitating bile flow, and have certain clinical effects. Western medicine often uses deoxycholic acid, ursodeoxycholic acid, and chenodeoxycholic acid, which can somewhat prevent the formation of bile duct stones. It is also recommended that patients change poor lifestyle habits, adjust their life rhythms, and eat three meals a day at regular times, especially breakfast. Specific medications should be used under the guidance of a doctor.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will liver bile duct stones cause facial spots?

Patients with intrahepatic bile duct stones generally do not experience facial pigmentation. The symptoms of intrahepatic bile duct stones primarily manifest as acute cholangitis, with noticeable right upper abdominal pain, and may be accompanied by nausea, vomiting, abdominal distension, diarrhea, and other gastrointestinal symptoms. Some patients may also exhibit symptoms of systemic infection such as chills, high fever, and fatigue. Additionally, obstructive jaundice can occur, characterized by lighter stool color, darker urine color, and yellowing of the skin and mucous membranes. However, facial pigmentation generally does not occur. Therefore, for patients with recurrent intrahepatic bile duct stones, early surgical treatment should be considered. Surgery is the only definitive treatment to relieve the condition effectively.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Multiple intrahepatic bile duct stones

Multiple intrahepatic bile duct stones are a description used in imaging studies such as ultrasound and CT, meaning there are multiple stones within the intrahepatic bile ducts. Particularly in cases where there is recurrent upper right abdominal pain, the appearance of jaundice, chills, and high fever, it is important to pay attention and consider early surgical treatment. The main surgical approach is laparoscopic choledocholithotomy, which can completely treat the condition by removing the stones. Additionally, for patients with intrahepatic bile duct stones, it is also important to avoid spicy and irritating foods in their diet to reduce inflammatory irritation and better promote recovery from the condition. The diet should primarily consist of light meals, and eating fresh vegetables and fruits can better facilitate relief from the condition.

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Written by Zhang Tao
Hepatobiliary Surgery
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How long does it take for intrahepatic bile duct stones to form?

Intrahepatic bile duct stones are a relatively common biliary system disease, related to patients' poor lifestyle and dietary habits. The formation time of intrahepatic bile duct stones varies; some people may form stones within a few months, while others may take several years, or even more than a decade or decades to form. Therefore, it is recommended that patients go to a regular public hospital for examination and maintain a light diet with plenty of vegetables.

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Written by Zhang Tao
Hepatobiliary Surgery
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Do you need to cut the liver for intrahepatic bile duct stones?

The treatment of intrahepatic bile duct stones primarily requires surgery to remove the stones, relieve obstruction, and correct deformities. Generally, there is no need to remove the liver. However, if the liver has a tumor, or if intrahepatic bile duct stones are accompanied by liver fibrosis or even liver atrophy, partial liver lobe resection can be considered. For asymptomatic patients with intrahepatic bile duct stones, temporary observation and follow-up are feasible.

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Written by Zhang Tao
Hepatobiliary Surgery
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"Intrahepatic bile duct stones"

Intrahepatic bile duct stones, as the name implies, are stones located within the bile ducts inside the liver. The biliary tract is divided into extrahepatic and intrahepatic bile ducts. The intrahepatic bile ducts refer to the left and right hepatic ducts and their related branches. The intrahepatic bile ducts evolve from the left and right hepatic ducts into the common hepatic duct, common bile duct, and gallbladder, which are part of what we commonly refer to as the extrahepatic bile ducts. The symptoms of intrahepatic bile duct stones are not as apparent as those of common bile duct stones, but most intrahepatic bile duct stones cause upper abdominal pain in patients; generally, jaundice does not occur.