CBD STONE TREATMENT IN INDIA

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CBD Stone Removal / ERCP

Stones are normally found in the Gall Bladder. A narrow vessel called Common Bile Duct connects the Liver to the gall bladder. Bile Juice from the Liver comes into the Gall Bladder through this duct. Stones can sometime get stuck in the common bile duct and block the flow of bile juice from the Liver to the Gall Bladder. This causes Jaundice and can result in great damage to the Liver. In such cases the Gastroenterologist removes the CBD stones using an Endoscope in a procedure called Endoscopic Retrograde Cholangio- Pancreatography (ERCP). In some cases if the stone cannot be removed then a stent is placed to bypass the blocked vessel and create a path for the flow of the bile juice. Normally the gastroenterologist breaks the stone in smaller pieces and extracts them. However if the CBD stone is stuck in such a manner that it cannot be removed through Endoscope then an open surgery is done from the front of the chest.

Patients presenting with CBDS have symptoms including biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. There are several techniques to remove CBD stones and one of the most common technique is to do ERCP for CBD Stones.

ERCP as a diagnostic test has been mostly replaced by a non invasive test called MRCP. Magnetic resonance Cholangio Pancreatography (MRCP) is a technique for viewing the bile ducts and the pancreatic duct. It can also show the pancreas, gallbladder and liver. MRCP uses magnetic resonance imaging (MRI) to produce detailed pictures of these ducts and organs.

 

 

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Laparoscopic CBD Exploration

Most of the patients with CBD stones also have Gall Stones. In such cases the Gall Bladder is removed using a Laparoscope and the surgery is called Laparoscopic Cholecystectomy. In such cases the surgeon can also do Laparoscopic Common Bile Duct Exploration (LCBDE). In some cases the surgeon would do Laparoscopic Cholecystectomy and the Gastroenterologist would do ERCP in the same sitting. In other cases ERCP is done first to remove the CBD stones and Lap Chole is done after a few days. The gall stones is not such an emergency as the CBD stones are.

With advancing technology and minimally invasive surgery (laparoscopic biliary surgery) has become safe, efficient, and cost effective. Laparoscopic common bile duct exploration (LCBDE) is associated with successful stone clearance rates ranging from 85% to 95%.

If CBDS are detected at the time of laparoscopic cholecystectomy, the best treatment is a trans-cystic laparoscopic approach during the same operation. If this fails alternate approaches such as intraoperative or postoperative ERCP, laparoscopic choledochotomy, or open CBDE may be used . A trans-cystic approach is generally used for small stones in a small bile duct whereas trans-ductal approach is preferred for large occluding stones in a large duct, intrahepatic stones, or a miniscule or tortuous cystic duct. Most of the hospitals do not have the facility of a Gastroenterologist and an endoscope and therefore do not perform ERCP procedure even though they do Gall Stone Surgeries.

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Cost and Doctors

Patients with Gall Stones or CBD Stones normally undergo an Ultrasound examination which finds the presence of these stones. In cases of CBD Stones further testing in the form of MRCP is required. The cost for these investigations is around Rs. 8-10 thousand Indian Rupees. If Laparscopic Gall Bladder Surgery is required then the cost would be in the range of Rs. 60-70 thousand Rupees while the Cost for ERCP is Rs. 55-60 thousand depending upon whether a stent is used during the surgery or not. The hospital stay for ERCP is just one day while the stay would increase by another day if Lap Chole Surgery is done during the same sitting. Dr Sumita Singh and Dr Mayank Madaan are the best Laparoscopic Surgeons for doing the gall bladder surgery while Dr Mayank Chugh is the best Gastroenterologist for doing ERCP.

For query please contact or whatsapp at +91-8800188335 or email to indianhealthconsultants@gmail.com

ERCP is best procedure for:

Best doctor for ERCP in Gurgaon, Best Doctor for Common Bile Duct Stone Removal India, Cost of ERCP for CBD Stone Removal Gurgaon India, best gastroenterologist for ercp in india, best ercp surgeon in India. Check lasting belly pain or jaundice.

Best doctor for ERCP in Gurgaon, Best Doctor for Common Bile Duct Stone Removal India, Cost of ERCP for CBD Stone Removal Gurgaon India, best gastroenterologist for ercp in india, best ercp surgeon in India. Find gallstones or diseases of the liver, bile ducts, or pancreas.

Best doctor for ERCP in Gurgaon, Best Doctor for Common Bile Duct Stone Removal India, Cost of ERCP for CBD Stone Removal Gurgaon India, best gastroenterologist for ercp in india, best ercp surgeon in India. Remove stones from the common bile duct if they are causing problems. These may include a blockage (obstruction), inflammation or infection of the common bile duct (cholangitis), or pancreatitis.

Best doctor for ERCP in Gurgaon, Best Doctor for Common Bile Duct Stone Removal India, Cost of ERCP for CBD Stone Removal Gurgaon India, best gastroenterologist for ercp in india, best ercp surgeon in India. Open a narrowed bile duct or insert a drain.

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Our Hospitals

Our hospitals are located in the northern part of India specially in the NCR region comprising New Delhi, Gurgaon, Noida and Faridabad which all are within a distance of 20-50 kms from the New Delhi airport. Our hospitals are super specialty in the fields of Neurosurgery, Cardiology, Joint Replacement, Cancer Care, Liver and Kidney Transplants, Cosmetic Surgery and many other branches of medicine. All our hospitals offer quality treatment and are accreditated by NABH or JCI. For patients coming from other countries our team members would receive you at the airport and escort you to the hospital or the hotel as the case maybe.

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Technology at our Disposal

We have the latest MRI, CT Scan, Digital X-Ray, Mammography, Ultrasound, Colour Doppler, PET CT Scan, Gamma Camera (Nuclear Medicine Scans), Image Guided Radiation Therapy, Gamma Knife, Cyber Knife, Thoracosopy, Sleep Study, Lung Ultrasound, Bronchoscopy, EBUS TACE, PTBD, TARE, Liver Biopsy, Lung Biopsy etc which gives us the diagnostic and theraputic confidence for providing the right treatment.

Modular fully equipped Operation Theatres with Computer Navigation and C-Arm backed by a state of art ICU helps us in providing world class treatment to our patients. We are equipped to handle the most complex of the surgeries due to the state of art cutting edge technology.

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Our Doctors

Our team of doctors include some of the best names from the Indian Medical Fraternity. Dr Arun Saroha Dr V.S.Mehta, Dr Vikas Kathuria, Dr Sandeep Vaishya in Neurosurgery, Dr Sumita Singh in Breast and Piles, Dr AK Sethi, Dr Anubhav Jain, Dr Subhash Jangid, Dr Debashish, Dr Anuj Chawla, Dr Ratnav Ratan, Dr Reetandyuti and Dr Praveen Tittal in Joints, Dr Priyanjana Sharma in ENT, Dr Kaushal Yadav, Dr Ankur Garg, Dr Shilpi Sharma, Dr Abhishek Mitra in Cancer Surgery, Dr Pramod Prasad, Dr Sumita Singh and Dr Vikram Singh in GI Laparoscopic Surgery, Dr Sadhna Sharma, Dr Anjali Kumar and Dr Parvinder Kaur in Obs, Gynae and Infertility, Dr Raman Tanwar and Dr Chandrakant Kar in Urology, Dr Pramod Prasad for Pilonidal Sinus Surgery are some of the key doctors with us.

 

BEST DOCTORS IN INDIA

Dr Sumita Singh

SURGERY

Dr Sandeep Parekh

CARDIOLOGIST

Dr Priyanjana Sharma

ENT

Dr VS Mehta

BRAIN SURGERY

Dr Rana Patir

SPINE SURGERY

Dr Sandeep Vaishya

RADIO NEUROSURGERY

Dr Arun Saroha

SPINE SURGERY

Dr AK Sethi

ORTHOPAEDICS

Dr Subhash Jangid

JOINT REPLACEMENT

Dr Debashish Chanda

KNEE REPLACEMENT

Dr Praveen Tittal

ARTHROSCOPIC SURGERY

Dr Praveen Gupta

NEUROLOGY

Dr Amita Shah

LAP GYNAE SURGERY

Dr Pramod Prasad

LAP GENERAL SURGERY

Dr Sanjeev Sharma

INTERNAL MEDICINE

Dr Pushpa Sethi

OBSTETRICS

Dr Deepanshu Gupta

PENILE IMPLANT SURGEON

Dr Pradeep Bansal

ROBOTIC PROSTATE SURGERY

Dr Ankur Garg

LIVER TRANSPLANT

Dr Chandrakant Kar

UROLOGY

Dr Gautam Banga

PENILE PROSTHESIS

Dr Kaushal Yadav

CANCER SURGERY

Dr Preeti Pandya

COSMETIC SURGERY

Dr Yash Fauzdar

PHYSIOTHERAPY

Dr Jyotirmay Bharti

Skin, Hair & Laser

Dr Sudeep Jain

COSMETIC SURGERY

Dr Jyotirmay Bharti

Skin, Hair & Laser

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