What should you pay attention to in your diet for bile duct stones?

There are still many dietary precautions for bile duct stones. Do not eat foods that will make your stones more serious. These foods will make your stones larger and more difficult to excrete. You can eat foods with diuretic effects, which can also allow the stones in your body to be excreted smoothly with urine, reduce recurrence, and prevent the stones from growing larger.

After the onset of the disease, the basic treatment method is to remove stones, soothe the liver and promote bile secretion, relieve symptoms, shorten the course of the disease, reduce recurrences, and avoid the occurrence of complications.

1. Non-surgical treatment

It is suitable for young patients with first onset; patients whose symptoms are rapidly relieved by non-surgical treatment; and patients who have been ill for more than 3 days and have no indications for emergency surgery.

Commonly used treatment measures include: bed rest, fasting or low-fat diet, infusion, correction of water and electrolyte disorders and acid-base imbalance, anti-infection, antispasmodics, choleretics and supportive symptomatic treatment. Those who suffer from shock should receive enhanced anti-shock treatment, such as oxygen inhalation, maintenance of blood volume, and timely use of pressor drugs.

2. Surgery

(1) Surgical treatment of extrahepatic bile duct stones

1) Common bile duct lithotomy and T-tube drainage: This is the preferred method and can be performed by open or laparoscopic surgery. It is suitable for patients with simple common bile duct stones, unobstructed upper and lower ends of the bile duct, and no stenosis or other lesions.

2) Choledochojejunostomy: also known as internal bile drainage, is suitable for patients with obstruction caused by distal common bile duct inflammation that cannot be relieved and common bile duct dilatation; and for patients whose bile duct has been partially removed due to lesions and cannot be anastomosed.

3) Oddi sphincteroplasty: It is suitable for patients with mild common bile duct dilatation, common bile duct stones, short segment stenosis at the lower end of the common bile duct, or incarcerated stones at the lower end of the common bile duct.

(2) Treatment of intrahepatic bile duct stones

1) Biliary lithotomy: Simple bile duct lithotomy and drainage is mostly used for emergency and critically ill patients to temporarily clear the bile duct, control bile duct infection, and improve liver function to save lives.

2) Partial hepatectomy: Resection of the diseased liver segment to maximize the removal of lesions containing stones, strictures and dilated bile ducts is the most commonly used method for treating intrahepatic bile duct stones.

3) Repair and reconstruction of hilar bile duct stricture: such as bile duct stricture plasty, Roux-en-Y jejunostomy or bile duct stricture plasty, tissue patch repair, used in cases of hilar bile duct stricture after the intrahepatic lesions and upstream hepatic duct strictures have been removed.