Calculus disease of the biliary tract is one of the most common problems
affecting the digestive tract .It accounts for more than 95% of calculus disease
which include cholelithiasis and choledocholithiasis. Choledocholithiasis is
associated in 10-15% of patients with cholelithiasis. Its incidence in India is
increasing, due to the change in lifestyle and dietary modifications. Primary
bile duct stones are of brown pigment type . Secondary bile duct stones are
those migrating from the gall bladder and its major component is cholesterol
variety.
Clinically CBD stones present as biliary colic,jaundice,fever due to
cholangitis and pancreatitis.
AIMS & OBJECTIVES:
To evaluate age,sex, incidence, various clinical presentations,various modes of
management in our institution.
MATERIALS & METHODS:
Patients admitted in various surgical units of GRH, Madurai between
September 2010- Nov.2011 encompass the materials of this study.A total of 58
patients with CBD stones included. They were subjected to detailed history, clinical examination ,LFT,USG abdomen. In selected patients, CT& MRCP
done.
Patients were managed surgically. They were followed for 6 months