A prospective analytical study about common bile duct stones in Government Rajaji Hospital

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