Do people with intrahepatic bile duct stones experience weight loss?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 04, 2024
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Generally, patients with intrahepatic bile duct stones do not experience weight loss. If there is a significant weight decrease over a short period of time, resulting in weight loss or even cachexia, attention should be raised. It is necessary to complete relevant examinations to determine if there are malignant tumors. For patients with intrahepatic bile duct stones, although they may repeatedly experience upper abdominal pain and discomfort, along with nausea and vomiting, and sometimes concurrent cholangitis that results in jaundice, generally, it does not affect their weight. Of course, the condition of patients with intrahepatic bile duct stones should be actively managed. For treatment, typically, laparoscopic choledochotomy for stone removal is chosen, which can completely eliminate the stones and significantly improve the patients' quality of life.

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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.

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Written by Li Fei Rong
General Surgery
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Surgical treatment methods for intrahepatic bile duct stones

Asymptomatic intrahepatic bile duct stones do not require treatment; regular follow-up examinations are recommended. Surgical treatment should be considered for those with recurring clinical symptoms. The principle of surgical treatment is to remove the stones as much as possible, identify and address bile duct strictures and obstructions, remove infected areas and the sites of stones to restore and establish unobstructed bile drainage, and prevent recurrence of the stones. Surgical methods include choledochotomy for stone removal, bilioenteric anastomosis, and hepatectomy.

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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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Can people with intrahepatic bile duct stones eat sweet potatoes?

Intrahepatic bile duct stones can cause upper abdominal pain during acute episodes, which is generally closely related to the patient's careless diet. Sweet potatoes are a type of food that may induce gastric acid production. If a patient has intraheptic bile duct stones and consumes sweet potatoes, it may cause stomach discomfort. Therefore, it is recommended that patients generally avoid eating sweet potatoes or not eat them excessively.

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Written by Zhang Tao
Hepatobiliary Surgery
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What should be noted for intrahepatic bile duct stones?

Patients with intrahepatic bile duct stones should pay attention to the following: First, try to reduce the intake of fats, especially animal fats; second, the formation of a considerable number of intrahepatic bile duct stones is related to high cholesterol levels and metabolic disorders in the body, so it is necessary to limit foods high in cholesterol, such as eggs and the organs of various meat animals; third, food should be prepared by steaming, boiling, or stewing; fourth, increase the supply of fish, lean meats, soy products, and fresh fruits and vegetables.