Is the recurrence rate of intrahepatic bile duct stones high?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on April 26, 2025
00:00
00:00

Intrahepatic bile duct stones can potentially recur.

Intrahepatic bile duct stones are often accompanied by acute cholangitis, resulting in significant right upper abdominal pain, and may also present with nausea, vomiting, abdominal distension, diarrhea, and other gastrointestinal symptoms. When symptoms occur, surgery can be performed to open the bile duct and remove the stones for a radical cure.

However, there is also a possibility of recurrence in postoperative patients. The likelihood of recurrence cannot be definitively determined but should be assessed based on the condition of the illness. Therefore, patients who have undergone surgery should also have regular ultrasonographic follow-ups to dynamically observe changes in their condition and prevent the worsening of the disease.

Other Voices

doctor image
home-news-image
Written by Liu Wu Cai
Hepatobiliary Surgery
50sec home-news-image

Does Jin Qian Cao expel gallstones from the liver's bile ducts?

This method cannot eliminate intrahepatic bile duct stones. The treatment for intrahepatic bile duct stones mainly depends on the symptoms. For patients with intrahepatic bile duct stones who do not have significant symptoms and whose stones are relatively small, no special treatment is required. Avoiding spicy and irritating foods in the diet can reduce inflammatory stimuli and better control the condition. Regular follow-up with ultrasonography is sufficient. However, for patients with larger intrahepatic bile duct stones, acute cholangitis may occur, presenting with significant upper abdominal pain. In such cases, proactive treatment is necessary. The treatment mainly involves surgery, which can significantly improve the prognosis and potentially cure the condition.

doctor image
home-news-image
Written by Zhang Tao
Hepatobiliary Surgery
26sec home-news-image

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.

doctor image
home-news-image
Written by Liu Wu Cai
Hepatobiliary Surgery
55sec home-news-image

What are the sequelae of liver resection for intrahepatic bile duct stones?

Patients with intrahepatic bile duct stones do not have significant sequelae after liver resection because the area of the liver removed during the surgery is relatively small, generally not causing significant effects. Furthermore, for patients with intrahepatic bile duct stones, the main treatment involves making an incision in the bile duct to remove the stones, which can completely cure the condition, and patients can typically recover within about seven days after the surgery. Since the procedure is mainly performed using laparoscopy, it has the advantages of smaller incisions, less damage, and faster recovery. Therefore, postoperative recovery is relatively good. At this time, patients can also avoid spicy and irritating foods in their diet to reduce inflammatory irritation, better promoting recovery from the condition. There are no significant sequelae after the resection.

doctor image
home-news-image
Written by Zhang Tao
Hepatobiliary Surgery
38sec home-news-image

Can intrahepatic bile duct stones be shattered?

Asymptomatic intrahepatic bile duct stones generally do not require treatment. Currently, most hepatobiliary surgeons believe that if patients undergo shock wave lithotripsy, the stones may migrate to the extrahepatic bile duct, forming common bile duct stones, and the patient will experience obvious abdominal pain, jaundice, and other symptoms, causing great trouble. Therefore, they oppose extracorporeal shock wave treatment for intrahepatic bile duct stones and suggest regular follow-up with ultrasound or CT, adopting more reasonable methods for treatment.

doctor image
home-news-image
Written by Zhang Tao
Hepatobiliary Surgery
29sec home-news-image

Do you need to cut the liver for intrahepatic bile duct stones?

The treatment of intrahepatic bile duct stones primarily requires surgery to remove the stones, relieve obstruction, and correct deformities. Generally, there is no need to remove the liver. However, if the liver has a tumor, or if intrahepatic bile duct stones are accompanied by liver fibrosis or even liver atrophy, partial liver lobe resection can be considered. For asymptomatic patients with intrahepatic bile duct stones, temporary observation and follow-up are feasible.