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Disease

Biliary Disease

What is Biliary Disease?

Biliary disease refers to any condition that affects the bile ducts, gallbladder, or bile, which is a digestive fluid produced by the liver. These structures form the biliary system and play a vital role in digesting fats and removing waste products from the liver.

Common Types of Biliary Diseases:
  • Gallstones (Cholelithiasis): Hardened deposits of bile that form in the gallbladder, often causing pain, nausea, or digestive issues.
  • Cholecystitis: Inflammation of the gallbladder, usually due to gallstones blocking the cystic duct.
  • Biliary Stricture: Narrowing of the bile ducts, often caused by injury, surgery, or inflammation.
  • Primary Biliary Cholangitis (PBC): A chronic autoimmune disease that slowly destroys bile ducts in the liver.
  • Primary Sclerosing Cholangitis (PSC): A rare, progressive condition that causes scarring and inflammation of the bile ducts.
  • Bile Duct Cancer (Cholangiocarcinoma): A rare but serious form of cancer that begins in the bile ducts.
Symptoms of Biliary Disease :
  • Abdominal pain, especially in the upper right side
  • Jaundice (yellowing of skin or eyes)
  • Nausea and vomiting
  • Dark urine or pale stools
  • Fatigue
  • Fever or chills (in case of infection)
Diagnosis:

Biliary diseases are typically diagnosed using:

  • Ultrasound
  • MRI or MRCP (Magnetic Resonance Cholangiopancreatography)
  • Endoscopic procedures like ERCP (Endoscopic Retrograde Cholangiopancreatography)
  • Blood tests to evaluate liver function
Treatment

Treatment depends on the type and severity of the condition and may include:

  • Medications to dissolve gallstones or reduce inflammation
  • ERCP to remove blockages or place stents
  • Surgery such as cholecystectomy (removal of the gallbladder)
  • Liver transplant in advanced cases