Predominantly unconjugated hyperbilirubinemia

1.

2. Predominantly Unconjugated Hyperbilirubinemia

3. Predominantly Conjugated Hyperbilirubinemia

4. CLASSIFICATION – CBD Stones

1.
2.
1.
2.
By the point of origin
Primary CBD Stones
Secondary CBD Stones
By the time of discovery relative to
cholecystectomy
Retained
Recurrent

5. CBD Stone on USG

6. CBD Stone on EUS

7.

8. CBD Stone on ERCP

9.

10. CONCLUSION

CBD Stones associated in 10 – 15 % pts
undergoing cholecystectomy
Advanced endoscopic & laparoscopic
techniques have revolutionised management
Treatment depends on resources, technical
limitations, surgeons expertise
LCBDE is safe, feasible, single stage
management option for CBD stones