Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
This answer was rated:

What is mild increase in dilation of the bile and pancreatic

ducts mean?...
what is mild increase in dilation of the bile and pancreatic ducts mean?
Ask Your Own Medical Question
Answered in 10 minutes by:
7/17/2010
Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 8,779
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
Verified

Hi.
Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

It specifies that the duct carrying bile from the gall bladder and pancreatic juice from the pancreas are mildly dilated. Such happens when there is some form of obstruction in their lumens. This obstruction can be caused by stones (small ones) passing in through the duct of the gall bladder (cystic duct) in to the common bile duct (which is formed by joining of the gall bladder duct and the common heptic duct, coming from the liver). The stones as they pass through the bile duct dilate it and most of them pass through it like this due to back pressure form the bile, others can obstruct the lumen and cause severe pain and jaundice. These stones can lodge near the ampulla of vater (the opening of the bile duct and pancreatic duct in the small intestine) and cause dilatation of the bile duct as well as the pancreatic duct due to stasis of bile and pancreatic fluid in them.

To understand this you will need to see this picture:

Both these pictures will help you understand the anatomy of the hepatobiliary system and you can imagine, any obstruction to the flow of bile near the ampulla of vater or sphincter of oddi will result in dilation of the proximal bile ducts.

However, mild bile duct dilation is of little significance and does not cause serious issues. But the gall bladder should be examined via an ultrasound to determine any stones in it and the Common bile duct should also be seen in this ultrasound to visualize any debris or stones obstructing its lumen.

--Best wishes--

Ask Your Own Medical Question
Customer reply replied 7 years ago
I had my gall bladder removed last summer,my Dr said I have a chance of narrowing in the distal most part of the ducts called a stricture or stinosis. He recommends an endoscopic ultrasound. Thats not the same as an ercp is it?

Thanks for the input.

No, it is not, the principal is the same in that a (ultrasound) probe especially designed for this purpose, will be passed down your oesophagus and ultrasound will be done by it.

ERCP is a different modality of diagnostic as well as therapeutic value.

A stricture in the distal bile duct can also act as to dilate the proximal part by causing stasis of bile and obstruction to its flow. This backlog of bile increases the pressure in the bile ducts and dilates them. Same as the stones would do.

--Best--

Ask Your Own Medical Question
Customer reply replied 7 years ago
Sorry one more question. I had an ercp last year and I got really sick from it. I could barely swallow for two weeks and I had to return to the hospital the day of the ercp with horrific pain .( possile pancreatis) can this happen with this test?

You can ask me as many questions as you want :)

Yes, the two most common complications of this procedure are:

1) Acute pancreatitis

2) Ascending cholangitis

That is why this procedure is being largely abandoned as a diagnostic modality and MRCP is being used which is better than ERCP as a diagnostic tool and not invasive but ERCP still holds it's grounds as being a better therapeutic modality, for taking biopsies and to perform sphincterotomy, to release the stones stuck in the Common Bile Duct.

--Hope this helps--

Ask Your Own Medical Question
Customer reply replied 7 years ago
maybe i wont get sick with the endoscopic ultrasound like i did with the ERCP
The sole reason that the ERCP causes acute pancreatitis or cholangitis is because of the dye and the infiltration of foreign bodies with in the bile ducts in order to visualize them as a part of the test. This is not done with the EUS (Endoscopic ultrasound). So, no, you will not get sick with the EUS, like you did with the ERCP.
Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 8,779
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
Verified
Dr Uzair and 87 other Medical Specialists are ready to help you
Ask your own question now
Ask Dr Uzair Your Own Question
Dr Uzair
Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 8,779
8,779 Satisfied Customers
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.

Dr Uzair is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
My 24-year-old son had a sore throat for several days.
My 24-year-old son had a sore throat for several days. Testing showed that it was not strep throat or the flu. Now the sore throat has eased, but he has a lot of congestion in his ears. He had sinus s… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
My 64 y/o husband had schizophrenia at 19 and bipolar in his
My 64 y/o husband had schizophrenia at 19 and bipolar in his 50's. At age 64 he was diagnosed with moderate to severe dementia and was placed into a nursing home. He is now 66 and has been paranoid an… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
How can I get a legal marijuana card in the State of
How can I get a legal marijuana card in the State of Illinois? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I am having severe shoulder pain in relatively the same area
I am having severe shoulder pain in relatively the same area I had a flu shot in but the shot was almost a month ago. Could I still have a reaction to that? … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,293 satisfied customers
I had the flu shot since Monday night develop fever aches
I had the flu shot since Monday night develop fever aches chills nausea and diarrhea, the fever only goes down to 99 but goes right back up to 101 or 102 … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
Female, 73, on no medications. Contracted flu on Thursday
Female, 73, on no medications. Contracted flu on Thursday and am recovering fairly well. Only took aspirin and vitamin C. Temp is down (99.6) but cough lingers. Sputum has been clear, but tonight ther… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
My daughter is is complaining of pain on her lower left side
My daughter is is complaining of pain on her lower left side and it's painful when she urinates but she has no fever do you have an y idea what this might be … read more
Dr. K.
Dr. K.
Staff physician
535 satisfied customers
My shoulders hurt due to heavy lifting. Since yesterday.
My shoulders hurt due to heavy lifting. JA: How long have you had the pain? What seems to make the pain better or worse? Customer: Since yesterday. Worse, I can barely lift my hand JA: Anything else i… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Bp has been running 150/100...on metoprolol tartrate twice a
Bp has been running 150/100...on metoprolol tartrate twice a day 100 mg … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
My mom fell down and hurt her knee. But she applied heat on
Hi, my mom fell down and hurt her knee. But she applied heat on it and now the knee is swollen. I know that heat shouldn't be applied on an injury. I want to know what consequences it will have. As he… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
I had series of blood last week. I can't get my computer to
I had series of blood last week. I can't get my computer to open the results. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
My toddler has discomfort in his rectum, can yo explain why?
My toddler has discomfort in his rectum, can yo explain why? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,892 satisfied customers
Can I take azithromycin and Clint in Hal together. One is
Can I take azithromycin and Clint Amy in Hal together. One is for my teeth being pulled and azithromycin is for bronchitus. … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
Just did hep surface antibody test and was less than 5 while
Just did hep b surface antibody test and was less than 5 while hep b surface antigen was negative. Did hiv test non reactive.syphylis gonnorhae and chlymadia was negative. What does it mean… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
525 satisfied customers
I found a lump along my thoracic vertebrae. just had an mri.
I found a lump along my thoracic vertebrae. just had an mri. it is semi hard and movable with my fingers and it hurts a little when I move it … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
My 27 yr old son has had a persistent headache for 2 days
My 27 yr old son has had a persistent headache for 2 days now with no relief. This headache was preceded by a sudden, short nosebleed. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,892 satisfied customers
Hear burn and throwing up going on daily for many months.
Hear burn and throwing up going on daily for many months. … read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,618 satisfied customers
Can a hernia result in a need for urgent or emergency care?
Can a hernia result in a need for urgent or emergency care? … read more
Dr Uzair
Dr Uzair
Doctor
8,779 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x