Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Gallstones 2 diabetes for more than 6 years, take medication to maintain, pain from time to time. Want surgery to remove the stones, is it dangerous. Shandong Provincial Hospital, Department of Gastroenterology Xu Hongwei: Hello, because you only say that it is gallstones, do not know whether it is gallbladder stones or bile duct stones. If it is a bile duct stone, it is better to have the results of ultrasound or CT examination, and we will take a look. Age is not a deciding factor for being able to do ERCP bile duct stone extraction, there are patients in our department who do ERCP stone extraction is more than years old. ERCP is a minimally invasive treatment that is relatively less invasive and risky, so it is the best treatment option for these patients. It is best to come to the hospital for a checkup to see which part of the stone can be operated on. I am in the main clinic of the provincial hospital every Tuesday, so you can come to the clinic and let me take a look at it in the internal medicine clinic on the 3rd floor of the outpatient building. Patient: It seems to be gallbladder stones because I heard my mother say she has cholecystitis. Patient: I hope to get your advice, thank you very much. Xu Hongwei, Department of Gastroenterology, Shandong Provincial Hospital: Many patients with gallbladder stones have no symptoms for life, but most patients with bile duct stones will have pain in the right upper abdomen, so the pain in the right upper abdomen is not necessarily just cholecystitis, but may also have problems with the bile duct. The gallbladder stones can also fall into the bile ducts and cause bile duct stones, which can block the bile ducts and cause poor bile drainage, leading to biliary infection, abdominal pain, fever, and even jaundice. The easiest thing to do is to have an abdominal ultrasound, which costs little money and can clarify the diagnosis, and a liver function test to see if there are any abnormalities, because sometimes abdominal ultrasound and CT also have some false negatives, but they will show up in the liver function. If the diagnosis is clear that there are bile duct stones, our best treatment is ERCP to remove the stones; if the diagnosis is clear that there are no bile duct stones but only gallbladder stones, and the elderly often have gallbladder inflammation, we can consider surgery. Patient: Yes, I will take my mother to the hospital for a consultation to clarify. Thank you very much for your reply. Xu Hongwei, Department of Gastroenterology, Shandong Provincial Hospital: No need to say thank you.