Can recurrent choledochal stones be completely cured?

Repeated episodes of choledochal stones can be treated by considering surgery, but there is no guarantee of a complete cure because of the risk of recurrence.
Most of the stones in the common bile duct are mixed bile pigment stones, which usually have no special symptoms, but if the stones cause obstruction, it may cause cholangitis, abdominal pain, chills, high fever and jaundice, etc. Therefore, surgery can be considered to remove the stones. Therefore, surgery to remove the stones can be considered, but there is no guarantee of a complete cure, as there is a risk of recurrence as long as bile is still being produced.
There are three main surgical procedures for choledochal stones: choledochotomy with T-tube drainage, endoscopic retrograde cholangiopancreatography, and choledochotomy with jejunum Roux-en-Y anastomosis. The surgical procedure should be chosen according to the patient’s specific situation, and the principle of the surgery is to relieve the obstruction of the bile duct, remove the stones as clean as possible, and keep the biliary drainage open.
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