Gallstones, Jaundice & Bile Duct Reconstruction

The bile duct is the vital drainage pipeline connecting your liver and gallbladder to the intestines. When gallstones slip into this pipe or when the tube gets accidentally narrowed or injured during a previous gallbladder surgery, bile backs up into the bloodstream—causing yellowing of the eyes (jaundice), dark urine, intense itching, and severe pain. Dr. Naresh Gabani specializes in clearing blocked stones and performing delicate bypass reconstructive surgery so your liver heals and drains smoothly.

Complex Gallstones & Stones Stuck in the Bile Duct

While routine gallstones in the gallbladder are removed easily via keyhole surgery (laparoscopy), stones that slip down into the main bile duct (choledocholithiasis) or severe acute infections require superspecialty surgical care.

• Stuck Bile Duct Stones: When stones cannot be cleared by simple endoscopy, Dr. Gabani removes them safely through minimally invasive keyhole procedures, protecting the delicate bile duct lining.
• Severely Inflamed Gallbladders: Safe keyhole removal even in difficult, swollen, or scarred gallbladders (cholecystectomy), avoiding unnecessary open conversion whenever possible.
• Resolving Pain & Infection: Prompt intervention relieves upper belly pain, reduces high fever with chills, and normalizes liver function tests.

Repairing Bile Duct Injuries & Narrowing (After Gallbladder Surgery)

An accidental injury or narrowing (stricture) of the main bile duct after a previous gallbladder operation is an emotionally and physically distressing experience for any family. Symptoms often include yellow eyes, persistent fever, fluid leakage from surgical wounds, or abdominal discomfort.

The Healing Bypass Solution (Roux-en-Y Hepaticojejunostomy): Rather than attempting temporary stretches that keep narrowing, Dr. Gabani performs the definitive surgical repair. He carefully connects the healthy bile duct above the blockage directly to a loop of your small intestine. This creates a wide, smooth, tension-free drainage channel that allows bile to flow freely for the rest of your life, permanently resolving jaundice and protecting you against liver damage.

Bile Duct Cysts in Adults (Choledochal Cysts)

Some people are born with an unusually widened, balloon-like bile duct (called a choledochal cyst). Because stagnant bile in this enlarged pocket can cause repeated infections, liver damage, or long-term tumor risks, the safest approach is complete keyhole removal of the cyst followed by creating a natural intestinal bypass bridge.