Dr Öncel Yakar’s comments
The gallbladder connects to the main bile duct with its own duct (cystic duct) and opens into the duodenum. If the stones formed in the gallbladder pass through the cystic duct and move to the biliary tract, but remain in the bile duct without advancing to the duodenum, the flow of bile into the intestine is mechanically prevented. In this case, the bile contents are absorbed into the blood, thus causing jaundice. In such a clinical scenario, it is necessary to remove the stone that causes obstruction in the biliary tract and to ensure the flow of bile into the intestine in order to both eliminate jaundice and prevent further possible complications. For this purpose, the first preferred treatment method is the fragmentation and removal of the stone by entering the bile duct from the duodenum by passing through the stomach with ERCP (Endoscopic Retrograde Cholangio-Pancreatography). In patients in whom this method is unsuccessful or cannot be applied, in addition to removing the gallbladder during surgery, it is also possible to remove the stone and perform additional procedures for the biliary tract.