Viewing the bile ducts through x-ray imaging requires a contrast element to be used. A cholangiogram is an imaging technique that uses a contrast dye that is injected into the bile ducts to view the ducts on x-ray. Cholangiography is used to clearly view the position of bile ducts during a gallbladder removal or cholecystectomy, or to check and see if there are gallstones in the bile ducts. Danny Shouhed, M.D. is a board-certified gastrointestinal surgeon who uses cholangiograms as one of his tools during gallbladder and gallstone treatment.
There are different types of cholangiograms that are used to view the bile ducts. Intravenous cholangiograms use a dye that is injected into the veins that will be filtered through the liver and into the bile that will travel through the bile ducts. This was once commonly used to find gallstones that are causing blockages, but there are now other diagnostic tools options available. Intraoperative cholangiograms are used more commonly. This imaging tool is often used during a cholecystectomy or removal of the gallbladder.
During a cholecystectomy, it is important to view the position of the bile ducts to avoid any damage to these tubes. A cholangiogram is performed by draining the bile ducts and then filling them with a contrast dye that is viewable on x-ray. Intraoperative cholangiograms give the surgeon a clear view of the bile ducts and can help identify any gallstones that may need to be removed through a common bile duct exploration.
Dr. Danny Shouhed is one of the top gastrointestinal surgeons in Los Angeles. His expertise in minimally-invasive and robotic GI surgery can reduce risks and improve recovery for patients requiring a cholecystectomy. Dr. Shouhed utilizes the most advanced technology and techniques to perform complex procedures, including performing intraoperative cholangiograms. If you are considering gallbladder or gallstone surgery, contact our office in Los Angeles to schedule a consultation with Dr. Shouhed.