Dorsal duct sludge / debris

[Guest guest]

Hi everyone!

Does anyone know if there is any significance to a radiology

report that states there is evidence of dorsal duct sludge and / or

debris filling defect seen?

The reason I ask, is that I am wondering if this sludge / debris

that was found during my stent removal could cause the stent or

the duct to become clogged or sluggish enough to increase the

my pain level (obstruction type pain). At the time that this stent

was removed, the doctor opted to not continue with my stent

series because he determined that I was not getting significant

pain relief to risk more stents.

My questions are:

1. is the appearance of the sludge / debris indications that the

stent was doing damage to the pancreas?

2).could this debris cause the increasing pain that I was feeling

the last ten days that the stent was in?

3). is there a chance that the debris is still there and if so, could it

be causing the ongoing pain since the last stent?

4). is the debris significant in other ways that I am not thinking of

(signs of infection, inflammation, pseudocyst?)?

It seems that the endoscopist is either unaware that the sludge

was there at the time of removal (his operative report states that

the ducts were all normal) or he thinks that this is insignificant

(which it very well could be, I know that the significance of biliary

sludge in the common bile duct is very controversial). I am

sensitive to any perception of " missed " potentially significant

findings as I have been a victim of this at least two times in the

past and both incidents resulted in serious and / or painful

illnesses. I still want to give him the benefit of the doubt, but

believe that for my peace of mind, I would like to get answers

from anyone who may have personal experience / knowledge of

this.

It is ok to call me paranoid - but I can't help but wonder if this

could explain why he concluded that the stents were not working

(while I thought that they were).

Laurie