

If you or your loved one is struggling with chronicbile duct stones, don’t delay treatment.
Biliary stones are hard deposits formed from bile that develop in the gallbladder or bile ducts. When these stones block bile flow, they trigger a chain reaction of health issues.
Blocked bile ducts lead to:
Pressure and inflammation
Severe upper right abdominal pain
Pain spreading to the back or shoulder
Nausea, vomiting, or fever
If untreated, biliary stones may cause:
Recurrent Pain Attacks
Pancreatitis
Emergency Surgery
Bile Duct Infection
Bile is essential for fat digestion. Stone blockage can cause:
Indigestion and bloating
Fatty stools
Poor nutrient absorption
When biliary stones block the duct and cause pain, the goal of treatment is to remove the obstruction without damaging the pancreas
Pancreatico-Biliary Lithotripsy is an advanced, non-invasive treatment used to break biliary stones without open surgery. The procedure uses focused shock waves to fragment stones into smaller pieces, allowing them to pass naturally or be removed endoscopically.
It is widely recommended for patients with symptomatic pancreatic duct stones, especially those who wish to avoid surgery and long recovery times.
High-energy shock waves are precisely targeted at the biliary stones
Stones are broken into smaller fragments
Fragments pass through the duct or are cleared during endoscopy
Duct pressure reduces, leading to pain relief and improved digestion
The procedure is performed under expert supervision using advanced imaging for accuracy and safety

ESWL (Non-Surgical) Recommended Initial | Surgical Treatment Complex Cases |
|---|---|
Non-invasive procedure | Invasive surgical procedure |
No major cuts or scars | Requires surgical incisions |
Lower complication risk | Higher surgical risk |
Shorter hospital stay | Longer hospitalization |
Faster recovery | Extended recovery time |
Preserves pancreatic tissue | Higher risk of pancreatic damage |
Dr. Sreekanth Appasani is a highly experienced Gastroenterologist and Advanced Endoscopist at KIMS–KIMS Advanced Gastroenterology (KAGE). He specializes in the diagnosis and treatment of pancreatic disorders, including complex pancreatic duct stones.
With extensive expertise in non-surgical Biliary stone management, Dr. Appasani is skilled in performing ESWL and advanced endoscopic procedures, offering patients effective alternatives to open surgery whenever possible.

KIMS is one of South India’s leading tertiary care hospitals with a dedicated Pancreatology & HPB (Hepato-Pancreato-Biliary) team.
20+ years of Gastro & HPB care excellence
Dedicated Chronic Pancreatitis & Biliary Stone Clinic
Advanced ESWL facility for biliary stones
State-of-the-art ERCP & EUS suites
Multidisciplinary care (Gastroenterologists, HPB surgeons, Radiologists)
NABH-accredited hospital infrastructure
Patients travel to us from Hyderabad, Telangana, Andhra Pradesh, Maharashtra, and Karnataka for specialised biliarystones care.
For patients with biliary duct stones, KIMS Hospitals offers


Most patients experience mild discomfort. Sedation is provided if needed.
Usually 45–90 minutes, depending on stone size and hardness.
No. Lithotripsy is typically a day-care procedure.
It relieves duct blockage and pain. Ongoing disease management may still be required.
Minor discomfort or bruising may occur. Serious complications are rare when performed by experienced specialists.
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