Conversation: The conversation between human and AI assistant.
[|Human|] dear sir my wife gallbladder remove in month of sep,13 that after in 17 oct,13 haematemesis in home that after mrcp we insert 1st 8.5mm stunt in bail duct after one month dr insert 2nd 10 mm stunt and after one month 3rd time 10mm two stunt insert that after having pain whole cbd more than 40 days 4th time we remove both stunt and insert only one 10 ,mm insert in present time
[|AI|]  Hi, I had gone through your question and understand your concerns. I think that there was some misunderstood. Hematemesis meant that there is blood vomiting and this is caused by bleeding in upper gastrointestinal system. Bile duct stent is used for bile duct stones or obstruction and these two are rarely related. Stent of this size is appropriate if it leaves bile duct open and usually is. Hematemesis should be treated by finding the exact cause of bleeding and then interventional methods are required for management. If there is however, hematobilia then it may indicate bleeding from the liver or bile duct and in this case a bit thicker stents should be used. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.