### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 16 year old girl. Doctors have examined me done LFT with two readings of alkaline phosphate as 98 & 130. done EUS, US & MRI. findings are multiple calculi in my gallbladder. largest one measuring 1.4*1.4 cm. what precautions can i take and what procedure can be carried out further. as such doctors have recommened another LFT and then if the alkaline phosphate level is increased then ERCP is the next step. i would like to know what according to you can be done further?

### output:

Hello there!  Thank you for asking. If gallbladder has stones the things we need to worry about is if it involves nearby bile duct and dilates the common bile duct and adds to the yellowish discoloration of the skin(jaundice). Also, the pancreatic profiles Serum amylase lipases amylase to lipase ratios. Alkaline phosphatase and bilirubin levels hike means that the common Bile Duct CBD is involved. And yes in that case ERCP (Endoscopic retrograde cholangiopancreatography) is the next step as it would be both diagnostic and therapeutic. Then you will be prepared for simple laparoscopic cholecystectomy/ removal of gall bladder through minimal invasive procedures Providing the anesthesiologists and general surgeons give a green signal after ruling out all the contraindications for it. As you are 16 years old only. This young age with rest of it without gall bladder might advise a conservative approach. But what your doctors decide for you will be best for you and I am sure you are in safer hands. Hope I was of some help. Take care regards Chat Doctor. 