Stone of the gallbladder

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Stone of the gallbladder

CourtesyDr. Kumar Parth (MBBS; MNAMS; FMAS; FAIS; FACRSI (Colo-Rectal Surgery) DNB; FSGE (Surgical Gastroenterology)

Surgical Gastroenterologist Consultant (Bangalore), [email protected], WWW.DRPARTHGASTRO.COM

Definition: The presence of stones in the gallbladder is known as "cholelithiasis ".

* The function of the gallbladder is to concentrate the bile..

Predisposing factors :

· Genetics, Gender (more in women)

· Body weight (Obesity) , or fast weight loss, fast

· Decreased motility (movement) of the gallbladder.

· Diet

· Medications: medicines to reduce cholesterol / lipids, estrogen

· Diseases: diabetes, blood disorders (hemolyticaemia, etc.)

Composition of the gallbladder stone:

Cholesterol stone : Found in the western world, it causes a diet rich in cholesterol.

Pigmented stone : usually found in diseases related to blood disorders

Mixed stone : Contains calcium, magnesium, sodium phosphate (the most common type found in the Asian population (India).

The symptoms:

(70-85%) are asymptomatic or "silent gallbladder stone" Pain in the upper right part and in the central part of the abdomen (it can radiate to the interscapular region) mainly after half an hour of food (it looks more symptomatic after a high fat diet). After the meal, belching, upper abdominal discomfort.

· Jaundice (yellowing of the skin or eyes)

· Stools of clay color or dark urine

Images: Ultrasound of the abdomen and, if necessary, MRI (MRCP) abdomen.

Gallbladder infection {Empyema (pus) / Gallbladder mucocele} Perforation of the gallbladder Stone slipped in the common bile duct that results in obstruction in the passage of bile that leads to jaundice The gallbladder stone slid into the common bile duct and entered the pancreatic duct through the common opening channel in the duodenum (small intestine) that leads to pancreatitis.

Indication for surgery:

Symptomatic biliary stone with the typical history of the pain mentioned above and tested with images (ultrasound) Asymptomatic or silent biliary stone (found accidentally during abdominal ultrasound) – "DOES NOT REQUIRE SURGERY." Asymptomatic or silent gallstones requiring surgery in special circumstances are: Pregnant woman diagnosed with gallstone during the first trimester (incidental finding) Any blood disorder and the patient will undergo abdominal surgery for any reason. Diabetes mellitus: the possibilities of infection increase due to diabetes gallbladder polyp (a growth of soft tissues in lumenof gallbladder) size> 1 cm or single stone measuring> 3 cm, as a risk of gallbladder cancer Increase by 10 times in these cases.

Treatment Surgery – Laparoscopic cholecystectomy (Key Hole Surgery) is a gold standard around the world.

Safe surgery, there are no side effects from the removal of the gallbladder, since one has to weigh the complication arising from a "symptomatic" gallstone disease. It can be done as a nursery. After surgery, patients are advised to refrain from eating fats for a week to acclimate the body to a diluted bile. Normalactivity is allowed from day 1 of post surgery.

Read the full article "Gallbladder Stone" written by Dr. Kumar Parth at here:

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