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Gallstones

 

Introduction

Gallstones are solid crystals that form in the gallbladder or nearby bile ducts.
The gallbladder is a storage container for bile, a caustic liquid that helps break down fat in the diet.

Causes

Gallstones are a common gallbladder problem. Gallstones occur when the liver excretes bile that is excessively rich in cholesterol. Gallstones have several different causes, some better understood than others. An overload of cholesterol or bilirubin in the bile can definitely contribute to stone formation and infection with certain bacteria have all been identified as potential causes of gallstones.
   

Symptoms

In many cases, gallstones are so small that they cause no symptoms.  In the majority of cases, especially when the gallstones remain in the gallbladder, these stones cause no symptoms. As long as bile can continue to flow through its duct system, gallstones pose little danger. It is only when the gallstones cause obstructions or erode the gallbladder wall that they cause severe symptoms.



Signs and symptoms of indigestion may include nausea, gas, bloating and sometimes abdominal pain. These signs and symptoms may occur or be made worse after you eat high-fat foods.

Gallstones that cause no symptoms require no treatment. If you have had just one gallstone attack or have occasional mild attacks, your doctor may recommend following a low-fat, high fiber diet to prevent further episodes.
Surgery to remove the gallbladder is the most common way to treat symptomatic gallstones.
 

Treatment

The standard surgery is called laparoscopic cholecystectomy. For this operation, the surgeon makes several tiny incisions in the abdomen and inserts surgical instruments and a miniature video camera into the abdomen. The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a closeup view of the organs and tissues. While watching the monitor, the surgeon uses the instruments to carefully separate the gallbladder from the liver, ducts, and other structures. Then the cystic duct is cut and the gallbladder removed through one of the small incisions.
For patients who can't have surgery or have a strong preference not to, there are other options. One is Actigall, a drug that slowly dissolves the stones.

 
 

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