Asymptomatic Gallstones: Treat or Not to Treat ?

Asymptomatic gallstones mean a patient is diagnosed to have gallstones but never have abdomen pain.  Asymptomatic Gallstones disease is common. Ultrasound abdomen is the investigation of choice in any abdomen complaint. Being so much use of ultrasound abdomen the incidence of asymptomatic gallstones has increased. Management is controversial some recommend to go for gallbladder removal while other say it should be removed only when symptomatic.

Complications of Asymptomatic Gallstones

Now the question arises should gallbladder be removed or not. Gallbladder stone disease have various complications like jaundice, cholangitis, pancreatitis, Gallbladder Cancer. It is said that the first presentation with these complications are rare, the first patient will have the pain of gallbladder stone and if not treated then the rate of these complications increases but there are few patients also who present directly with gallbladder stone complications and sometimes these complications are life-threatening also. The rate of complications does not depend on the size and the number of gallbladder stones.

Laparoscopic cholecystectomy

Gallbladder removal is called as cholecystectomy. It is commonly done by laparoscopic approach thats why it is called as Lap Chole. Laparoscopic cholecystectomy is a day care procedure. Patient is discharged on the same day of surgery and from next day onward can do normal day to day activity. This is the reason why some recommend doing Laparoscopic cholecystectomy in asymptomatic patients also . Because the complication rate of leaving behind the gallbladder is more rather than removing it. There is no major change in diet after gallbladder removal. Generally high fat diet should be avoided for next 2-3 months after surgery. After this period patient can have normal diet

Leave a Reply

Your email address will not be published. Required fields are marked *