Dedicated to care of patients with evidence based medicine

Gallstones or Cholelithiasis

Gallstones
Gallstones

Gallstones or cholelithiasis is most common diagnosis for acute right upper abdomen pain. It is the most common cause of Laparoscopic abdominal surgery

  • Gallbladder stone reason/ What Causes Gallstones

There are many theories about the formation of gallstone. But there is no preventive method. 80% of stones contain cholesterol while rest 20% have calcium and bilirubin salts. It is said that too much cholesterol secreted by liver which bile cannot dissolve causes formation of cholesterol stones. Pigment or bilirubin salt containing stones are formed if too much bilirubin is secreted. However there is no special gallbladder stone diet which can prevent there formation

  • Gallstones symptoms

Gallbladder pain or biliary colic is mild to moderate in intensity, localized to right upper abdomen and occur dut to stone at neck causing obstruction.Jaundice can occur if edema at GB neck causes external biliary obstruction.Fever develop if it becomes a pyocele

  • Complications

Distended gallbladder due to impacted stone at neck causes pain, also called as mucocele gallbladder.Gallbladder infection in mucocele is called as pyocele gallbladder.Repeated inflammation causes contracted gallbladder. When the stone moves through the cystic duct into CBD can cause jaundice, cholangitis, pancreatitis. Gallstone are risk factor for gallbladder cancer. however the incidence rate of cancer is very less

  • Gallstones Surgery

The standard treatment for gallstone is complete removal of gallbladder called as cholecystectomy. It is a day care surgery. Patient can be discharged from the hospital on same day of surgery, and from next day patient can do all day to day activities

  • Gallbladder removal side effects

There is no effect on digestion after gallbladder removal.It may be difficult to digest excess fat for initial 2-3 months. After this period patient can have normal diet
Dr Amit Jain is Best Laparoscopic Surgeon in Noida Delhi for Gallstone surgery. Call us at 7351088686 for your queries

Please follow and like us:
0

Laparoscopic Surgery: Indications In Gallbladder Disease

  • Laparoscopic Surgery for Gallstone

Laparoscopic Surgery
Laparoscopic Surgery for Gallstone

Gallstones is the most common surgical gallbladder disease. It is the most common indication for laparoscopic surgery for abdomen disease.USG abdomen is the best investigation for diagnosis of gallbladder stones. Most commonly patient present with biliary colic.The standard treatment for gallstones is laparoscopic cholecystectomy.Gallstones can cause various complications like jaundice, cholangitis, pancreatitis. There is no role for medicine in the management.Laparoscopic cholecystectomy is a day care surgery in which patient is operated early in the morning and can be discharged on same day by evening. From next day onwards patient can do all his day to day normal activities. There is no special diet after gallbladder  removal.Patient has to avoid excess fat in the diet for next 2-3 months post-surgery

  • Laparoscopic Surgery for Gallbladder Cancer

It is the surgical gallbladder disease which if detected early and treated carries a good prognosis. Most common symptom of gallbladder cancer is pain right upper abdomen along with anorexia and weight loss. Patient can have jaundice if gallbladder mass most likely at neck compress the biliary symptom.If there is doubt of gallbladder cancer on ultrasound CECT abdomen should be done. There is no role of FNAC if the gallbladder cancer is resectable. The standard surgery for gallbladder cancer is radical cholecystectomy in which gallbladder is removed along with liver wedge and standard lymphadenectomy is done. Earlier cancer surgery was not done laparoscopically in fear of port site metastases. Now we have sufficient data in literature which supports that even cancer surgery can be done laparoscopically with early benefits of minimally invasive approach and long term same survival rate compared to open surgery. Gallbladder cancer surgery is also being done laparoscopy in early stage cancers

Dr Amit Jain MS MCh (GI Surgery) is best gastrosurgeon in Ghaziabad India.Call us at 7351088686 for your queries.

Please follow and like us:
0

Enjoy this blog? Please spread the word :)