Gallbladder stone disease is common. Ultrasound abdomen is the commonest investigation for any abdomen complaint. The result being the incidence of asymptomatic gallstones is also increasing. Incidence of Gallbladder stones is more in females. There are various theories about formation of gallbladder stones.
Gallbladder Stone Complications
It is said that in 90% of patients the first complaint of Gallstones is right upper abdomen pain. After the first episode the frequency of pain abdomen increases and so the complication rate. In 10% of patients, the first presentation can be one of the complications of Gallbladder Stone. The complications of gallbladder stone include Jaundice/Cholangitis/pancreatitis/Cancer Gallbladder/fistulous communication to nearby organs, when the stone in the gallbladder pass to common bile duct through cystic duct patient can have just jaundice if it simply obstruct the CBD lumen and prevent passage of bile from CBD to duodenum. This obstruction when leads to infection patient will have fever and it is called as cholangitis. Cholangitis is a serious condition and patient may develop septic shock and require urgent biliary drainage.
It is another life threatening complication. Passage of stone lower down causes temporary blockage of pancreatic secretions and can cause biliary pancreatitis.
Long-standing inflammation anywhere in the body predispose to cancer so in case of Gallbladder Stone. Gallbladder stone is known risk factor for Gallbladder Cancer. Incidence of cancer is very minimal. This is not an indication for surgery in asymptomatic gallstone patients.
The standard treatment is Laparoscopic Cholecystectomy. Advantage of laparoscopy surgery is less pain and early discharge. It is day care surgery in which patient can be discharged on same day of surgery
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Dr. Amit jain is best Gastrosurgeon in Noida, Ghaziabad, Indrapuram, Delhi NCR India for Gallbladder Stone Surgery.