What is the surgery to remove the gallbladder? Stones in the bile duct If gallstones are found in the common bile duct before or during surgery to remove the gallbladder, a doctor may do a procedure called an ERCP endoscopic retrograde cholangiopancreatogram.
What are the risks of gallbladder surgery? The most serious risks include: Infection. Injury to the common bile duct. Injury to the small intestine by one of the tools used during surgery.
Risks from open gallbladder surgery include: Injury to the common bile duct. Injuries to the liver, intestines, or major blood vessels in the belly. Blood clots or pneumonia related to the longer recovery period after open surgery. Post-cholecystectomy syndrome After gallbladder surgery cholecystectomy , a few people have ongoing symptoms, such as belly pain, bloating, gas, or diarrhea. What are the risks of NOT having the gallbladder removed? The risks of not treating gallstones may include: Unpredictable attacks of gallstone pain.
Episodes of inflammation or serious infection of the gallbladder, bile ducts, or pancreas. Jaundice and other symptoms caused by blockage of the common bile duct. If you decide against surgery, what can you do to prevent another attack? You may be able to prevent gallstone attacks if you: Stay close to a healthy weight by eating a balanced diet and getting regular exercise. Avoid rapid weight loss. When you lose weight by dieting and then you gain weight back again, you increase your risk of gallstones, especially if you are a woman.
If you need to lose weight, do it slowly and sensibly. Why might your doctor recommend gallbladder surgery? Your doctor may recommend surgery if: You have repeated gallstone attacks. The pain from the attacks is severe. You have complications, such as inflammation of the gallbladder or the pancreas.
You have an impaired immune system. Compare your options. Compare Option 1 Have gallbladder surgery Don't have surgery. Compare Option 2 Have gallbladder surgery Don't have surgery. Have gallbladder surgery Have gallbladder surgery You are asleep during surgery.
You may go home the same day, or you may stay in the hospital for a day or two. If you have open surgery, your hospital stay will be longer. You can return to your normal activities within a week to 10 days. If you have open surgery, it will take 4 to 6 weeks. Surgery gets rid of the gallstones and usually keeps them from coming back. The surgery is safe and is very common. All surgery has risks, including bleeding and infection.
Your age and your health also can affect your risk. Risk from laparoscopic surgery is very low. Possible problems include injury to the common bile duct or the small intestine. After surgery, a few people have ongoing symptoms, called post-cholecystectomy syndrome. Don't have surgery Don't have surgery You try to prevent another attack by eating a balanced diet and getting regular exercise to stay close to a healthy weight.
You avoid losing weight too quickly. You may have more gallstone attacks. You may have episodes of inflammation or infection of the gallbladder, bile ducts, or pancreas. You may have jaundice and other symptoms caused by blockage of the common bile duct. Personal stories about gallbladder surgery for gallstones These stories are based on information gathered from health professionals and consumers.
What matters most to you? Reasons to have gallbladder surgery Reasons not to have gallbladder surgery. The pain from my gallstone attacks is very bad. I want to avoid surgery if I possibly can. I'm never too far away from medical treatment. My other important reasons: My other important reasons:.
Where are you leaning now? Having gallbladder surgery NOT having gallbladder surgery. What else do you need to make your decision?
Check the facts. True You're right. It's okay not to have surgery if you feel you can manage mild and infrequent attacks and if your doctor thinks you're not likely to have serious problems. False Sorry, that's not right. I'm not sure It may help to go back and read "Get the Facts. True That's right. The surgery is safe and widely done. False Sorry, that's wrong. I'm not sure It may help to go back and read the "Compare Your Options" chart. If you think you've had a gallbladder attack, see your doctor.
Seek medical attention immediately if the pain is persistent and severe, if you have a fever or chills, or if your skin or the whites of your eyes are yellowish. Gallstones typically are diagnosed with lab tests, including a complete blood count and liver function studies, and with abdominal ultrasound. If gallstones have moved into the bile duct, a flexible viewing tube endoscope can be passed through your mouth and into your small intestine.
This allows your doctor to locate the stones and then remove them using small surgical instruments passed through the tube. If your gallstones aren't causing any symptoms, you do not need treatment. Your doctor may simply recommend staying alert for symptoms of complications. If you have one gallbladder attack, however, you're likely to have another one. If you have frequent attacks, your doctor will likely recommend that you have your gallbladder removed.
After your gallbladder is removed, bile flows directly from your liver into your small intestine. You'll still be able to digest food.
Rarely, stools become more frequent and looser following the surgery and can be an ongoing issue. Whether you find out accidentally that you have gallstones or experience a sudden gallbladder attack, treatment can resolve the problem.
You'll be able to get back to your usual activities, with or without a gallbladder. By Shawn Bishop. Gallstones Without Symptoms Don't Require Treatment July 15, Dear Mayo Clinic: I have heard that sometimes people have gallstones and don't even know it, while others have severe pain because of them.
Answer: It is true that even if you develop gallstones — a condition in which digestive fluid hardens into pebble-like deposits — you might not even notice. Other factors that may increase your risk of cholesterol gallstones include: Obesity and excess weight Pregnancy High-fat, high-cholesterol or low-fiber diet Family history of gallstones Diabetes Liver disease Crohn's disease Rapid weight loss Certain cholesterol-lowering medications Medications that contain estrogen, such as hormone therapy drugs and oral contraceptives You can reduce your risk of developing gallstones by maintaining a healthy weight, losing excess weight slowly 1 or 2 pounds a week , and eating three balanced meals a day.
Have you ever felt a strange aching pain in your upper abdomen? Some people with gallstones never exhibit symptoms, while others experience severe pain. If you are experiencing pain in the upper abdomen or right side of the body, you may have gallstones, and will want to seek treatment to avoid further complications. At least in the United States, about 25 percent of newly diagnosed patients with gallstones will need treatment.
Sometimes bile contents crystallize and form gallstones. Gallstones, which can be as small as a grain of salt or as large as a golf ball, can cause some serious problems. They can block ducts inside the organ, causing the gallbladder to become inflamed.
Even worse, when a gallstone passes out of the gallbladder duct and into the main bile duct, it can lead to a bile duct infection that can ultimately cause inflammation of the pancreas. Many patients have gallbladder surgery to alleviate pain and to avoid the potentially serious conditions caused by gallstones. In fact, surgery — in this case, a cholecystectomy, or gallbladder removal — is the most common form of treatment for gallstones. But the fact that surgically removing gallstones requires the removal of an entire organ has led to a growing interest in nonsurgical treatments for gallstones.
Besides alleviating symptoms, treatment for gallstones is necessary to avoid a progression that can result in severe conditions, such as acute cholecystitis , the condition in which the gallstone blocks the gallbladder ducts, causing the gallbladder to become inflamed and infected. Patients with acute cholecystitis are usually hospitalized and receive antibiotics, pain medication, and often surgery. If you have gallbladder symptoms , surgical treatments are preferred unless you are at high risk, and then drug treatments may be utilized.
But if people are unable to go through surgery, if someone is really old or really sick, there are different treatment options. Certain chemicals, such as ursodiol or chenodiol , which have been shown to dissolve some gallstones, are available in oral bile acid pills.
These medicines work by thinning the bile, which allows gallstones to dissolve.
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