The Gall Bladder is a small hollow pear-shaped organ located inside the abdomen under the liver which is responsible for the storage of bile.
Bile has a high concentration of cholesterol and bile pigments. Most
stones form inside the gall bladder when the concentration of cholesterol
increases. This usually occurs in females, during pregnancy, prolonged fasting,
high-fat diet, and taking birth control pills. They can also form when infections
affect the gallbladder like typhoid fever. Sometimes stones can form
idiopathically (i.e without any known causes).
Patients can be asymptomatic or have severe symptoms. Usually, they have
complaints of heaviness after meals, nausea, gas bloat, and pain in the upper
abdomen. Sometimes, the pain can be very severe and is located in the right upper
abdomen and goes to the back or shoulder. There can associate vomiting and
fever. In complicated cases, the stone can slip and block the common bile duct
which will result in jaundice.
The internationally accepted treatment for gall
bladder stones is by surgical removal of the gallbladder
together with the stones. The current recommendation is to do this operation
laparoscopically.
To date, there is no drug that is effective in dissolving or removing
the stones. Moreover, if a drug does result in the expulsion of the stone, there is
a risk of causing blockage of the CBD resulting in jaundice.
Since the stones form in a Gall bladder that is diseased, it is
necessary to remove the entire gallbladder; otherwise, stones would definitely be from inside again.
The patient is started on liquids 4-6 hours after
the operation. They can take a soft diet the next day and can have their full
diet 2-3 days after the surgery. They are told to avoid fatty/fried food for at
least 2 weeks after the operation.
DR ACHAL AGRAWAL
is a consultant gastrointestinal, laparoscopic & bariatric surgeon at
Greater Kailash Hospital, Indore which is a renowned multispeciality hospital
with the highest standards of care.
Dr. Achal Agrawal, during his undergraduate days in a premier medical college, was highly influenced to take up surgery as his specialization. After completion of his post-graduation in general surgery with distinction and gold medal and having observed several stalwarts from the field of laparoscopy, he decided to take minimal access as his specialty.
Dr. Achal Agrawal, during his undergraduate days in a premier medical college, was highly influenced to take up surgery as his specialization. After completion of his post-graduation in general surgery with distinction and gold medal and having observed several stalwarts from the field of laparoscopy, he decided to take minimal access as his specialty.
For more
information you can visit our website here www.indorelaparoscopycenter.com

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