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Overview

Gallstones: Treatment, Procedure, Cost and Side Effects

What is the treatment?

As the name suggests, gallstones are a condition in which stones form in your gallbladder. These stones are basically hardened deposits of various digestive fluids. The stones can form in a range of sizes, from as big as a golf ball to smaller than a grain of rice. Naturally, this condition is quite painful. The symptoms include pain all over the abdomen, the back, and even between your shoulder blades and this can be a very harrowing experience for the person going through it.

There is one main line of treatment for gallstones and that is to remove the gallbladder entirely. This is done through surgery. However, this only happens if your gallstones begin to cause problems and interfere with your health. Many people out there have gallstones but since they don’t suffer from any problems, the condition does not need to be treated at all.

There are also oral medications that can be prescribed in order to dissolve and clear up the gallstones. These are usually given in milder cases. When the cases progress and the patient begins to experience major problems with their gallstones, then surgery is the only option.

How is the treatment done?

The first step to the treatment is the diagnosis. The process of getting diagnosed is fairly simple. A technician will take pictures of your gallbladder to get an idea of the kinds of stones there are. Then, pictures of your bile duct will also be taken to confirm whether or not there are gallstones present over there as well. There may also be blood tests to determine whether or not there are any other complications from the gallstones. Once all of this is done, your treatment can begin.

As stated earlier, for cases of gallstones where no symptoms or discomfort is caused, no treatment is required. You will be asked to keep an eye out for any symptoms but other than that, there will be no medication. With mild cases of gallstones, you will be given oral medication to help dissolve the stones within your body. However, it is important to note that these may take years to dissolve and can reoccur.

The surgical procedure for removing gallbladder stones is known as cholecystectomy. Once the gallbladder is taken out of the body, the digestive juices and bile flow into your intestine directly from the liver. The surgery lasts a few hours and you will be hospitalized for a few days afterward. The exact number of days will depend on your medical history and whether or not you experience any complications after the surgery.

Who is eligible for the treatment? (When is the treatment done?)

Anyone who has stones in their gallbladder can opt to get the treatment done.

Who is not eligible for the treatment?

If you do not have stones in your gallbladder, it is not advisable for you to get the organ removed from your body. If you are experiencing pain or any of the other symptoms of having gallbladder stones without actually having the stones, your doctor will run more tests to find out what the problem is.

Are there any side effects?

From the point of view of the way your body functions, your digestive system will remain unharmed after the surgery. It can function normally, with the exception that the bile will reach the small intestine directly from the liver instead of being passed through the gallbladder first. There are a few side effects to having surgery that one can be vary of. These include bruising and swelling, pain, and an infection at the site of the surgery if the wound was not closed properly.

What are the post-treatment guidelines?

After surgery, a combination of rest and exercise is very important. Though you will be bed ridden, you will also be encouraged to walk a little in the hospital. This is because the quicker you are on your feet, the faster your body will heal.

How long does it take to recover?

On an average, it takes about two weeks to recover from the stress of a surgery. The pain should begin to subside and your body should begin its natural healing process.

What is the price of the treatment in India?

Surgery can be very expensive, depending on the city you live in and the hospital where you are getting the surgery done. Getting your gall bladder removed can range in cost from Rs. 1,50,000 – Rs. 4,00,000.

Are the results of the treatment permanent?

Removing the gallbladder from the body is one way to ensure that you will never get gallstones again. Thus, the treatment is permanent.

What are the alternatives to the treatment?

Gallstones do not have any alternate treatments. If the symptoms are bad enough for you to see a doctor, then you must do so.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: Medium Price Range: Rs. 1,50,000 - 4,00,000

Popular Health Tips

Gallbladder Stones - Laparoscopic Surgery For It!

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Gallbladder Stones - Laparoscopic Surgery For It!

The gallbladder is responsible for storing and releasing bile. This bile aids in digestion by breaking down fat cells. If the gallbladder does not function optimally, small crystals begin to develop within the gallbladder. These are known as gallstones and can range from being the size of a salt crystal to a golf ball. Gallstones can be extremely painful and do not go away on their own. Since the body can function without a gallbladder, a surgeon may advise removing this organ to treat gallstones. This is known as a cholecystectomy. Today, this surgery is usually performed laparoscopically.

What is a laparoscopic cholecystectomy?
This surgery is also known as a keyhole surgery. Unlike an open surgery, in this case, the surgeon makes a few small incisions through which instruments may access the gallbladder. The removal of the gallbladder is also done through one of these incisions. A laparoscopic cholecystectomy may also be performed if the gallbladder is inflamed or in the case of pancreatitis. There are a number of advantages to this type of surgery. Most important amongst them is that the patient recovers faster and has less scarring.

Laparoscopic Cholecystectomy Procedure
This surgery is usually performed while the patient is under general anaesthesia. The surgeon begins by making a number of small incisions in the patient’s abdomen. A tube is then inserted into one of the incisions. Carbon dioxide gas is passed through this tube to separate the underlying organs from the abdominal wall. A tiny camera is inserted into another cut. The feed from this camera is displayed on a large monitor. Clips are sued to cut off the arteries and ducts servicing the gallbladder. The gallbladder is them cut free and pulled out of the abdomen through one of the incisions. During the surgery, special x-rays may also be used to check for gallstones lodged in the bile ducts. The incisions will then be stitched and dressed. In most cases, patients may go home on the same day.

Recovery from Laparoscopic Cholecystectomy
This surgery has a high success rate and is considered relatively safe. However, there are some risks associated with the procedure. These include:

  1. Allergic reaction to anaesthesia
  2. Bleeding or clotting of blood
  3. Infections
  4. Increased heart rate
  5. Injury to the small intestine or bile duct

Recovering from a gallbladder removal surgery usually takes a week. Unless there are any complications, extended hospitalization is not required. In the first few days after the surgery, patients may experience slight diarrhoea. Patients are advised to walk but should avoid lifting weights. Special antibacterial soaps should be used while bathing to avoid the onset of infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

1953 people found this helpful

Different Gastrointestinal Problems In Women

DM - Gastroenterology, MD - Internal Medicine, MBBS Bachelor of Medicine & Bachelor of Surgery
Gastroenterologist, Noida
Different Gastrointestinal Problems In Women

The gastrointestinal system starts from the oral cavity and ends at the anus where undigested food is eliminated from the body. The esophagus, small intestine, large intestine and rectum along with organs like salivary glands, pancreas, liver and the gall bladder are all part of the gastrointestinal system. The gastrointestinal problems affect women differently than men. The symptoms which are observed in women are different than the symptoms observed in men. Some of the major areas where the women’s gastrointestinal system works differently than men’s are in the stomach, esophagus, colon and other areas.

Stomach
The process of emptying food from the stomach seems to be slower in women than in men which can be the reason why women experience nausea and bloating more than men. Another problem which affects women more than men is gastritis which causes inflammation of the stomach. Patients often take aspirin-like compounds as a quick solution for reducing the inflammation; however, this may lead to irritation in the stomach lining which can eventually lead to ulcers. Consulting a doctor is therefore advised before taking any step.

Esophagus
Esophagus is another organ which works differently for men and women. For women, especially premenopausal women, the muscle squeezes shut strenuously to make sure that the stomach juices and food stay in the stomach. Women tend to have heartburn more often than men; however, women are less likely to damage their esophagus in comparison to men.

Gallbladder Issues in Women
The process of emptying from the gallbladder is also slower in women than in men. Men are less likely to develop gallstones than women. The problem of developing gallstones is often heightened for women who are pregnant. This is usually the reason why more women develop gallstones after pregnancy. There are a number of symptoms which indicate a gallbladder disease. Any pain in the upper abdominal after eating or nausea and vomiting can indicate the risk of gallbladder diseases.

Liver and Small Intestine Issues
For the liver and small intestine, women secrete different enzymes than men. Enzymes from the liver and small intestines help in breaking down any medications they take, in the body. Since the enzymes work differently for both men and women, women handle the medications differently which either has little or too much effect on them. So patients must consult their doctors before starting any medication.

11 people found this helpful

Gall Stone Surgery - Know Everything About It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Gall Stone Surgery - Know Everything About It!

What is gallstone surgery?

It is a surgical removal of the gallstone from the gallbladder. It is also known as cholelithotomy.

What are the Statistics of the surgery?
Approximately 90% of patients who seek treatment undergo a surgery to remove the stones and the gallbladder.

What is the role of gallstone surgery?
Gallstones which are asymptomatic generally don’t need surgical removal. Treatment depends on the size and location of the gallstones. Surgery to remove the entire gallbladder with all its stones is usually the best treatment, and it is done in patients who can tolerate the procedure.

What are the indications for gallstone surgery?
Indications for gallstone surgery are as follows:

  • Stone lodged in the pancreatic duct
  • If the stone is causing severe pain, vomiting
  • Chronically obliterated cystic duct due to gallstone
  • Nonfunctioning gallbladder due to obstruction
  • Calculi greater than 3 cm in diameter
  • Acute infection of gallbladder (acute cholecystitis) due to gallbladder obstruction
  • Chronic infection of gallbladder due to gallbladder obstruction

How is the surgery performed?
The following surgeries are done in patients who are found to have cholelithiasis and choledocholithiasis:

  1. Extracorporeal shock wave lithotripsy: A special machine which generates sound waves is used to break the stone. It is only done in the people who are having a small, and soft stone. This procedure doesn’t require any anesthesia, and repeated shock wave therapy is required for complete removal.
  2. Laparoscopic cholecystectomy: It is a procedure where a laparoscope (a small, thin tube) is put inside the body through a tiny incision made just below the umbilicus, and another probe is inserted to remove the stone.
  3. Open gallbladder surgery: It is done to remove the gallbladder when it is infected, or inflamed, or has large gallstones, or when complications are found during laparoscopic surgery.
  4. Percutaneous cholecystostomy guided by computed tomography (CT), or ultrasonography (USG) to remove the gallbladder.
    • Contact dissolution of gallstone can be done where direct catheter of a chemical solvent is introduced by the percutaneous way. It is best for cholesterol stone and, is best at removing any size of the stone.
    • Endoscopic retrograde cholangiopancreatoscopy (ERCP) is used to remove the stones which are in bile duct through the mouth, throat, esophagus, stomach, duodenum, and biliary system without any surgical incisions.

What are the complications of surgery?
Following are the most common complications of surgery:

  • Bile leakage leading to biliary peritonitis
  • Infection of gallbladder due to improper aseptic precautions
  • Abscess formation around the gallbladder, or over adjacent structures
  • Death due to rapidly spreading peritonitis causing septicemia
  • Raised liver enzymes, jaundice, and severe pain

In case you have a concern or query you can always consult an expert & get answers to your questions!

2849 people found this helpful

A Post-Surgery Guideline For Cholecystectomy!

MBBS, MS - General Surgery, Fellowship In Laparoscopic & Robotic Onco-Surgery, Fellowship In bariatric surgery, F.I.A.G.E.S
General Surgeon, Delhi
A Post-Surgery Guideline For Cholecystectomy!

Gallstones can’t be wished away. There are no medications for it. The only solution is to remove the gallbladder. The gallbladder is a pear-shaped organ situated beneath the liver, which collects and concentrates the bile produced by the liver. The surgical removal of the gallbladder becomes necessary if one develops stones in the gallbladder which blocks the flow of bile. Gallbladder removal surgery also called Cholecystectomy is a fairly common surgery with very low risks and complications.

Diagnosis
Gallstones are usually diagnosed with the help of an ultrasound, although in the more complex cases, CT scans and X-ray tests are also used. As gallstones can only be managed temporarily with dietary adjustments and can’t be made to go away, Cholescystectomy is a permanent solution.

Post-Surgery-

  1. Temporary or transient nausea may occur for a day or two, as a side effect to the medications used such as anesthesia.
  2. The amount of time that a patient might need to spend in hospital care is dependent on how well they can intake and retain fluids in the body. Urine function is monitored and on that the basis of that, patients are discharged.
  3. Patients can resume normal physical activity, which includes driving and light lifting within almost a week’s time.
  4. If you notice an onset of fever, yellowing of eyes and skin, persistent nausea, then you must contact your surgeon in case it develops into a serious complication.
  5. Follow up with your surgeon within 2-3 weeks of the surgery.

Risks
The risks associated with Cholecystectomy are quite low. Minor complications such as blood clots and infections are usually mitigated by the precision and dexterity of the surgeon.

Recovery
You need to plan ahead for your recovery.

  1. Plan to stay at the hospital: Although you could easily leave the same day as your Cholecystectomy, it is highly advisable to stay in hospital care for at least a day or two. Complications may occur, therefore, it is smarter to deal with them in the hospital where the doctor is always available. Also, if it was so required that the surgeon needed to make a deep incision, you will need to stay longer at the hospital.
  2. Do not drive yourself home: Ask a family member or a close friend to drive you home when you leave the hospital. Its not going to take you more than a week or two to start driving again. It is better to cautious about physical activity just after surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1977 people found this helpful

Gallbladder Stone Treatment Through Surgery!

MBBS, MS - General Surgery, Fellowship in Gastroenterology
General Surgeon, Hyderabad
Gallbladder Stone Treatment Through Surgery!

The gallbladder is the small organ that is located on your liver’s underside, and functions primarily to store bile that aids the body in breaking down fats. The extra bile produced by the liver is then stored in the gallbladder, so that it is later released into the system when you consume fats that need to be broken down. However, one must remember that normal digestion is possible without a gallbladder, but the bile keeps flowing into the small intestine, but isn’t stored along its way in your gallbladder.

Often, gallstones are the primary reason that happens to prompt an individual to undergo a surgery. Another reason why you might have to rid yourself of the gallbladder itself is owing to the fact that the case of gallstones might be an acute one, or due to the incidence of other complications usually associated with your gallbladder. In most cases, however, the following procedures are employed to provide the patient relief:

Open Cholecystecomy
This surgery is generally performed with the use of an anaesthetic, by rendering the patient unconscious. Once the anaesthesia is employed, an antiseptic solution is used to clean the abdomen so that the risk of infection is drastically reduced. Incisions are made in the upper portion (on the right) of the abdomen, while the liver is carefully lifted out of the way in order to facilitate easy removal of the gallbladder. The next step deals with closing and suturing the incision. The recovery period for this procedure is longer than most other options, and is accompanied by a lot of postoperative pain.

Laprascopic Cholecystecomy
In this method, the surgery is carried out with the help of general anaesthesia, and instead of creating one large incision, four tiny cuts are made into the abdomen. One incision is purposely made under the navel wherein a laparoscope is inserted. Instruments are then inserted through other incisions, and the gallbladder is then cut free and drawn out through one of these incisions. Once the procedure ends, the incisions are stapled or sutured.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3222 people found this helpful

Popular Questions & Answers

Hi my grandfather is having stone in gallbladder and now pus has formed. So doctor kept a tube to remove that. So what kind of food should he take. He is diabetic and have high bp. His body generally habituated to form gas. Suggest some diet we can give him.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Some food guidelines for your case as sprouted mung, organic tea, coffee, butter milk, roti without ghee, vegetables without sugar, less oil legumes, pulses, whole grains Hope this clears your query. Wishing him fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.

I have a laparoscopy surgery for gall bladder stone tomorrow and I am on mensuration can a surgery possible on mensuration.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. You can take lap surgery, the outcome would be as if you are not in non menstrual stage. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
1 person found this helpful

Gall bladder is well distended and echogenic area seen at body of 4-2 cm and large 16 mm size calculus seen? GB massfew peripancreastic node seen Mild free fluid in abdomen and right pleural effusion.

MS
General Surgeon, Panipat
Please get a CT scan done of abdomen to rule out other possibilities of Pancreas. Consult a surgeon and get proper advice.

My mother diagnosed gallbladder in the month of February 13,2018, and gave it for biosphy and the report shows bile duct cancer and hepatic metastasis. And now Dr. advice me to go for ercp. So, sir How long it will take for ercp. And will you please advice me more?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
ERCP is a procedure where by a scope is inserted into the duodenum and the bile duct and pancreatic duct is visualised. If need be, they can insert a plastic or metal stent depending upon the prognosis of the gall bladder cancer. Metal stent usually lasts for a few months but is cheaper, while self expanding metal stent lasts for 6mths to 2 years, but is expensive. ERCP is sometimes associated with complications like cholangitis, pancreatitis, and rarely perforation or bleeding. Feel free to contact me directly if you want to share your reports or discuss this further.
1 person found this helpful

Hi. I had laparoscopic gallbladder removal surgery twenty days back. Now I have small pain in the stitches, is this normal? I have a baby (7 kgs) who is nine months old. When can I lift my little one.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Little pain is normal at 3 weeks, if more pain then problematic you can lift baby at the time period of 6 weeks after lap surgery (means now after another 3 weeks) Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Gallstones Disease
Types, symptoms, and treatment for Gallstones

Hi, I m Dr. Nimesh Shah. I m a consultant endoscopic, laparoscopic and G.I surgeon. I m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis- -vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate. Types, symptoms, and treatment for Gallstones

Hi, I m Dr. Nimesh Shah. I m a consultant endoscopic, laparoscopic and G.I surgeon. I m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis- -vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate.
Play video
Know More About Gall Stone Diseases
Causes, symptoms, and treatment of Gall Stone Diseases

Hello, friends, i am Dr. Parthasarathy, surgical gastroenterologist HPB and minimal access surgeon practicing in Hyderabad. I specialize in the treatment of complex problems of the liver, pancreas, and cancers of the digestive tract, and also specialize in advanced laparoscopic surgeries of the abdomen. It is experienced in this field for more than a decade, there is one particular problem which is very commonly encountered in my practice, and that is gallstone disease so today I shall be talking to you about this problem.

Before understanding what is this stones of the gallbladder one has to know what gallbladder is. The gallbladder is a small sack, a pear-shaped organ which is located attached to the liver whose main function is to store bile. Bile is a digestive juice which is secreted by the liver and stored in the gallbladder and when a person eats this stored bile is released into the intestine and it helps the digestion of the fat. So this is exactly the function of the gallbladder the liver secretes bile all through the day. But we eat only thrice a day or four times a day, so all the secreted bile is stored in the gall bladder and then released as in when needed. This bile contains cholesterol, so for various reasons sometimes stones can form in the gallbladder and that is when it becomes a problem. What are the problems these stones in the gallbladder can cause, number one it can cause repeated attacks of pain, gallstone pain typically happen on the right upper side of the abdomen just below your right rib cage, and it can radiate to your shoulder to the back or to the central abdomen. This is, in fact, one of the minor problems which it can cause it can also lead to serious complications when the stone slips and blocks the outlet of the gallbladder the secretes in the gallbladder can get accumulated, can get a lot of pressure and cause an inflammation of the gallbladder and swelling which in medical terms we call acute cholecystitis which is a life-threatening problem.

Sometimes the gallstone if they are very small they can slip into the bile duct which is a tube which carries the bile to the intestine from the gallbladder and block the bile duct and when the flow of bile is blocked bile cannot get drained into the intestine, there is a back pressure on the liver and the patient can develop jaundice. more dangerously sometimes these stones can block the tube of the pancreas, the pancreatic duct and the bile duct have a common opening and when these stones block the outlet of the pancreas they can cause a life-threatening problem called acute pancreatitis. Having said all this, these complications are quite rare meaning majority of the patients with gall bladder stones do not develop these life-threatening complications and a most common problem which they come to me with is a pain. Any stone in the gall bladder which causes or has caused pain in the past needs treatment. So the final word is asymptomatic gall bladder stones meaning silent stones do not need treatment.

Patients who have symptomatic gall bladder stones meaning who are presently experiencing a pain because of the gallstone or who have had pain in the past need treatment so what treatment is effective for gall bladder stones. Number one there is no medical treatment which is effective for treating gall bladder stones, unlike kidney stones medicines do not dissolve gallbladder stones, the only treatment option for a gallstone is surgery. What surgery the surgery of choice for this is a laparoscopic cholecystectomy wherein its a keyhole surgery through which the gallbladder is removed completely.

Removal of the stones alone is not sufficient in treating gallbladder stones the gallbladder has to be removed completely to get rid of the problem even though the gallbladder is an organ with some functions in the body it can be safely removed without causing any major defects or problems in your digestion. So after undergoing surgery for removal of the world murder one can continue to eat all that he was eating before the operation. He does not lose any digestive power; the body automatically adapts to the loss of gall bladder and continues with its normal digestive functions.

Feel free to contact me for further queries and clarifications on any of your gastro related issues. Thank you.
Play video
Gallbladder Stone
How laparoscopy can help in treating gallbladder stone and prevent you from severe medical conditions, which can happen because of it.

Hello I am Dr Sudhir Kalhan. I am senior consultant and the CO chairman of the department of minimal access metabolic and bariatric surgery at Sir Ganga Ram Hospital. Sir Ganga Ram Hospital is a multispeciality tertiary care centre having reference from all over India. Power department specialising in treating diseases of the gallbladder appendix and hernia and diseases related to obesity. Today I am going to discuss common diseases like gallbladder stone disease. Gallbladder as we all know is a small organ in the liver bed. It stores about 30 ml of bile and whenever we have a heavy fatty meal, this extra bile is secreted into the stomach.

Very commonly especially in North India where we take a fat rich diet which is high on lipids and cholesterol we have what is known as gallbladder stone disease. So what happens is that whenever we take a fat heavy meal this gallbladder contracts and produces pain the upper abdomen which radiates it to the back. Gallstone disease can be very very dreadful if these those fall into the common bile duct it can produce jaundice. If did stones pass into the pancreas they can produce inflammation of the pancreas and dreadful disease of pancreas which can later cause diabetes mellitus. Also one of the most dreaded complications of gallbladder stone disease is that 10% of longstanding gallbladder stone disease can go into cancer of the gallbladder which is a near fatal disease.

On the other hand gallbladder disease can very easily be tackle now using a technique known as laparoscopic surgery. Yes Kotak surgery commonly known as keyhole surgery or Telescopic surgery or loosely also as laser surgery requires making small tiny holes into the abdomen 5 millimetres of size which insert a telescope which is connected to a camera. Using this telescope and camera we put and ancillary instruments and bisect the gallbladder of the liver bed and using metallic clips this is then dissected of and removed from the gallbladder. The disease gallbladder is then sent for biopsy.

This whole surgery normally takes about 20 to 30 minutes and most of the patients can start moving around 1 to 2 hours after surgery and typically with 24 hours the patients are back to the normal routines. That means they can move around the can climb stairs they can eat there normal diet and they can go back to the normal works within 3-4 days. So my suggestion to all of you is that gallbladder disease is a very dreadful disease. We should not wait for the disease to advanced.

An early treatment leads to early recovery. Thank you.
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Symptoms and Treatments of Gallbladder Stones
Dear friends. I m Dr. Manish Kumar Gupta. I m a Consultant Laparoscopic and Robotic Surgeon in Sir Ganga Ram Hospital.
I have my own clinic with the name New life clinic at Indirapuram, Ghaziabad.
Today, friends, I ll be talking about gall bladder stone which is a very common problem in North India.
The gall bladder is basically a pear shaped organ which is attached to the liver and the bile which is formed in the liver gets stored in the gall bladder which is later goes in to the intestine, and get mixed with the food to cause digestion of the food.
Whenever the component of the bile like cholesterol or bile pigment increases there is formation of gall bladder stones.
The symptoms of gall bladder stones are basically distension of abdomen after having heavy meals or discomfort or sometimes patient can have pain in the right side of the upper abdomen or which can radiate to the back and shoulder.
Sometimes, these gall bladder stones can be silent stones, and they lie in the gall bladder without causing any symptoms but if these stones are in patients having diabetes or if these stones are very large more than 2 cm in size then, the treatment is required.
The diagnosis of gall bladder stone is very simple. By a simple ultrasound abdomen, one can be easily diagnosed whether the patient is having a gall bladder stone or not and it is almost a confirmatory diagnosis. One does not need a very special investigation or test to get diagnosed these gall bladder stones.
The treatment for gall bladder stones is basically a surgery.
There s nothing like, you can t do anything to prevent gall bladder stones to form but yes, if you eat less oily or less fatty meals, the symptoms get relieved to some extent.
As I told you that the treatment is surgery. Nowadays, there is no big cut in the tummy to take out the gall bladder but what we do nowadays is a laparoscopic surgery.
In laparoscopic surgery, we make three or four pencil size holes in the abdomen and through these holes we operate. Through one hole, we put a cylinder like camera inside and by two or three ports, we put our instruments inside and get these gall bladder removed from the abdomen through a 10 mm port.
Nowadays, this type of surgery is basically a day care surgery and one can come to the hospital and get operated and can be discharged on the very same day if it s an uncomplicated gall bladder.
Gall bladder can cause complications also other than these symptoms and if the stone gets slipped down and gets inducted in a common bile duct which is a channel which joins the gall bladder to the intestine and if the stone gets inducted in common bile duct, then, one has to take out that stone endoscopically through ERCP and then after that one has to go for gall bladder stone removal.
So, it is like a two stage procedure. So, one should not wait to get all these complications to occur because , if the stone gets inducted in the CVD then, the chances of jaundice, chances of acute pancreatitis can occur which can be dreaded complication .
So, friends I have told you about the gall bladder stones and if you have such problems, if you have gall bladder stones even though it is asymptotic or you have symptoms you should go to a surgeon or a physician who can guide you.

You can tell you what need to be done or if you want to meet me you can come to me at Sir Ganga Ram Hospital or at my clinic which is in Indirapuram with the name New life clinic or you can talk to me through Lybrate, you can chat with me, you can text me at the lybrate.com and I will be available 24 hours to you.
Thank you friends! Thank you!
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