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Gall Bladder Treatment

The gallbladder is a hollow organ just below the liver, approximately 8 cm long and 4 cm wide in healthy adult individuals, lying in the form of a pear lying on the left side. The gallbladder is connected to the common bile duct (common bile duct), which opens to the duodenum through the cystic duct.

What is the gall bladder? What Does a Gallbladder Do?

The main task of the gallbladder is to store bile produced by the liver. Bile is an important secretion for the digestion of food fat. After a fatty meal, gall bladder , which is produced by the digestive system and stimulated by a hormone called “ cholecystokinin “, contracts the bile it stores between two meals and enters the duodenum through the cystic duct and common bile duct. empties. Cholesterol, pigments and possible infection products in bile may precipitate in gallbladder where bile is stored over time, forming mud-like viscous liquids. This precipitation can go further and lead to the formation of stones in the bile. Most of these stones do not cause any signs or symptoms during their formation; For this reason, stones and mud in the formation process can often be found in radiological examinations of the west performed for different reasons or in periodic examinations. Stones in the gallbladder , if not treated, may fall from the gallbladder to the bile ducts and cause various complications as a result of preventing both the bile flow and the pancreas from evacuating its secretions. Fortunately, the vast majority of patients experience some signs and symptoms before these complications develop.

Page Bag Complaints

In some cases, gallstones that do not cause gall bladder complaints do not require surgical treatment. Surgical treatment is appropriate for gallstones that cause complaints. In addition, in some patients, enlargement of the Vater bulb, where the common bile duct and pancreatic duct are combined and opened to the duodenum, may be a treatment option. It is possible to relieve the structure with drains to be placed in the gallbladder in patients who already have different diseases related to the liver-biliary system and therefore it is not possible to surgically remove the gallbladder.

What is a gallbladder polyp?

A gallbladder polyp is a small, abnormal growth of tissue with a stem protruding from the inside of the gallbladder. Gallbladder polyps are common. The gallbladder is a small organ that stores bile and passes it from the liver to the small intestine. Although approximately 95 percent of gallbladder polyps are noncancerous, ie benign polyps, 5% probability can be seen as malignant. Small gall bladder p olipes Small gallbladder polyps are typically benign polyps, usually ranging in size from 1 to 1.5 cm and often do not need to be treated. Since polyps larger than 1 to 1.5 cm may be malignant, treatment methods deemed appropriate by the physician can be applied.

Symptoms

Gallbladder Stone Symptoms

Gall mud and newly formed gallstones usually do not show symptoms in the first periods. Studies have shown that approximately half of all gallstones do not cause any signs or symptoms during human life. The most basic symptom of gallstones is a type of pain specific to the biliary system called “ biliary colic “. Although biliary colic is quite determinant in diseases of the biliary system, gall bladder symptoms can be defined as follows:

  • Beginning in the upper middle and right part of the abdomen and sometimes spreading towards the right scapula,
  • Usually after meals, sudden onset,
  • Increasing for 15-20 minutes, then persisting up to 5 hours,
  • Does not respond to applications such as vomiting, antacid drugs that prevent heartburn, defecation, passing gas, changing position,
  • May cause excessive sweating and nausea,
  • Blunt and dense character,
  • Pain that passes by itself over time.

In addition to all the above symptoms, gallbladder pain, that is, pain due to gallstones, is one of the most prominent features.

Symptoms of Gallbladder Inflammation

Gallbladder is a pear-shaped digestive organ located on the right side of the abdomen. When the gallbladder becomes inflamed , abdominal pain, vomiting and fever cause could be n. Inflammation may develop due to obstruction of the liver and this is called acute cholecystitis . The most common symptoms of gallbladder inflammation are: Starting just above the navel, it can be exacerbated by the edge of the rib cage located on the right side of the abdomen. Again, excessive consumption of fatty foods will cause the bile duct to close, so the digestive system cannot easily break down foods, which can cause nausea, vomiting and loss of appetite. One of the symptoms of gallbladder inflammation is high fever and severe pain. Gallbladder inflammation can cause severe pain in the right side of the back. Symptoms such as a stinging sensation in the back may also occur, especially when breathing deeply. Gall bladder symptoms can also be seen in children. Also, children may experience symptoms similar to those of adults. These can occur as high fever, anorexia, weakness and pain. Some children with gallbladder inflammation may have a yellow skin tone.

Diagnostic Methods

Gallbladder Stone Diagnosis

Your physician will take your medical history regarding your complaints and perform a physical examination. Considering your examination findings and medical history, a number of blood tests, as well as radiological tests such as ultrasonography, computed tomography and MRI can be used to clarify and support the diagnosis.

Treatment Methods

Gallbladder Stone Treatment

The main treatment for gallstones is surgical removal of the gallbladder; However, the timing of the treatment may vary depending on the type of treatment, the symptoms caused by the stones in the gallbladder and the general condition of the patient.

Gallbladder Mud

The gallbladder is located between the intestines and the liver. The liver stores bile passing through the intestines to aid digestion. If the gallbladder is not fully emptied, particles such as cholesterol or calcium salts in the gallbladder may thicken as a result of being in the gallbladder for too long. As a result of this situation, bile sludge which is called gallbladder sludge occurs. Some people may have no symptoms, even though they have gall bladder sludge. Patients with no symptoms may not realize for a long time that they are exposed to this disease. In addition, many patients may experience abdominal pain, one of the most prominent features, and a sharp pain in the lower right side of the ribs. Other symptoms caused by gallbladder mud are observed as follows;

  • Chest pain
  • Shoulder pain
  • Nausea
  • Vomiting
  • A stool that looks like clay

Gall Bladder Surgery

Gallbladder surgery is usually the best way to treat gallbladder problems. A method called cholecystectomy is most commonly used to treat gallstones and the complications they cause. Cholecystectomy is a widely used surgical method. With this method;

  • Gallstones in the gallbladder (cholelithiasis)
  • Gallstones (choledocholithiasis) in the bile duct
  • Gallbladder inflammation (cholecystitis)
  • Large gallbladder polyps
  • Conditions such as pancreatitis (pancreatitis) due to gallstones can be treated.

Cholecystectomy method is one of the most commonly used methods. It is made by placing a small video camera and special surgical instruments through four small incisions to remove gallbladder and the inside of your abdomen. Doctors call this a laparoscopic cholecystectomy. With this method, gallstone surgery can also be performed.

After Gall Bladder Surgery

After gallbladder surgery , patients can usually be discharged on the same day if there are no complications. After the surgery, doctors recommend walking. However, clear information about the subject will still be given to you by your doctor. Gallbladder surgery You will probably be able to return to your normal activities about a week after the removal of the gallbladder by laparoscopic method. If you do a physical job involving heavy lifting, be sure to ask your doctor when you can get back to work. If you’ve had an open surgery with a large incision, you may need more time to heal. You may need to stay in the hospital for a few days after surgery. In operations performed with an open incision, returning to normal life may take 4-6.

Nutrition after gallbladder surgery </ h3>

After gallbladder surgery, you can make your digestive system work more easily by making some changes in your diet . You should avoid and avoid high-fat and processed foods that are harder to digest. You can probably add some of these foods to your diet gradually, especially in the months after surgery. Consuming foods with high nutritional value after gallbladder removal will also support the acceleration of your healing process. It is especially important that you stay away from caffeinated foods and beverages such as coffee, tea, soda, energy drinks and chocolate for a while. After gallbladder surgery be careful to consume high-fiber foods. These are;

  • Beans
  • Lentils, peas, potatoes
  • Oats, barley
  • Whole grain bread, pasta, rice
  • Raw nuts such as almonds, walnuts and cashews (not roasted in oils)
  • Raw seeds such as chia and poppy seeds
  • Nuts and seeds
  • Fruits and vegetables
  • Lean meat (white or red)
  • Fish

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Op. Dr. Akın Kocaoluk


Op. Dr. Akin Kocaoluk | Resume


He graduated from 19 Mayıs University Faculty of Medicine in 1998. He is currently continuing his active career in Turkish Red Crescent Altıntepe Medical Center.




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