The gall bladder is small organ in your body, just adjacent to the liver, whose function is to store a special juice referred to as bile produced by the liver. Bile is released whenever there is fat to be digested in the gut. The juices reach the intestines through channels that connect the liver, gall bladder, pancreas and bowel. In some instances, these ducts can get blocked resulting in a diseased sac that may require surgery. These are some of the basic principles of gallbladder surgery Queens NY patients may be interested in.
The presence of gallstones, also medically referred to as cholelithiasis, is one of the diseases affecting the gall bladder that may require removal of the organ for cure. In this condition, crystallized molecules composed of different elements form within the bladder, interfering with its normal function. There are two main types of stones, cholesterol stones and pigment stones of which over fifty percent are cholesterol in form. A person is at a greater risk of having the stones if they have had a similar episode in the past, if they are obese, chronically dehydrated, if they are female and if older than forty years of age.
The outstanding presenting complaint for suspected gallstones is abdominal pain, especially around the region of the upper quadrant on the right, where the inflamed bladder is situated. The colicky nature of the pain is attributed to peristaltic movement of gall stones between the organ itself and its related ducts. The patient tends to feel more discomfort if the stones are larger in size and if there are regular bouts of stone dislodgement into the duct system.
The patient may also have a distended abdomen. Additional signs and symptoms include yellowness of the skin and mucous membranes, fever, nausea, vomiting and consequent dehydration. The initial management of these patients is to provide supportive therapy as surgery is planned. This entails restoring hydration status though administration of intravenous fluids, analgesic support and drugs to reduce the inflammation.
It is important for the doctor to have a high index of suspicion because the consequences of untreated gallstones are unpalatable. This is because the associated inflammatory process and the building up of pressure within the limited space can result in the organ bursting and leakage of its contents. This further stimulates a new inflammatory process in the surrounding structures. The situation should therefore be treated with urgency to avoid further damage.
The definitive treatment for gallstones is removal of stones together with the gallbladder to prevent recurrence. Removal of the gallbladder through an operation is referred to as cholecystectomy. Before performing a cholecystectomy, the doctor will view your gall bladder and the surrounding tissues through an imaging technique such as an ultrasound in order to study the diseased area. Just like any other form of operation, specific blood tests have to be carried to out to ensure the patient can tolerate the procedure.
The operation can either be laparoscopic or open depending on the resources available. Laparoscopy is, however, more preferred because it carries less risk given the fact that only small incisions are made, limited to the target area. Consequently, cosmetic results are better than if one goes for open surgery.
In conclusion, gall bladder surgery is indicated for eighty percent of patients with gallstones. This is because most patients present when they can no longer bear the pain or when medications have failed. Surgery is the preferred form of treatment since it eliminates chances of recurrence if done properly.
The presence of gallstones, also medically referred to as cholelithiasis, is one of the diseases affecting the gall bladder that may require removal of the organ for cure. In this condition, crystallized molecules composed of different elements form within the bladder, interfering with its normal function. There are two main types of stones, cholesterol stones and pigment stones of which over fifty percent are cholesterol in form. A person is at a greater risk of having the stones if they have had a similar episode in the past, if they are obese, chronically dehydrated, if they are female and if older than forty years of age.
The outstanding presenting complaint for suspected gallstones is abdominal pain, especially around the region of the upper quadrant on the right, where the inflamed bladder is situated. The colicky nature of the pain is attributed to peristaltic movement of gall stones between the organ itself and its related ducts. The patient tends to feel more discomfort if the stones are larger in size and if there are regular bouts of stone dislodgement into the duct system.
The patient may also have a distended abdomen. Additional signs and symptoms include yellowness of the skin and mucous membranes, fever, nausea, vomiting and consequent dehydration. The initial management of these patients is to provide supportive therapy as surgery is planned. This entails restoring hydration status though administration of intravenous fluids, analgesic support and drugs to reduce the inflammation.
It is important for the doctor to have a high index of suspicion because the consequences of untreated gallstones are unpalatable. This is because the associated inflammatory process and the building up of pressure within the limited space can result in the organ bursting and leakage of its contents. This further stimulates a new inflammatory process in the surrounding structures. The situation should therefore be treated with urgency to avoid further damage.
The definitive treatment for gallstones is removal of stones together with the gallbladder to prevent recurrence. Removal of the gallbladder through an operation is referred to as cholecystectomy. Before performing a cholecystectomy, the doctor will view your gall bladder and the surrounding tissues through an imaging technique such as an ultrasound in order to study the diseased area. Just like any other form of operation, specific blood tests have to be carried to out to ensure the patient can tolerate the procedure.
The operation can either be laparoscopic or open depending on the resources available. Laparoscopy is, however, more preferred because it carries less risk given the fact that only small incisions are made, limited to the target area. Consequently, cosmetic results are better than if one goes for open surgery.
In conclusion, gall bladder surgery is indicated for eighty percent of patients with gallstones. This is because most patients present when they can no longer bear the pain or when medications have failed. Surgery is the preferred form of treatment since it eliminates chances of recurrence if done properly.
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