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.
An individual is predisposed to gallstones if they are of the female gender, older than forty, overweight, or have had a similar experience in their lifetime. Gallstones can be pigmented or cholesterol in form with the majority being made up of cholesterol. They tend to get impacted in the gallbladder (being small sized organ) when the aforementioned risk factors are present.
In the typical setting, the patient describes their pain as extremely intense with variable duration and having some association to eating. When the doctor examines them, more often than not, tenderness is noted in the upper right quadrant of their abdomen. Intermittency of the pain is a result of dislodgement of the stones from the bladder itself into the narrower duct system. It gets displaced back and forth due to periodic contraction and relaxation of the muscle layer within this system. Complete impaction of a stone within the limited duct space can cause severe discomfort to the patient.
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.
Management of gallstones should be given the attention it deserves because negligence can lead to irreversible damage of critical organs in the body. The presence of stones triggers an inflammatory response that if left to go on without intervention, can result in spillage of bile once the gallbladder gets perforated.
Since gallstones have a high tendency to recur, they are best treated by simply getting rid of your gallbladder through a surgical procedure called cholecystectomy, usually performed under general anaesthesia. In preparing the patient for surgery, the doctor will do specific laboratory tests to check whether your system can withstand the stress of an operation. The operating team will also need an abdominal ultrasound to have an idea of how severe the damage is before they go in.
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 summary, an operation is usually the primary treatment of gallstones. In this case, the risk of recurrence is almost zero if the surgery is done in a proper manner. The only time in which medical treatment can be the mainstay is if the condition does not interfere with the day to day life of the individual.
An individual is predisposed to gallstones if they are of the female gender, older than forty, overweight, or have had a similar experience in their lifetime. Gallstones can be pigmented or cholesterol in form with the majority being made up of cholesterol. They tend to get impacted in the gallbladder (being small sized organ) when the aforementioned risk factors are present.
In the typical setting, the patient describes their pain as extremely intense with variable duration and having some association to eating. When the doctor examines them, more often than not, tenderness is noted in the upper right quadrant of their abdomen. Intermittency of the pain is a result of dislodgement of the stones from the bladder itself into the narrower duct system. It gets displaced back and forth due to periodic contraction and relaxation of the muscle layer within this system. Complete impaction of a stone within the limited duct space can cause severe discomfort to the patient.
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.
Management of gallstones should be given the attention it deserves because negligence can lead to irreversible damage of critical organs in the body. The presence of stones triggers an inflammatory response that if left to go on without intervention, can result in spillage of bile once the gallbladder gets perforated.
Since gallstones have a high tendency to recur, they are best treated by simply getting rid of your gallbladder through a surgical procedure called cholecystectomy, usually performed under general anaesthesia. In preparing the patient for surgery, the doctor will do specific laboratory tests to check whether your system can withstand the stress of an operation. The operating team will also need an abdominal ultrasound to have an idea of how severe the damage is before they go in.
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 summary, an operation is usually the primary treatment of gallstones. In this case, the risk of recurrence is almost zero if the surgery is done in a proper manner. The only time in which medical treatment can be the mainstay is if the condition does not interfere with the day to day life of the individual.
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