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Essentially removing a gall stone and any
form of treatment which leads behind the gall
bladder forms or causes the moment of bile
to be deranged, due to this derangement, there
is a higher chance of recurrence of gall stones
however when they recur, we may not be in
the position to go back into the same surgery
because at whole area would be different now,
the anatomy would have changed and therefore
surgery becomes extremely difficult and risky.
So international guidelines state that the
best way to treat a gall stone is to remove
the gall bladder and the gall stones together.
Bile was initially stored and concentrated
by the gall bladder, now what happens is the
liver directly produces the bile and the tube
called the common bile duct which is truanting
the bile from the gall bladder to the intestine
will continue to do so but only different
is this bile is much more liquid compare to
the bile which was there in the gall bladder,
so the patient may not really suffer any major
changes any major changes in his physiology,
once the gall bladder and gall stones are
removed.
This surgery is about 45 min to 1 hour depending
on the amount of additions that are there
inside the abdomen.
We advice the patient not to take a fatty
meal before and after a surgery, we will ask him
to consume a lot of water and to come without
consuming any food for the last 12 hours for
the surgery and then we can perform the surgery
easily.
Since the gall bladder stones are asymptomatic
they really cannot know when they started
forming?
They can form anywhere between 3 to 5 years
before you actually find out above gall bladder
stones.
The best way to prevent it is any abdominal
pain that you feel in the upper part of the
abdomen please go and show it to your doctor
if it is diagnosed to have a gall bladder
infection, then that has to be treated vigorously,
because that is the pre- cursor for formation
of stones have a low cholesterol diet, because
the cholesterol if it's saturates in the bile
that's when gall stones formed.
A biliary colic or an infectious attack on
the gall bladder would be essentially a painful
condition where in the pain is more focused
on the right upper abdomen, the pain is so
severe that the patient is incapacitated for
few minutes sometimes up to a few hours patient
is unable to even eat during that duration
or consume water.
Once the pain subsides patient is able to
resume his regular work.
This pain may be associated with vomiting
may be associated with sometimes as a fever
may be associated with difficulty in breathing
also depending on it's severity.
No Gall stones cannot away without surgery,
only exceptions to this case are very small
gall stones can somehow slip out of the gall
bladder and gets stuck into the common bile duct, which is
the duct which connecting gall bladder to
the intestine.
This may in future grow in size and completely
block the common bile duct, therefore causing
jaundice and severe infection in and around
the liver which is a very difficult condition
to treat and causes intense discomfort and
pain to the patient.
If it slips out of the gall bladder and enters
the intestine there is a possibility that
gall stones can pass out through stools.
There is a condition called as Gall stone
ileus where in if a large stone enters into
the intestine, It may get stuck at the junction
of small and large intestine causing obstruction
or pain in the abdomen.
Do not take any fatty food because consumption
of high cholesterol meals or high calorie
meals triggers the gall bladder to add to
pump out the bile which is present inside
it, when that is done it also causes a disruption
in the bile flow and this disruption essentially
equates to an infection that may be caused
in and around inflammation and infection that
can cause cholecystitis.
Gall bladder polyps are commonly seen in scans
which are done for other various reasons when
an abdominal scan is done then we pick up
gall bladder polyps, Polyps are noting but
an extra growth of tissues within the gall
bladder which may or may not be benign, post
of this polyps are benign condition however
this may become malignant at the later stage,
therefore if you find gall bladder polyps,
please consult a surgeon and based on the
history and other conditions you may or may
not require a surgical intervention for this
condition.

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