Gall Bladder & Biliary

Gall Bladder Surgery

The liver produces bile, a greenish yellow, sticky fluid. Bile aids digestion by making cholesterol, fats, and fat-soluble vitamins easier to absorb from the intestine.The biliary tract consists of small tubes (ducts) that carry bile from the liver to the gallbladder and then to the small intestine. The gallbladder is a small, pear-shaped sac located beneath the liver. It stores bile. Gall bladder Surgery info as below.

Gall Bladder Stones

Gall Bladder surgery done most commonly for stones are usually composed of cholesterol that has crystallized from bile. They form in the gall bladder. They may leave the gallbladder and lodge in the cystic duct, the common bile duct, or the ampulla of Vater. About 80% of people with gallstones do not have any symptoms for many years, Gallstones may cause pain. In the upper abdomen, usually on the right side under the ribs. Location is hard to pinpoint, particularly for people with diabetes and older people. People often feel nauseated and vomit. If the blockage persists, the gallbladder becomes inflamed (a condition called acute cholecystitis). causes fever. Blockage of the common bile duct or the ampulla of Vater can cause the ducts to widen (dilate). It can also cause fever, chills, and jaundice (a yellowish discoloration of the skin and the whites of the eyes). Stones that block the ampulla of Vater also can block the pancreatic duct, causing inflammation of the pancreas (pancreatitis), as well as pain. Gallstones can erode the gallbladder wall, sometimes resulting in a hole (perforation).

Ultrasonography is essential. It is 95% accurate in detecting gallstones in the gallbladderOther diagnostic tests include Magnetic resonance imaging (MRI) and computed tomography (CT). If results of these imaging tests are unclear, endoscopic ultrasonography may be done better than standard ultrasonography. Blood tests used to evaluate liver functioning.

If gallstones cause disruptive, recurring episodes of pain, a doctor may recommend surgical removal of the gallbladder (cholecystectomy). No special dietary restrictions are required after surgery. About 90% of cholecystectomies are done using a laparoscope. Laparoscopic cholecystectomy has lessened the discomfort after surgery, shortened the length of hospital stays, provided better cosmetic results, and reduced the time needed to recover.

Treatment for stones in the bile ducts

Most stones in the bile ducts can be removed during ERCP. During this procedure, doctors pass an instrument through the endoscope to trap and then pull the stone out of the duct. Gallstones cannot be removed using this technique. Most people who have had ERCP and endoscopic sphincterotomy later have their gall bladder surgery, typically using a laparoscope. If the gallbladder remains, stones in the gallbladder may pass into the ducts, causing repeated blockages.

Gall Bladder Cancer

Cancer of the gall bladder is also rare. Nearly everyone with gallbladder cancer has gallstones. This cancer is more common among North Indians, people with large gallstones, and people with a extensive scarring of the gallbladder, which can occur in severe chronic cholecystitis. Polyps, which are noncancerous (benign) outgrowths of tissue, may develop in the gallbladder. They rarely cause symptoms or require treatment. They are found in about 5% of people during ultrasonography. Sometimes cancers can block the flow of bile, but most blockages are caused by gallstones. Noncancerous tumors in bile ducts also cause blockages.

Symptoms

  • Worsening jaundice (yellowish discoloration of the skin and whites of eyes)
  • Abdominal discomfort
  • Loss of appetite
  • Weight loss
  • Itchiness
    The diagnosis is confirmed by imaging. Usually, ultrasonography is done followed by computed tomography (CT).

Treatment

Most bile duct and gallbladder cancers are fatal, but treatment can help control symptoms. Tubes (stents) inserted into a duct allow bile to flow past the blockage. This procedure helps control pain and relieves itchiness. Surgery to remove a cancerous tumor is the best choice if in earlier stage. If tumors have spread from other parts of the body (metastasized), chemotherapy may provide some symptom relief but does not dramatically improve survival.

At SIDS Hospital

Our expert team of surgeons are performing maximum number of gall bladder surgery in south gujarat for gall bladder diseases, Biliary diseases and cancer with most advanced laparoscopic instruments. SIDS Hospital is equipped with most advanced set up of endoscopic instruments to diagnose and treat the biliary problems where we are performing more than 7000 procedures in a year by our panel of most experienced endoscopist.

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