"Suffering from gallstones, is it cholecystectomy or gallstone removal?"
"Listen to my advice, it's not a last resort, don't cut it!"
After some patients have gallstones, doctors will advise Cut off the gallbladder, but can this gallbladder really be removed? What are the adverse effects on the body after removal? Sister Miao made it clear to everyone.
1. In what circumstances do we need to remove the gallbladder?
Acute and severe cholecystitis: If it is ordinary cholecystitis, it does not need to be removed. It must be treated with good cooperation. It can be cured. Acute purulent cholecystitis caused by gallstones will be cured at this time. Acute abdominal pain, vomiting, and high fever occur, and very serious complications are extremely harmful to the body, so timely resection is required.
Chronic cholecystitis with recurrent episodes: Most of the episodes of cholecystitis are caused by the presence of gallbladder stones that block the outlet of the gallbladder, causing the bile in the gallbladder to be unable to discharge smoothly, and "stretching" the gallbladder, leading to cholecystitis.
In addition, a small part of the gallbladder can become inflamed without explanation, which is called acalculous cholecystitis. Whether there are stones or not, repeated episodes of cholecystitis stones are undesirable. On the other hand, repeated episodes of cholecystitis lead to the gradual thickening of the gallbladder wall, and the repeated rubbing of the stones against the gallbladder wall increases the chance of gallbladder cancer.
Gallbladder polyps are larger than 5 mm, and tend to increase. Patients: Not all gallbladder polyps need to be removed. Gallbladder polyps larger than 5 mm, or gallbladder polyps enlarged during follow-up, is the signal to remove the gallbladder.
Patients with malignant tumors of the gallbladder. Gallbladder malignant tumor ranks first in gallbladder cancer. Others include sarcoma, carcinoid, primary malignant melanoma, and giant cell adenocarcinoma. Therefore, patients with malignant tumors of the gallbladder need to remove the gallbladder.
Gallbladder stones increase and increase year by year: Early gallstones have little effect on the body, but if there is obstruction or infection, there will be obvious pain. This is already a serious time, which has an impact on the body of. If there is severe persistent pain, and gallstones increase and increase year by year, it is necessary to seek medical treatment in time for removal.
When I heard gallstones, everyone was very nervous. So the question of whether to remove the gallbladder or to save the gallstones when suffering from gallbladder stones has yet to be determined.
Which is better for cholecystectomy or gallstone preservation?
First of all, gallstone preservation is a new surgical method, the technology is not mature enough, but the recurrence rate is high, which is a controversy Surgery. It has not been recognized by the World Health Organization and medical colleagues. On the contrary, cholecystectomy for the treatment of gallbladder stones and other diseases of the gallbladder has been used nationwide for more than 100 years and proved to be a safe and reliable surgical method. It has little impact on the human body, and is a minimally invasive treatment, with the advantages of small trauma, quick recovery and beautiful appearance.
Secondly, has strict indications for protecting gallstones. forcibly retains gallbladder with thickened gallbladder wall and has no contractile function, but it will have a negative impact on patients.
Finally, many patients worry that losing their gallbladder will affect their daily lives. In fact, the function of the gallbladder in the human body is a small warehouse for storing bile. It does not have the function of secreting bile. bile is secreted by oily liver cells. After the gallbladder is removed, the bile secretion is not affected, and you can eat normally with minimal impact on the human body. However, patients still have to follow the doctor's advice and make choices based on their personal circumstances.
If the doctor recommends that the gallbladder be removed, can the gallbladder be removed? What are the adverse effects on the body after removal?
If the gallbladder is removed as a last resort, what is the impact?
Short-term effects of cholecystectomy:
After the gallbladder is removed, a small number of patients may be prone to Abdominal discomfort, diarrhea, and abdomen after eating.Discomfort such as bloating . Therefore, bile is not concentrated, and the concentration and quantity of bile secreted during meals are relatively insufficient, leading to insufficient digestion of fat and causing discomfort such as diarrhea and bloating.
But don’t worry too much. After the gallbladder is removed, it can be replaced by the common bile duct, and there is generally no real problem. Dyspepsia phenomenon occurs only in a small number of people, generally after a few months, the body can gradually improve through the rhythm of activity adapted to the bile duct.
is more common and reflux gastritis, has no gallbladder storage and regulates the secretion of bile. When bile accumulates to a certain extent, it is easy to form reflux and cause damage to the gastric mucosa. Symptoms such as stomachache, bloating, and bitter mouth appear.
Long-term effects of cholecystectomy:
From a long-term point of view, the beneficiaries of cholecystectomy are far better than those without cholecystectomy . It avoids the occurrence of serious complications such as stimulating common bile duct stones, gallbladder cancer and acute pancreatitis. The long-term follow-up after
also found that the absorption function of patients with cholecystectomy was not much different from that of normal people. The quality of life will obviously improve.
For patients with gallstones, when the cyst exists, the stone will be painful day by day. Take out the gallstones and take them clean, but why do some patients have stones after gallbladder removal? What's the matter?
A reader wrote: his mother had her gallbladder removed more than a year ago, but she suddenly vomited in the evening a few days ago, abdominal pain was accompanied by chills and fever, the emergency doctor initially diagnosed as gallstones, but the mother’s gallbladder was early After removing it, why do stones still grow?
In fact, clinically, it is not surprising that gallstones appear again after cholecystectomy, because gallstones not only appear in the gallbladder, but also in the bile duct. After cholecystectomy, patients with bile duct stones are mainly divided into two situations. One is that patients develop secondary bile duct stones within three months to six months after cholecystectomy. This is because the retarder does not detect existing bile duct stones. Or residual stones in the bile duct during the operation. The probability of secondary bile duct stones after cholecystectomy is about 10%.
In the second case, the patient developed bile duct stones one year after gallbladder was removed. The reason for is complicated. mainly has the following aspects: patients with poor gastrointestinal motility, frequent constipation leads to the deposition of cholesterol crystals in the body, causing bile duct stones; or due to bacterial or pathogen infection in the body, suffering from gallbladder The rate of stone disease is higher; in addition, after cholecystectomy, the morphology of the common bile duct changes, and the flow of bile is not smooth, which can also cause bile duct stones.
The gallbladder is an important organ of the digestive system. If the gallbladder is removed, a series of changes will occur in the body. But if you have some serious gallbladder disease, you have to remove the gallbladder. At this time, you must learn to choose, and you must remove it for life and health.
References:
[1] Liu Han. There is a reason for the benefit of gallbladder after cholecystectomy[J].科普天地,2017(3):11-11.
[2]王兆海. Gallbladder removal OR gall bladder removal[J].Health for all,2015:46.
Reprinting without the author’s permission
