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Gall Bladder stones
Discussion in 'All Categories' started by Basavraj D Hiremath - Nov 27th, 2011 11:38 am.
Basavraj D Hiremath
Basavraj D Hiremath
I have multiple gall bladder stones-one is 8mm. I do not have any pain. Kindly advise treatment for removal of stone without removal of Gall bladder. I had Jaundice in Feb 2011, cured by May2011. My age is 46 yrs. I do not have any other problem or allergy.
re: Gall Bladder stones by Dr M.K. Gupta - Nov 27th, 2011 9:53 pm
Dr M.K. Gupta
Dr M.K. Gupta
Dear Mr Basavraj D Hiremath
Unfortunately there is no any treatment of Gall bladder stone except surgery. These days Laparoscopic Cholecystectomy is the gold slandered for Gall Stone disease. Asymptomatic cholelithiasis is increasingly diagnosed today, mainly due to the widespread utilization of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints.

About 10-20% of individuals in many western countries have gallstones, and included in this 50-70% are asymptomatic at the time of diagnosis. Asymptomatic gallstone disease has a benign natural course; the progression of asymptomatic to symptomatic disease is relatively low, which range from 10-25%.

Nearly all patients rarely develop gallstone-related complications without first having a minumum of one episode of biliary pain (“colic”). In the prelaparoscopy era, (open) cholecystectomy was generally performed for symptomatic disease. The non-invasive laparoscopic cholecystectomy refueled the discussion concerning the optimal control over asymptomatic cholelithiasis. Despite some controversy, most authors agree the vast majority of subjects ought to be managed by observation alone (expectant management).

Selective cholecystectomy is suggested for defined subgroups of subjects, with an increased risk for the development of gallstone-related symptoms and complications. Concomitant cholecystectomy is a reasonable selection for good-risk patients with asymptomatic cholelithiasis undergoing abdominal surgery for unrelated conditions.

Routine cholecystectomy for all subjects with silent gallstones is really a too aggressive management option, not indicated for most subjects with asymptomatic cholelithiasis. An in-depth understanding of the natural good reputation for gallstone disease is needed to choose the optimal management option for the person subject with silent gallstones. Management options ought to be extensively discussed using the patient; he or she ought to be actively active in the procedure for therapeutic decision making.

In our opinion because you have already developed jaundice once so you should get laparoscopic cholecystectomy performed.

With regards

M.K. Gupta
re: Gall Bladder stones by Uday Raj Keshari - Jul 4th, 2020 4:48 pm
Uday Raj Keshari
Uday Raj Keshari
Hello Doctor,
what are the complications of gall stones?
re: Gall Bladder stones by Dr Rahul Pandey - Jul 4th, 2020 4:49 pm
Dr Rahul Pandey
Dr Rahul Pandey
Dear Uday ji,
-Inflammation of the gallbladder. A gallstone that becomes lodged in the neck of the gallbladder can cause --inflammation of the gallbladder (cholecystitis).
-Blockage of the common bile duct.
-Blockage of the pancreatic duct.
-Gallbladder cancer.
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