Working hand in hand with the liver, the gall bladder is a minor organ in the body that helps to store and concentrate bile which is released into the digestive tract when fat is available for digestion. All this is made possible through a well organized system of tubes or channels arising from the liver, through the gallbladder to the alimentary canal. Unfortunately, this system may be compromised to a point where surgery has to be done to bring back normal function. Consequent sections of this article give more details about gallbladder surgery Queens NY residents may find useful.
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.
The outstanding presenting complaint for suspected gallstones is abdominal pain, especially around the region of the upper quadrant on the right, where the inflamed bladder is situated. The colicky nature of the pain is attributed to peristaltic movement of gall stones between the organ itself and its related ducts. The patient tends to feel more discomfort if the stones are larger in size and if there are regular bouts of stone dislodgement into the duct system.
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.
Surgery can be done either laparoscopically or via open technique. Laparoscopic surgery results in fewer incisions and therefore has a better cosmetic outcome in the long run. On the other hand, the open technique takes much longer, is associated with more complications during the operation and leaves the patient with large hideous scars in the long run.
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.
The outstanding presenting complaint for suspected gallstones is abdominal pain, especially around the region of the upper quadrant on the right, where the inflamed bladder is situated. The colicky nature of the pain is attributed to peristaltic movement of gall stones between the organ itself and its related ducts. The patient tends to feel more discomfort if the stones are larger in size and if there are regular bouts of stone dislodgement into the duct system.
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.
Surgery can be done either laparoscopically or via open technique. Laparoscopic surgery results in fewer incisions and therefore has a better cosmetic outcome in the long run. On the other hand, the open technique takes much longer, is associated with more complications during the operation and leaves the patient with large hideous scars in the long run.
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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