Gallbladder Removal

Pros And Cons Of Gallbladder Removal

How is a gallbladder removal performed? According to studies, the primary reason why for gall bladder removal is because of its inability to deliver the needed task of assisting the normal bile flow from the bile duct to the liver. This inability to perform the needed function of the gallbladder is usually caused by formation of gallstones that serves as an obstruction in the ducts thus impeding the normal cycle of bile exchange. For instances like this, the traditional method of treatment involve oral medication in order to decrease the triglyceride levels in the body. But in cases where oral treatment medication is not possible, another option is to undergo gall bladder removal. The presence of gallstones is often asymptomatic so the case is usually diagnosed when there are greater obstructions in any of the ducts since it is only during that time that disturbing symptoms will manifest.

When speaking of gall bladder removal, some of the most common symptoms manifested when there is presence of gallstones are the following:

• Feeling of indigestion
• Stomach pain usually after eating, the pain is often localized at the epigastric section of the abdomen and sometimes just below the right set of ribs
• Nausea and vomiting may occur if gallstones already obstructed any of the ducts
• In some cases, symptoms of infection may occur as a sign of cholecystitis

So what causes the formation of gallstones in the gallbladder? Well, there are several reasons for the formation of gallstones in the body. One of the primary reasons for gall bladder removal is the inability of the bile to emulsify all the fat content or cholesterol that the food contains. That, in return, will cause the cholesterol and fat contents to remain on the area and will eventually stick together forming gallstones. As the process continues and the cases of improper bile absorption and cholesterol emulsification recur, the formation of gallstones will also continue until it reaches a certain point where the gallstones causes obstruction in any of the bile ducts, causing symptoms to be diagnosed successfully. The common test that is being performed in order to diagnose gallstones before gall bladder removal is the trans-abdominal ultrasonography. This is considered as the best diagnostic test in order to confirm the existence of gall stones, it is a non invasive procedure and results can be obtained after a few minutes.

Other tests done to diagnose gallstones may include -- but are not limited to the following:

• Endoscopic Ultrasonography
• MRCP or Magnetic Resonance Cholangio-pancreatography
• OCG or Oral Cholecystogram
• IVC or Intravenous Cholangiogram
• ERCP or Endoscopic Retrograde Cholangio-pancreatography
• Liver blood tests
• Duodenal drainage
• Cholescintigraphy also known as the HIDA scan
• Pancreatic blood tests

After successfully performing the aforementioned tests, the doctor will then diagnose the existence of gallstones and will advise several treatment options. Some physician may require a patient to undergo medication treatment for a couple of months if in case the patient is asymptomatic. But for cases of active duct obstruction, the physician may require immediate gallbladder removal to alleviate symptoms and prevent occurrence of infection to patient. However, in performing gallbladder exclusion, the physician may present two options which include the traditional open gall bladder removal and the latest laparoscopic gallbladder surgery. The procedure done in gall bladder removal is called cholecystectomy; derived from the word cholecyst which means gallbladder and ectomy which means removal. So what is the difference between the two types of surgical options? Well, when we talk about the traditional open gall bladder removal surgery, the physician will then make a 5 to 8-inch long abdominal incision just beneath the right rib cage.

The gall bladder will be palpated and pulled out carefully by the physician during gall bladder removal. While on the other hand, when it comes to the latest laparoscopic gall bladder removal procedure, several incisions will be made in order to successfully remove the gallbladder. Three to four small incisions will be done by the surgeon in order to perform the surgical procedure, where the first incision will serve as the entry point for the laparoscopic device as the doctor’s guide to successfully locate the gallbladder then the three separate small incisions will be the entry point for the surgical instruments.

 

 

 

 

Technorati Tags: Gall Bladder Disease, Gall Bladder, Gallbladder Removal

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• Inflamed GallBladder
• Pain After GallBladder Surgery
• Gallstones Treatment



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