Gallstone or Cholelithiasis means formation of stones in the Gallbladder. Gallstone is a common problem all over world. Gallstones form because of high cholesterol, calcium pigments and multiple factors.
Gallbladder Stone Symptoms
Asymptomatic Incidental detected on Sonography abdomen.
Gallbladder Symptoms are indigestion, bloating of abdomen pain in Right or Upper abdomen, jaundice, and inflammation of Gallbladder (Cholecystitis)
As complications like acute cholecystitis (Swelling and inflammation of GB), jaundice and fever (cholangitis) , recurrent pain in abdomen, acute pancreatitis because of passage of stone, or infection of GB (empyema) or perforation of GB can occur. Number & size of stones do not decide surgery: health profile, associated diseases, symptoms and complications decide the need for surgery.
Gallbladder Stone Treatment
Asymptomatic patients can be observed without surgery for long time. Surgery is performed is laparoscopic cholecystectomy i.e. gallbladder removal through key hole surgery. only 5-10% persons will require open i.e. conventional long cut surgery. gallstones. Consult Dr Nitin Jain today for Gallbladder Stones Treatment in Mumbai Navi Mumbai Thane
Choledocholithiasis or Bile Duct Stone (CBD Stones) means the stones in the bile duct usually come from Gallbladder Stones . CBD Stones occur in 10-15% of Cholelithiasis (Gallstones) patients.
Bile duct Stone Symptoms/ Choledocholithiasis Symptoms-
Almost 25-30 % of the patients with Gallbladder stones experience severe pain in the right side or upper abdomen and pain going to to back. These patients come in emergency and probable cause is stone stuck at the neck of the gallbladder causing acute cholecystitis, stone stationed or passed through the bile duct or stone sitting at the junction of common bile duct and pancreatic duct causing acute pancreatitis, Person with these symptoms need immediate medical care.
is done by Abnormal Liver Function Tests, USG Abdomen, MRI Abdomen MRCP and ERCP.
CBD Stones are treated primarily by Endoscopy ERCP and Gallstones are treated primarily by Surgery - Cholecystectomy.
ERCP is an Endoscopy Procedure to remove the Bile Duct Stones and place the Stent to achieve bile flow into the duodenum. ERCP followed by Laparoscopic Cholecystectomy is the standard procedure for CBD stones and Gallbladder Stones.
Delay or neglect can land patients in life threatening serious medical conditions like cholangitis pancreatitis and cholecystitis.
If ERCP is unsuccessful in removing CBD stones then Surgery is needed for Choledocholithiasis and Cholecystolithiasis.
Gallbladder Surgeon - Dr Nitin Jain
Jaundice is symptom of liver, bile duct and red blood cell disease. This manifests in abnormal Liver Function Test (LFT), yellow eyes, yellow skin and dark yellow colored urine. Many people go for country remedies for jaundice and later land up in difficult problem.
Causes of Jaundice-
Viral hepatitis A, B, C and E will resolve in majority patients with conservative treatment.
Jaundice because of stones, tumours , narrowing and compression from outside needs evaluation and surgery or endoscopy.
This jaundice will not resolve with medicines and cause can not be ascertained unless specialist evaluates. Delay in treatment will lead to detrimental effects on the health.
Liver cirrhosis, alcoholic hepatitis and autoimmune disease can cause jaundice. Red cell disorders like sickle cell anaemia, thalassemia, hereditary spherocytosis or any red blood cell breakdown disorder leads to Jaundice.
Liver tumours are uncommon and need experienced expert Liver Surgeon-HPB Surgeon.
Types of Liver Tumours-
Haemangioma (non cancer tumour of blood vessels ) very common liver tumour
Simple cyst (Collection of fluid in the balloon like sac)
Hydatid cyst - parasitic infection and collection of fluid
Cancerous Tumours -
Pain in abdomen, Lump in abdomen, Loss of weight, Anorexia Jaundice Weakness
Diagnosis is done by CT scan MRI Scan and Tumour Markers AFP and rarely biopsy.
First thing is to establish the diagnosis of tumour. Most of the benign tumours do not require surgery. But symptomatic and cancer need surgery.
Consult HPB Surgeon - Dr Nitin Jain