Symptoms and Treatment of Gallbladder Stones

  What are the symptoms of having gallbladder stones? How can stones be detected?  When gallbladder stones start to form, there are often no obvious symptoms, and sometimes only mild abdominal distension and pain are found on physical examination. Whether or not symptoms appear later varies depending on the size, location, obstruction, and inflammation of the stone. Therefore, many patients may develop abdominal pain suddenly before finding gallbladder stones. Large, solitary cholesterol stones are less likely to become lodged in the gallbladder and can remain asymptomatic for life. The most common symptom of inflammation caused by gallbladder stones is pain, which is often referred to as biliary colic, known as wuqi pain in Chinese medicine. The pain is paroxysmal cramps in the right upper abdomen, sometimes radiating to the right shoulder and back. At the same time, there is pressure pain in the right upper abdomen, and sometimes the enlarged gallbladder can be palpated. Gallbladder stones can sometimes fall into the bile duct and lead to cholangitis, pancreatitis, and sometimes life-threatening, and stones can lead to bile duct cholecystic fistula and cholecystoduodenal fistula, and stones can sometimes enter the intestinal canal and lead to intestinal obstruction, and prolonged stone irritation can lead to gallbladder cancer.  The diagnosis of gallbladder stones mainly relies on B-type ultrasound, but it is worth noting that sometimes the size of the stones cannot be determined very accurately due to the patient’s condition at the time, and the size and number of stones measured may also vary due to the different experience of the examiner, sometimes combined with CT to make the diagnosis.  How to choose the treatment for gallbladder stones The basic treatment principle for gallbladder stones is still cholecystectomy, usually laparoscopic cholecystectomy is performed. If gallbladder stones are preserved and removed, gallbladder stones may recur soon, and sometimes the gallbladder has become malignant and is left in the abdominal cavity because it is not removed, leading to serious consequences. Because of the combination of Chinese and Western medicine in the treatment of gallbladder stones, although there are a few cases can be successful, but in general, its effect is still unsatisfactory, the stones in the gallbladder is not only difficult to drain, and in the process of treatment may bring some complications, such as septic cholangitis, constrictive papillitis, etc.. In previous years, it was reported that oral lithotropic drugs could shrink or disappear some of the gallbladder stones, but long-term administration of large amounts of drugs could cause some complications, and the stones could recur after stopping the drugs. In contrast, simple gallbladder stones can receive better results after cholecystectomy because they are not combined with other complications. The introduction of television laparoscopy in recent years has enabled many patients to have their gallbladder removed without dissection. 20 years ago, it was thought that asymptomatic gallbladder stones could be removed without surgery, but now the concept has changed, such as 1: gallbladder stones larger than 3 cm, 2: gallbladder stones longer than 10 years, 3: elderly people in good physical condition, 4: field workers, 5: small stones that may fall into the bile duct, 6: filled gallbladder stones, and 7: gallbladder stones. gallbladder stones. 7: Gallbladder that is no longer functional. In such cases, cholecystectomy should be performed even if there are no symptoms.  Advantages of laparoscopic surgery: 1. Less traumatic surgery, less postoperative pain, generally no pain medication is needed after surgery.  2, fast recovery after surgery. The next day after surgery, the patient can eat semi-liquid food and get out of bed, and can be discharged from the hospital in 3 to 4 days after surgery, and resume normal life and work after a week.  3.No obvious scars on the abdomen. Traditional surgical scars are in the shape of long strips and affect the appearance. For example, in the case of cholecystectomy, the scar of traditional surgery is more than 12cm long, while laparoscopic surgery basically does not leave a scar, which is especially suitable for women’s beauty needs.  4, the hospital stay is short, the cost is not substantially higher compared with traditional surgery, and some surgeries even reduce the cost.  5, no postoperative intestinal adhesions and other adverse complications.