Some people are afraid to go to the hospital, do not believe in science, but believe in some rumors or prescriptions, once circulated a “liver cleaning method without surgery” the so-called “secret recipe for stone removal”, many people also tried to really rule out a lot of Many people have tried it and really got rid of a lot of “stones”. Can gallbladder stones really be solved with “stone removal medicine”?
Let’s see what they say first, and then we’ll demolish them one by one.
Rumors:
1, almost all people have stones in the liver and gallbladder.
2, drink apple juice, lemon juice, orange juice, olive oil and laxative salt (magnesium sulfate), in a short time will be discharged in the stool “bright green, salty, black” “stones”.
The truth:
1, China’s prevalence of gallstones in 0.9%-10.1% or so, an average of 5.6%.
2. The “stones” discharged are not gallstones.
The so-called excluded “stones” are floating on the water surface when they fall into the toilet, because they are mostly lipid, while the real gallstones are sunken underwater; the so-called excluded “stones” are soft, irregularly round and gel-like, and will dissolve when heated, while the real gallstones are harder. The so-called excluded “stones” are soft, irregularly rounded gels that dissolve when heated, while real gallstones are harder, sharply cut, and remain stable when heated. Moreover, the “natural stone removal” method expels a large number of “stones”, far beyond the capacity of the gallbladder and the entire biliary system.
Drinking large amounts of olive oil and laxative salts may have the effect of stimulating the gallbladder to contract and relax the muscles that control the release of bile into the intestines, which may expel small gallstones, which is probably the only possible scientific basis for the “natural stone removal method”, but the removal of stones itself is also dangerous, as discussed below.
In fact, these “stones” are chemical reactions that occur in the gastrointestinal tract with oil, juice, salt, etc., forming water-insoluble masses, not real gallstones. So whether a person has gallstones or not, after implementing the “natural stone removal method”, they can discharge the “stones”, so they use these tricks to fool that almost all people have stones in their liver and gallbladder.
In fact, the “natural stone removal method” of drinking juice, olive oil and laxative salt has been circulating abroad for many years, and its propaganda is not only for stones, but also for allergies and cancer. It is simply the translation of the full set of introduction after the foreign lull, and continue to lull.
This is a fake stone removal, so is the real stone removal is feasible?
The authoritative textbook of surgery has this comment on lithotripsy, lithotripsy, lithotripsy and other therapies for gallstones: “These therapies are dangerous, their effectiveness is uncertain, and they have no future for development and use”, which gives a negative attitude.
Why is it dangerous? May cause cholangitis or pancreatitis
Gallbladder stones with a diameter of about 5-8 mm are at risk of falling into the common bile duct or getting stuck in the common bile duct. As shown in the figure below, the pancreatic duct and the bile duct have a common opening (valve) to the intestine. If edema and inflammation at the outlet is caused by stone obstruction and duct injury during stone removal, it can lead to cholangitis and acute pancreatitis.
Cholangitis:The stone falls into the common bile duct and becomes a blockage of the common bile duct, just like having a slag blocking the drain of the sink, and bacteria will grow if the water does not go underwater, leading to abdominal pain, jaundice, infection and even shock.
Pancreatitis: If a stone falls into the sewer and also blocks the neighbor’s water pipe, the situation will be even worse. The pancreatic duct of the pancreas shares an opening with the common bile duct (hepatopancreatic pot belly). If a stone blocks this opening, pancreatic juice cannot be discharged and pancreatitis is easily induced, which is a critical clinical condition.
Gallbladder stones are not suitable for lithotripsy
Gallbladder stones are not the same as kidney stones. Kidney stones go through the urinary tract, which is different from the bile duct, and there is no problem of blocking the “neighbor’s sewer”, so there are treatment methods such as stone removal and lithotripsy;
Gallbladder stones are not the same, gallbladder stones take a narrow exit road, which is easy to cause blockage, and the exit is still common, so stones that cannot be drained not only block their own road but also block the outlet of pancreatic juice. Therefore, gallbladder stones can neither be drained nor crushed (the best method is gallbladder removal).
Therefore, do not take lithotripsy drugs blindly to avoid serious biliary and pancreatic complications. Both cholangitis and pancreatitis are two diseases that are much more serious than gallbladder stones themselves, and it is more than worthwhile to blindly believe that stone removal has caused pancreatitis.
After the patient’s physical examination and detection of stones, if there are no symptoms and no accompanying gallbladder polyps, they can be observed and not treated first. If the symptoms are more obvious, especially if recurrent biliary colic and cholecystitis occur, the mainstream opinion now is to surgically remove the gallbladder for treatment. All in all, the problem of stones should still be evaluated or treated in a regular hospital.