1.What are liver and gallstones? See the picture above to know! Hepatobiliary stones are a common and frequent disease, which refers to stones occurring in any part of the hepatobiliary system, including gallbladder stones, common bile duct stones, common hepatic duct stones, intrahepatic bile duct stones, stones in compound sites, etc. Wang Xiaolong, Department of Surgery, People’s Hospital of Lu’an 2. What are the manifestations of having hepatobiliary stones? Situation 1: Without any discomfort, found during ultrasound physical examination, larger stones are not easy to cause obstruction of the gallbladder and can be asymptomatic for a long time. It is said that 50% of patients with stones are asymptomatic for life! Situation 2: Long-term symptoms of chronic cholecystitis, such as epigastric fullness or hidden pain after meals, mostly after eating fatty foods. Situation 3: Usually have epigastric discomfort and belching and other indigestion, easily mistaken for gastric disease. Situation 4: The persistent dull pain and discomfort in the right upper abdomen and liver area from time to time, which can be easily mistaken for hepatitis. Situation 5: Sudden right upper abdominal cramps with paroxysmal intensification, even radiating to the right shoulder or chest and back, accompanied by nausea and vomiting, which are caused by stones embedded in the neck of gallbladder or gallbladder duct, i.e. biliary colic. If this condition is not treated in time, further development will lead to septicemia, gangrene and perforation of the gallbladder, and the stones may slide down to the common bile duct and cause acute suppurative cholangitis, which may even endanger life. 3.How to treat gallbladder stones? A healthy adult with no symptoms can be treated without treatment. If you have diabetes, hypertension, hyperlipidemia, cardiovascular disease and other underlying diseases, you can choose preventive cholecystectomy after diagnosis to eliminate future problems. In recent years, laparoscopic cholecystectomy has become popular and its advantages are obvious to all: small incision, less pain, less bleeding, less interference with organ function, faster recovery and shorter hospital stay. However, patients with combined acute cholecystitis, gallbladder perforation, internal gallbladder fistula and gallbladder cancer still mostly choose to undergo open surgery. Therefore, we often recommend patients with symptoms and recurrent attacks to perform elective surgery in the non-acute stage to reduce the risk of surgery and the degree of patient pain. 4. I am not ready for surgery! / I don’t have time for surgery now! / I’m not in pain now with medication! So what should I pay attention to in general? 1) Eat regularly, have a good breakfast and a low cholesterol diet. 2) Eat less greasy food, bile is used to help digest fat, so eating greasy food will promote bile secretion, gallbladder contraction, easy to embed lead to biliary colic, acute cholecystitis attack. (3) should not drink more milk, milk fat globules large, not easy to be digested outside, the intestinal tract has a certain degree of stimulation, and easy to increase the burden on the gallbladder, making the condition worse. 4) Avoid spicy and stimulating food, such as: horseradish, chili oil, curry, pepper, etc.