The “natural stone removal method” circulating on the Internet is not the real gallstones, and those who do not have stones can also drink it. The lithotripsy and lithotripsy are ineffective and prone to recurrence, and often require surgical removal for patients with gallstone disease who need to be treated. The post believes that almost all people have stones in the liver and gallbladder, and strongly advocates a natural treatment that can easily discharge stones without surgery – let people drink apple juice, lemon juice, orange juice, olive oil and laxative salt (magnesium sulfate), and in a short time will be discharged in the stool “bright green, salty, black “There are also pictures to prove it. However, according to domestic and international surgical experts, these “stones” are the product of the reaction between oil and lemon juice, or fecal stones in the digestive tract, and are not real gallstones. The truth: the “stones” discharged are not gallstones. The “natural stone removal method” of drinking fruit juice, olive oil and laxative salt has been circulating abroad for many years, and is said to have some effect on allergies and cancer, not only stones alone. Peter Moran, a retired surgeon from South Queensland, Australia, pointed out that the masses that patients pull out with this method look like gallstones, but are actually made by incomplete saponification of the oil. Some researchers have mixed oleic acid, the main component of olive oil, with lemon juice and added a small amount of potassium hydroxide solution to produce a number of semi-solid white spheres, which dried and hardened at room temperature. Ultrasonography confirms that a similar reaction can occur in the body’s intestinal tract when the “natural stone removal” method is performed, and the resulting masses take on a green color when they absorb bile. According to Moran, so-called “stones” float on the surface when they fall into the toilet because they are mostly lipid, while real gallstones sink to the bottom of the water, even if the main component is cholesterol; “stones” are soft, irregularly shaped The “stones” are soft, irregular and gel-like, and dissolve when heated, while real gallstones are harder, sharply cut, and remain stable when heated. Moreover, the number of “stones” discharged by the “natural stone removal method” is very large and far exceeds the capacity of the gallbladder and the entire biliary system. In fact, whether a person has gallstones or not, the Natural Stone Removal Method can remove stones. In addition, the “stones” expelled by the “natural stone removal method” may also be fecal stones formed in the digestive tract, and these stones may be large enough to cause intestinal obstruction. Danger: Stone removal may cause acute pancreatitis For patients who are in good health and have no other complications, the “natural stone removal method” is generally not dangerous. However, Moran cautions that drinking large amounts of olive oil and laxative salts can stimulate the gallbladder to contract and relax the muscles that control the release of bile into the intestine, which may expel small gallstones, but there is a risk of stones larger than 5 mm in diameter getting stuck in the bile duct. The common opening of the pancreatic duct and bile duct to the intestine can cause acute pancreatitis once the edema and inflammation at the outlet is triggered by stone obstruction and duct injury during stone removal – most of the acute pancreatitis in Chinese is related to gallstones, and although most of them are mild, severe cases can present with abdominal pain, fever and even death. Treatment: Surgery is the international standard, and other methods lack large-scale evidence of efficacy The inaccurate efficacy of food therapy to drain gallstones can make patients superstitiously believe in its efficacy and not see a doctor or have surgery, leading to aggravation of the condition. At present, there are four main means of formal treatment of gallbladder stones: 1. Observation: If the patient has no symptoms, the stone is not large and is not accompanied by gallbladder polyps, the patient can be observed and not treated. 2, drugs: oral litholytic drugs are not effective for pigment stones, but only for cholesterol stones less than 1 cm in diameter and without calcification. In clinical practice, only 10% of patients can have all their gallstones dissolved after six months to a year of medication, and half of them relapse later. Because of the unsatisfactory effect, the damage of the drug to the liver, the long course of treatment, and the difficulty for patients to adhere to the medication, drug lithotripsy is rarely performed at present. 3.Lithotripsy: Stones that are too large cannot be easily broken by ultrasound, and even if they are broken into small stones for discharge, there is a risk of blocking the bile ducts. Lithotripsy is usually combined with lithotripsy treatment, which requires good gallbladder function. Due to more limitations, lithotripsy is rarely performed at present. 4.Surgery: Patients whose gallbladder has been filled with stones, or accompanied by gallbladder polyps with cancer risk, or whose gallbladder is no longer functional, or who suffer from frequent biliary colic, should have their gallbladder surgically removed. The source of the rumor: “Natural stone removal” by drinking apple juice to dissolve stones originated from a case published in the British authoritative medical journal “The Lancet”, but in fact the gallstone removal function of apple juice has not been confirmed. According to Moran, oral apple juice, oil, laxative salts or any other foodstuffs do not act directly on stones in the gallbladder or bile duct because the sphincter at the exit of the bile duct effectively prevents anything in the intestine from leaking into the bile duct or gallbladder. The mechanism of lithotripsy with drugs such as ursodeoxycholic acid is that the drug is absorbed into the blood circulation and then metabolized by the liver in order to dissolve the stones, and the treatment process takes at least 9 months.