Gallbladder and Gallbladder Stones

  Gallbladder stones are a common disease; most patients, especially young patients, take conservative treatment for fear that surgery will cause certain effects on their body. The mood is understandable, but ignorance of medical common sense and blind contraindication to surgery may cause unpredictable and serious complications. Gallbladder stones have many complications, the most common being gallbladder inflammation caused by stone obstruction; secondly, smaller stones entering the bile duct may also cause bile duct obstruction, bile duct inflammatory lesions, and in severe cases, affect liver function and even cause biliary pancreatitis; therefore, gallbladder stones cannot be ignored.  However, not all cases can cause these complications, and surgery also has certain risks and complications. Therefore, it is crucial to weigh the pros and cons and choose the right time for surgery. In general, aggressive elective surgery is still advocated for older patients. Patients who present with these complications have indications for surgery. Sediment-like stones, as well as those with a high number of stones; isolated stones that are large and prone to impaction are indications for surgery. It is understandable that some patients are concerned that surgical removal of the gallbladder will have a detrimental effect on the body. This is mainly because the physiological role of the gallbladder is not well understood. As an organ, the gallbladder is like a small lake in the Yangtze River, mainly playing the role of saving and concentrating bile; when there are fat and other substances in the intestine, the bile in the gallbladder will be secreted to the intestine to help digestion and absorption of fat. Obviously, when the gallbladder is removed, this role is temporarily lost and the patient will have fat that is not well absorbed, resulting in steatorrhea. However, when the gallbladder is removed for a period of time, the bile ducts compensate for some of the gallbladder’s action. Therefore, this condition will gradually improve, so in the long term, the physiological impact of gallbladder removal is minimal. Therefore, there is no need to worry about the health effects of gallbladder removal.