1.What are the physiological roles of gallbladder? Chen Ming, Department of Hepatobiliary Surgery, Mianyang Hospital of Traditional Chinese Medicine
Storage of bile
Secretion of mucus: 20ml/24 hours.
2.What is the function of bile?
Form microgel (bile salt + phospholipid) – keep cholesterol in dissolved state
Activate lipase – help fat digestion
Helps absorption of fat-soluble vitamins (A, D, K, E)
3.Why do gallbladder stones grow?
The formation of stones is a complex process
The mechanism of stone formation is not precisely understood so far
Bacterial infection – plays an important role
Decrease in bile salts and phospholipids – abnormal metabolism
Stagnation of bile, low PH value, vitamin A deficiency
4.What are the top ten triggers of gallstones?
Prolonged mental tension, depression
Biliary tract infection
Low physical activity
Preference for high fat, high cholesterol, high sugar food
Obesity
Long-term use of hormones, birth control pills
Biliary tract roundworm
diabetes mellitus
History of gastric surgery
Genetic factors.
5.What is the incidence of gallbladder stones in China?
Cholesterol stones are increasing
More in women, the
More over 40 years old
About 7% of people have gallstones.
6.What is the relationship between obesity and gallbladder stones?
Often the cholesterol level in blood and bile is increased
Bile is oversaturated, cholesterol is easily precipitated, precipitated and formed stones
Often there is less movement, the movement function of gallbladder is also reduced, bile emptying is slow and emptying is reduced.
7.What is the relationship between women and gallbladder stones?
Women have more fat and cholesterol storage in their bodies
Estrogen affects the emptying of the gallbladder
Estrogen makes the liver secrete less bile acid, and bile is easily stagnant
Pregnancy Uterine compression effect, reduced movement, increased cholesterol
8.Why the incidence of gallbladder stones tends to be younger?
High stress
Irregular life
More people do not eat breakfast
All-night mahjong
Love sweets and picky eaters
Do not like to exercise
Due to weight loss.
9.What are the manifestations of gallbladder stones?
Right upper abdominal pain or middle and upper abdominal pain
Nausea and vomiting
Vestigial pain
Indigestion
Mistaken for stomach pain or angina pectoris.
10.What questions do you have about gallbladder stone surgery?
Is elective surgery or emergency surgery better? –Optional surgery is better
What is the best season for surgery? –any season is an option
Is it better to have the gallbladder removed or not? — To prevent recurrent pain, stone recurrence, gallbladder cancer, it is better to remove the lesion
–It is not terrible to pay attention to the treatment of underlying diseases such as diabetes, hypertension, coronary heart disease and pulmonary heart disease.