1. Is pancreatitis dangerous?
Pancreatitis can be divided into edematous pancreatitis and hemorrhagic necrotizing pancreatitis, the latter is very dangerous and has a high clinical mortality rate. Hemorrhagic necrosis of the pancreas can cause extensive damage, in addition to direct damage to surrounding organs, but also can cause changes in the heart, lungs, liver, kidneys and other major organs, if not effectively controlled in a timely manner, can lead to systemic failure and death.
2.What are the causes of pancreatitis? How to prevent it?
The most common cause is the obstruction or stimulation of the opening of the bile duct and pancreatic duct by gallstones, and other causes are alcoholism, overeating and so on. Therefore, on the one hand, we should pay attention to the regularity of life, not to drink and overeat, and more importantly, we should treat gallstones in time. It is worth pointing out that if you have multiple gallbladder stones, you should not casually carry out stone removal treatment.
3.What is the effect of herbal stone removal when I have gallbladder stones?
Chinese herbal stone removal is a non-surgical treatment, and the majority of patients cater to it from the heart, but in fact, its efficacy is very unreliable. Under normal circumstances, when the internal diameter of the cystic duct is only 2~3mm and the internal diameter of the common bile duct is 4~6mm, coupled with the fact that gallbladder function is often poor in patients with gallbladder stones, it is very difficult to expel the stones. It is especially worth pointing out that: stones leaving the whole biliary system is the ultimate purpose of Chinese medicine stone removal, if stones leave the gallbladder but stay in the common bile duct, it will make the problem more complicated and cause some unnecessary complications at the same time, so you cannot blindly remove stones.
4.What kind of stones can be dissolved with medicine and what is the effect?
It is true that a few gallbladder stones can be dissolved by taking medicine, but the conditions are very demanding. Requirements.
(1) The gallbladder function is basically normal.
(2) The stones are purely cholesterol-based.
(3) The stones are not larger than 10 mm.
(4) Adherence to the medication for 1 to 2 years. This is the general aspect, even such stones are only 8-10% completely dissolved, but as soon as the medication is stopped, the stones will come out again, so this is not the fundamental solution.
5. There is a way to break up the stones and drain them out. Is it reliable?
It is reasonable to say that the purpose of the shock wave lithotripter is to break up the stones to facilitate their discharge. But the results of millions of cases treated by medical experts at home and abroad are very unsatisfactory, why? First of all, gallbladder stones are not easily broken, and even if they are broken, most of them are not small enough to be expelled; furthermore, the clinical standard for effective gallbladder stone treatment is to eliminate all stones, and as long as one stone is left, the treatment cannot be considered successful; finally, the process of lithotripsy and stone expulsion can cause complications, and this method, which was popular in the late 1980s, is now This method was popular in the late 1980s, but now it has almost been eliminated.
7. Can a small hole be made in the abdominal wall to remove the stone?
Yes, this method is called percutaneous cholecystectomy, and there are two methods: one is to puncture the gallbladder under ultrasound guidance, then put a tube of about one centimeter outside diameter, and then remove the stone through the tube; the other method is to make a 1 to 2 centimeter incision directly on the abdominal wall, then separate the muscle into the abdominal cavity, find the gallbladder and then make a small incision at the bottom of the gallbladder to remove the stone. The advantage of this method is that the gallbladder is preserved.
Its disadvantages are.
(1) Narrow indications, requiring a still functional gallbladder and a small number of stones.
(2) Damage to the abdominal wall or the possibility of contamination of the abdominal cavity.
(3) residual stones in some patients.
(4) Poor long-term results and high recurrence rate of stones. Therefore, since the laparoscopic cholecystectomy, this method has been used less and less, but it is still a desirable option for those who are older and have a single stone.
8. Can laparoscopic cholecystectomy be done for heart disease?
With the improvement of anesthesia and the reduction of surgical trauma, cholecystectomy can still be done in the vast majority of cases, even with cardiac problems, but patients with significant cardiac failure or hemodynamically compromised heart rhythm disturbances should undergo it after these problems have improved.