Patients with gallstones are prone to acute cholecystitis

  As we enter the late autumn, it is finally the prime season for hairy crabs, which are full of meat and fat. Ms. Liu’s daughter bought a few authentic hairy crabs from Shanghai to pay tribute to her mother. The company’s first ever “crab” was a very good one. The family sent Ms. Liu to the hospital. The company’s main goal is to provide the best possible service to its customers. The hepatobiliary experts reminded that hairy crab is typically a high cholesterol food, Ms. Liu suffers from gallbladder stones, and for people who already have gallbladder stones, eating hairy crab is very likely to induce an acute attack of cholecystitis.  For the average person, eating a few extra hairy crabs may cause an increase in blood lipids or blood sugar, but for people with gallbladder stones, eating hairy crabs may cause an acute attack of cholecystitis. The incidence of gallbladder stones in adults is about 10 percent, and only about 20 percent of the population will have biliary colic or other related symptoms, and the vast majority of gallstone patients do not notice anything unusual themselves. But the absence of symptoms does not mean that there is no danger. The gallbladder is constantly contracting, which can easily squeeze the gallstones into the common bile duct or cystic duct, causing biliary obstruction. After the bile duct obstruction, bile will accumulate in the gallbladder and the concentration will become higher and higher, and the high concentration of bile salts will have a strong inflammatory effect, forming early chemical inflammation and later secondary bacterial infection and even purulent infection of the gallbladder.  Therefore, acute cholecystitis will not only cause persistent pain in the upper abdomen, but also constantly aggravate, radiating to the back or shoulders, and accompanied by nausea and vomiting, which must be treated in a timely manner. Experts point out that patients with gallstones like Ms. Liu are better off having gallbladder removal surgery, which is currently the main treatment for gallbladder stones. Gallbladder removal can treat and prevent the symptoms and various complications of gallbladder stones, such as biliary colic, cholecystitis, gallbladder perforation, gallbladder cancer and stone recurrence.  Prof. Chao Liu also reminded that obese women, in particular, are prone to gallbladder stones, which is related to estrogen levels. People with high estrogen levels are also usually accompanied by high cholesterol. This is why women with hyperlipidemia are especially careful not to crave hairy crabs.  In addition, gout patients, diabetic patients, skin disease patients, cardiovascular and cerebrovascular patients, hepatitis patients, pregnant women, elderly people with weak digestive capacity and children are also advised not to eat hairy crabs.  When is it better to operate for gallbladder stones?  If intra-gallbladder stones cause recurrent pain and adjustment of diet cannot reduce the attacks, especially when the following conditions occur, it is better to have surgery: 1. severe acute cholecystitis; 2. recurrent acute attacks of chronic cholecystitis; 3. gallbladder stones larger than 3 cm; 4. gallbladder filled with stones, especially sediment-like stones, without obvious contractile function; 5. gallstones accompanied by bile duct stenosis occlusion, gallbladder effusion and other symptoms.  Nowadays, many hospitals can carry out laparoscopic cholecystectomy, which only requires 3-4 or even one small 2 cm hole in the abdomen and can be discharged in two days. Cholecystectomy is already a routine surgery with little trauma and low risk. If you find yourself suffering from gallbladder stones, it is best to consult an expert opinion whether to perform gallbladder preservation. In addition, it is also necessary to properly avoid food: foods high in cholesterol, fat, oil and sugar are best eaten sparingly or not to avoid inducing cholecystitis or even pancreatitis, which can endanger life.