The gallbladder, as one of the important digestive organs of the body, is pear-shaped and hidden behind the liver. The pouch-like structure stores not “bile” but bile. The liver secretes bile continuously, day and night, and the bile produced is concentrated and stored in the gallbladder after being discharged through the hepatic duct. Changes in the composition of bile in the gallbladder; diminished contractile function of the gallbladder and bile stasis can lead to the formation of stones in the gallbladder. As a common disease of the biliary system, the clinical manifestations and treatments of gallbladder stones vary depending on the type of gallbladder stones. First, the people who are most likely to suffer from gallbladder stones, have you been selected? Gallbladder stones related to body type: obese people who do not exercise well, women in late pregnancy, due to reduced physical activity, visceral prolapse, compression of the intestinal canal, resulting in poor bile excretion, gallbladder contraction ability, resulting in the accumulation of bile, concentration, crystallization and formation of stones; gallbladder stones related to previous gallbladder disease: patients with chronic cholecystitis, due to inflammation, resulting in the formation of bacteria and other shedding of core, prompting cholesterol, bilirubin These people are at high risk of gallbladder stones, but it does not mean that these people will definitely develop gallbladder stones, if they pay attention to avoid bad habits in life, most gallbladder stones can be avoided. The “quietest” and “craziest” stones About half of the patients with gallbladder stones have no clinical symptoms and are detected only when they undergo other treatments or related examinations. For patients without clinical symptoms, regular checkups and abdominal ultrasound are a reliable way to detect gallbladder stones. Patients with clinical symptoms often experience discomfort in the upper abdomen or right upper abdomen after eating, especially after eating greasy foods. Angina pectoris is a typical manifestation of gallbladder stones: when the stones are displaced and become lodged after eating fatty foods or when the body position changes during sleep, the gallbladder is unable to empty the bile normally, the pressure in the gallbladder rises, the gallbladder contracts strongly, and colic occurs. Biliary angina attacks are somewhat similar to angina, so some patients with gallbladder stones reported that their angina symptoms disappeared after being cured. The most conservative and aggressive treatment For patients with small stones (about 1cm) and asymptomatic gallbladder stones, no treatment is needed, close observation, regular checkups and good lifestyle habits are sufficient. For patients with clinically symptomatic gallbladder stones or those with large stones (more than 2cm), or combined with gallbladder polyps and filled gallbladder stones, laparoscopic cholecystectomy is the best treatment for gallbladder stones. However, the choice of the specific procedure will be based on the patient’s specific situation and the surgeon will choose the most appropriate treatment method. It is known that some urinary stones can be cured by expulsion after extracorporeal lithotripsy treatment. Therefore, patients often ask, “Can I have extracorporeal lithotripsy for my gallbladder stones?” The answer is no, because urinary stones can be excreted directly through urination after lithotripsy. In contrast, stones in the gallbladder that are discharged from the gallbladder after lithotripsy will enter the common bile duct and form common bile duct stones, which are a more serious disease than gallbladder stones and may cause serious conditions such as obstructive jaundice, cholangitis and pancreatitis. Also, small stones that are lithotripsy can induce biliary colic and acute cholecystitis if they become lodged in the gallbladder duct. In addition, for patients with small stones (up to 0.5 cm in diameter) and a small number of stones (no more than 3), oral lithotripsy with ursodeoxycholic acid can be considered, the principle being to increase the amount of bile acids in the bile to induce the redissolution of cholesterol. However, the effect is not yet certain. The most memorable way to prevent gallbladder stones is to eat a good breakfast and exercise properly; food hygiene is a guarantee, balanced nutrition is not to be underestimated; regular hospital checkups are good for early detection; if there are stones in the gallbladder, don’t be depressed and don’t be anxious; observe oral or open surgery, follow medical advice and monitor well.