AFTER GALLBLADDER SURGERY
Hello, I’m calling from Karşıyaka, İzmir. My husband was diagnosed with gallbladder 5 years ago. And he had gallbladder surgery in October 2013. Meanwhile, he used some herbal cures. The removal of his gallbladder didn’t do much good to him. His stomach ailments have increased. Then, we applied to Ege University Department of Gastrology. He was diagnosed with antral gastritis and reflux Grade-B. He used gastroprotective but didn’t get a positive result. Then he had reflux surgery on November 10, 2015. After 6 months, we still had our complaints. Endoscopy showed reflux. It also revealed Erosive Antral Gastritis.
After gallbladder surgery Our most important complaints right now:
1 – Tenderness and pain in the middle of the abdomen.
2 – Heartburn and pain
3 – Chest burn and pain
4 – Pain in the right abdomen and right chest, nausea from time to time.
5 – Pain in the stomach when walking from time to time.
6 – Feeling blocked and unable to breathe from time to time.
7 – Feeling of pressure on the throat and chest after eating.
8 – Sourness in the throat from time to time.
My dear friend,
My comments about your husband’s illness will be a bit long. Because it concerns many different subjects. Although you can draw a conclusion by collecting the answers I gave to many of my patients before, I will still write them to you again.
Your husband’s gall bladder surgery has nothing to do with his current complaints. Therefore, your statement that “removal of the gallbladder did not produce many positive results” is not right. Gallbladder surgery is performed in patients with stones, mud, polyps and tumors within the gallbladder, as the diseased gallbladder must be removed from the body. Gallbladder surgery is not health insurance for all digestive system functions of the patient. After you have gallbladder surgery, you may have ulcers, gastritis, even cancer, just like everyone else.
On the other hand, if these complaints are present before the gallbladder surgery, you may have digestive system disorders besides your problem with the gallbladder at the time before the surgery. Once your gallbladder problem has disappeared, your other problems that are already present may have come to the fore. In our country, other parts of the digestive system are not investigated in patients with gallbladder problems in general. Some of the reasons for this belong to us, physicians, and some belong to you, patients. Most of the gallbladder patients who come to me come with ultrasonography results that were done before, even a few years ago. The only goal in their minds is to have gallbladder surgery. The questions they seek answers are also obvious. Who will do the surgery, when and where will it be done, how much will it cost? I personally proposed these to a lot of my patients.
- I told them we should do an endoscopy before the gallbladder surgery to see if you have any other ailments, such as the esophagus, stomach entrance, stomach outlet and duodena.
The answer I got from almost all my patients was the same.
- No, sir, we’ve already had all our tests done, we just want to have surgery.
That leaves me with little to do as a physician. Either I’m only taking the patient for gallbladder surgery, or I’m just saying go get someone else to do it. In both cases, the patient is undergoing gallbladder surgery.
- Now you say, “stomach ailments have increased,” which means your husband had stomach ailments before the surgery. Did your husband have an endoscopy performed by your doctor prior to the surgery? Was he offered at least? Or was it, and you didn’t accept?
I do not understand herbs, teas, syrups, pastes, etc. I cannot answer your question about that subject.
You say “My husband underwent endoscopy in the gastroenterology department after gallbladder surgery and diagnosed with erosive antral gastritis and reflux esophagitis Grade B”. Obviously, your husband has two ailments, at the same time. Erosive antral gastritis is related to his stomach outlet and is not related to the 2nd surgery you have, that is, reflux surgery. I believe your husband underwent fundoplication surgery for gastroesophageal reflux or stomach hernia at the entrance of the stomach. So, your husband’s stomach entrance was interfered with. Naturally, after your 2nd surgery, it is expected that your stomach outlet complaints and the erosive antral gastritis clinic will continue as well.
- Chest burning and pain, sometimes pain in the stomach when walking, sometimes feeling blocked, feeling unable to breathe, feeling pressure up (throat) and chest after eating, and sometimes feeling a sour taste in the throat are physical evidence that the case of reflux in your husband continues. You say the post-operative endoscopy shows the reflux is treated, but your husband’s complaints suggest the opposite. Either your husband isn’t telling you the truth, or the person doing the endoscopy is not explaining everything. It’s up to you to choose one of two options. I think there’s a problem here, too. Esophageal brevity was not observed because the esophagus measurement was not performed before the surgery performed on you. In this case, the esophagus is short and pulls up the stomach. It is inevitable to have a recurrence within a short period of time after surgery.
- The problem with your husband’s stomach outlet is still ongoing. Erosive Antral Gastritis is indicative of this.
The result, in my perspective, is as follows:
1 – Your husband’s digestive system was not fully evaluated prior to gallbladder surgery. Your husband had problems with the stomach entrance (gastroesophageal reflux) and problems with the stomach outlet (bile reflux) prior to gallbladder surgery.
2 – The 2nd surgery performed on your husband was relapsed in a short time because the appropriate surgery was not performed due to incomplete evaluation. Your husband needs surgery again.
3- Erosive gastritis, caused by your husband’s stomach outlet problem, is still ongoing.