Gallbladder Problems | Gallbladder Pain

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Op. Dr. Sedat Sadal, a general surgery specialist at a private hospital in Bolu, gave information about gallstones and their surgery.

Sadal explained the anticipated aspects of the disease’s symptoms, diagnosis and treatment methods;

What is gallbladder?

Bile is a secretion produced in the liver and flow into the intestine. It plays a role in the absorption of fats and fat-soluble vitamins. It allows some substances to be excreted from the body. An average of 600 ml of bile is produced in the liver each day and poured into the duodenum via the main bile duct.

The gallbladder is a small pear-shaped organ attached to the lower face of the liver located on the upper right side of the abdomen. It is connected to the main bile duct by a small duct. The main function is to store, concentrate and secrete some of the bile produced by the liver through the main bile duct during starvation periods.

The liver can also send some of the bile it produces, without the need for a gallbladder, directly into the intestine. In the absence of the gallbladder, all of the bile can be transmitted to the intestine through the main bile duct. The gallbladder is therefore not an indispensable organ for life. In case of inflammation, the gallbladder needs to be removed and there will be no deficiency in vital functions.

What causes gallstones?

Bile contains substances such as cholesterol, lecithin, bilirubin and calcium. Gallstones generally occur as a result of the deterioration of the balance between the chemicals that make up bile. The resolution in the medium decreases and the liquid content becomes extremely concentrated. Some substances that need to be disposed of crystallize, collapse and form sediment.

Prolonged periods of hunger increase the formation of bile sludge. The gallbladder’s contraction and relaxation function and the secretion function of the wall from the inner face prepare the ground for the stone formation. Over time, a harder core forms and becomes a gallstone. Gallstones can cause discomfort to the person and lead to complaints that the duct should become blocked in its opening or the inner wall should become large enough to ruin.

What is gallbladder inflammation?

Safra kesesi iltihabı (kolesistit), genellikle safra kesesi kanalının tıkanması sonucu oluşan bir süreçtir. Safra kesesi şişer ve gerilir. Ödem, dolaşım bozukluğu torbanın duvarında görülür. Bozulmanın yavaş yavaş çürümeye ve delinmeye devam etmesi mümkündür. Tıkanma sıklıkla, kese içinde safra kesesi kanalının ağzında oturan ve safra kesesinin boşalmasına izin vermeyen taş ve çamur oluşumunun bir sonucu olarak ortaya çıkar. Safra kesesi iltihabının en önemli belirtisi karın ağrısıdır.

Pain is felt more prominently on the upper part of the abdomen and on the right. It happens after cold meals or in the evening. Hitting the back and shoulder is a typical example of pain. Pain is accompanied by nausea.

What is gallbladder surgery?

Gallbladder surgery is the surgical removal of the gallbladder. Surgery can be performed open (with classical technique) or closed (with laparoscopic technique). However, the standard preference in contemporary surgery is closed surgery (laparoscopic cholecystectomy).

Closed surgery is more comfortable for the patient. After surgery, the pain is less, the recovery is faster. All patients are scheduled for closed surgery. Open surgery is performed in very rare cases where closed surgery is not possible.

Who should undergo gallbladder surgery?

Gallbladder surgery should be done to patients with complaints such as bloating, indigestion, intolerance to fatty meals, nausea after meals, pain in the upper right side of the abdomen and to patients with stone in their gallbladder, mud and inflammation detected with ultrasound.

Patients with gallbladder inflammation (acute cholecystitis), which develops rapidly in a short time and does not respond to medication, need urgent surgery.

Patients who develop chronic cholecystitis (chronic cholecystitis) due to repeated attacks, even if their complaints are subsided by drug-serum treatments, also need surgery. It is especially important that patients with millimetric stones should not postpone the surgery for a long time.



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