Medical and surgical management of gall stone disease/ Do all patients with gall bladder stones require surgery

Gall Bladder Surgery | Gall Bladder Stone Treatment in Bangalore

Gall stone is a common problem in India and most of the time the patient is confused about the treatment options available. Let us discuss the two option available for Gallstone treatment

Most of the time or the usual treatment for gallstones is surgery. In certain cases doctors sometimes can use nonsurgical treatments to treat cholesterol stones. In the case of pigment stones, surgery is the recommended method

There are two methods of treatment for gallbladder stone:

  • Medical
  • Surgical

So let’s understand the two methods

1.     Surgical / Surgery

Gall Bladder Stone Surgery | Gall Bladder Stone Treatment in Bangalore
Gall Bladder Stone Surgery | Gall Bladder Stone Treatment in Bangalore

Gall Bladder Stone Treatment in Bangalore | Dr. Manas Tripathy

A gall bladder is a pear fruit shaped organ that helps in the storage of bile juice, a fluid that is helpful in digesting food. If it does not work in the right manner, then it starts forming fragments that are hard but these fragments can be small in size or they can be big in size as well. But you have to remember that these gall bladder stones do not go away just like that. If they start hurting your body, then the doctor might have to remove them. It is a surgery known as cholecystectomy that they have to perform.

It is believed that 80% of the people who have the problem of gall bladder stones have to go through the surgery. Not trying to scare you, but letting you know about the fact. You might want to know how many types of surgeries are there and about the best surgeons as well. So here are the types of cholecystectomy surgeries performed by surgeons:

1. Open cholecystectomy: As per this procedure, the surgeons have to lay a cut of 5 to 7 inches on your belly to let that paining gall bladder come out of your body. The scenarios in which you might need the surgery is if you are suffering from bleeding, if you have a rarest of a rare disease in the gall bladder, or if you are extremely over-weight or if you are in the last trimester of being pregnant.

2. Laparoscopic cholecystectomy: Best surgeons call it as “keyhole surgery”. In this, the surgeon does not give a huge cut on your belly. But he makes 4 small cuts on the belly. Then he puts a very thin tube with a video camera in your belly to check the position of your gall bladder stone and then he would insert the required equipment in removing the gall bladder stone.

2.     Medical or Nonsurgical treatments

Medication for Gall Bladder | Gall Bladder Stone Treatment in Bangalore
Medication for Gall Bladder | Gall Bladder Stone Treatment in Bangalore

In special cases or situations, doctors use nonsurgical treatments for gallstones.

In case due to some medical condition that prevents surgery then the doctor may opt for medical treatment. The treatment procedure maybe for a longer  time or even for the rest of your life

Below mentioned are few nonsurgical treatments options  that a doctor may use to remove or break up cholesterol gallstones:

  • Endoscopic retrograde cholangiopancreatography (ERCP). To remove the gallstone that is stuck in the common bile duct, sometimes doctors use ERCP
  • Oral dissolution therapy. There are certain medicines that contain bile acids that can break up gallstones. The mechanism of this medicine is to break the small cholesterol stone. Usually, the treatment is for a longer period of time
  • Shock wave lithotripsy. Usually, a doctor uses shock wave lithotripsy NIH external link to blast gallstones into small pieces. But these types of procedures are not used regularly.

So with the above content, it is clear that surgery is one of the best options to treat Gall bladder stone.

Let us discuss, do all patients with gall bladder stones require surgery

Do I Need Gall Bladder Surgery | Gall Bladder Stone Treatment in Bangalore
Do I Need Gall Bladder Surgery | Gall Bladder Stone Treatment in Bangalore

The doctor will decide whether you need surgery or not based on clinical evidence and the symptoms of gallstones. There’s no need for you to have surgery if there are no major problems and discomfort. You need surgery only if a stone goes into, or blocks, one of your bile ducts. This problem what doctors call a “gallbladder attack”. The pain is intense and can last for several hours

Gallstones can also lead to more serious problems if left untreated, like

  • Cholecystitis — an inflamed gallbladder
  • Pancreatitis — an inflamed pancreas
  • Cholangitis — inflamed bile ducts

There are several tests done just to see the effect of gallbladder gallstones are having on your health

 Tests might include:

  • Blood test
  • Ultrasound
  • MRI HIDA (hepatobiliary iminodiacetic acid) scan
  • Endoscopic ultrasonography

Can I Try Other Treatments First?

Other Treatment Options | Gall Bladder Stone Treatment in Bangalore
Other Treatment Options | Gall Bladder Stone Treatment in Bangalore
  • With a proper diet plan, you can manage your symptoms for a short time. This includes reducing fatty foods. But you cannot prevent the Gallbladder attacks which is very painful
  • If your doctors feel that surgery is not a good option for you then he can prescribe a medication to dissolve your gallstones. This requires a long period of treatment and even if your gallstones do go away, there’s a chance they’ll return.

Conclusion:

According to Dr. Manas Ranjan Tripathy Gall bladder, stone management is very important as if left untreated it may cause emergencies. Based on clinical evidence and symptoms the doctor will take a call whether to do surgery or not. As per Dr. Manas Tripathy, around 80% of patients required surgery. He always says that “With the advance in technology like Laparoscopic Cholecystectomy it is very safe and effective”. So if we evaluate the risk and benefits then surgery is the best option for Gallstone treatment.

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