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Gallbladder Stones (Kolelithiasis)

Gallbladder Stones (Kolelithiasis)


How and why does gallbladder stone occur?
An average of 1 liter of bile is secreted daily from the liver. Bile bile plays a role in the digestion and absorption of fats and certain vitamins. The task of the gall bladder is to store bile. The bile released from the liver accumulates here. When the food is eaten, the gallbladder contractes and the bile is drained into the duodenum by digesting it. During the accumulation and storage of saffron in the gallbladder, deposits can occur. They may turn into bile mud and then gallstones first.


Who has gall bladder stone? What are the risk factors?
Gallbladder stones are more common in women. Pregnancy plays an important role in this. During pregnancy, cholestasis occurs and the bile flow slows down, resulting in an increase in bile deposits in the gallbladder and laying the ground for stone formation. Therefore, the risk of gallbladder stone (cholelithiasis) is high in women who have given birth. However, gall bladder stone is more common in overweight people. It is more common after the age of 30. The most important factor in the formation of gallbladder stones in young people is hereditary anemia (genetic anemia).

What are the symptoms of gallbladder stone?
Gallbladder stones often have no symptoms. They are detected during abdominal ultrasonography performed for another reason. The most common symptoms are dyspepsia, swelling, abdominal pain after fatty foods. Abdominal pain is usually on the right side of the abdomen and is accompanied by back pain. Symptoms of gallbladder stones are often confused with stomach complaints. Most of the time our patients come alar my stomach hurts Çoğu. As a result of gallstones falling into the biliary tract, congestion in the bile flow and jaundice may be seen. This is called obstructive jaundice and is not contagious like microbial jaundice. If there is inflammation of the gallbladder (cholecystitis), fever, nausea and vomiting are also seen.


How is the gallbladder stone diagnosed?
The diagnosis of gallbladder stones is made by imaging methods. Ultrasonography is the most effective and inexpensive among them. By ultrasonography, the stones, numbers and size of the gallbladder can be easily diagnosed. Tomography and MRI should be performed in complicated cases. The most effective method for the evaluation of biliary tract is MR cholangiography.


What can the gallbladder stones cause if not treated?
Gallbladder stones are often silent. They can stay for many years without causing any problems. The most common problem is abdominal pain, indigestion and bloating. The bigger problem is gallbladder inflammation. It requires hospitalization of the patient. Gallstones can sometimes interfere with the biliary tract with bile flow. In this case, they may cause obstruction in the bile duct and the associated mechanical occlusion (obstruction jaundice). In this case, ERCP may be required before surgery. Bile does not run into the duodenum and accumulates backwardly into the bloodstream and causes jaundice. The pancreas can also develop with inflammation of the pancreas. In this disease called pancreatitis, it may be necessary for the patient to stay in hospital for a long time, to receive medical (medication) treatment or even to treat in the intensive care unit in some severe cases. These are difficult and life-threatening diseases.

What is the treatment of gallbladder stones?
Treatment is the complete removal of the gall bladder. Even if the person has diabetes (diabetes) as soon as possible should be operated. This operation is called Cholecystectomy. Patients who were diagnosed with gallbladder stones during other investigations did not experience any complaints, but could experience hesitations for surgery.

Gall bladder operations can be performed safely and painlessly in a short time with laparoscopic (closed) method. There are only four small holes in the abdomen without a large incision. Our patient stands the same day and can go home the next day. He can return to his daily routine in a day or two. The gall bladder is taken with the stones in it. In the gall bladder surgery, only a method of removing stones is not applied. The gall bladder is completely removed with the stones in it.