Overcoming Gallstones, Need Surgery or Not?

Gallstones are deposits of bile that hardens in the gallbladder. The method treatment for gallstones varies, depending on the symptoms, type of gallstones, and location.

Until now, the cause of gallstones is unknown, but there are several factors that make a person at risk of suffering from gallstones. Women, especially pregnant women, experience more gallstones than men. In addition, obesity also increases the risk of gallstones forming.

Overcoming Gallstones, Need Surgery or Not?

The number of gallstones that sufferers have varies, it can be only one, there can also be several fruits. The size also varies, ranging from as small as grains of sand to as large as a golf ball.

What are the Symptoms of K appearance Gallstones?

Initial gallstones do not cause signs or symptoms. But if gallstones shift to the bile duct and cause blockages, the patient will feel pain in the stomach. The characteristics of abdominal pain caused by gallstones are:

  • Pain in the right upper abdomen and solar plexus, which appears suddenly and gets worse rapidly.
  • Pain radiates to the back between the shoulder blade and right shoulder.
  • Pain can feel very severe, making the sufferer unable to sit still or find a comfortable position.

In addition to abdominal pain, other symptoms that can also appear are:

  • Fever
  • Shivering
  • Nausea and vomiting
  • Jaundice

If you experience these symptoms, consult a doctor immediately. The doctor will perform various examinations, such as abdominal ultrasound, CT scan, MRI, or ERCP, to see the presence of gallstones. Blood tests can also be done to see complications arising from gallstone disease.

When O per B or E mpedu Required ?

Treatment for gallstones will be adjusted to the patient's condition. For gallstone disease that does not cause symptoms, it is often not necessary to remove the gallbladder surgery.

Only one third of all patients with gallstones without symptoms eventually need surgery. This shows that gallstones do not really need to worry if it does not cause complaints or symptoms.

Surgery is performed if gallstones have caused symptoms. The action taken by the surgeon during surgery is the removal of the gallbladder. The doctor can perform surgical removal of the gallbladder by laparoscopy, or by open surgery, ie through an incision in the abdominal wall.

Removal of the gallbladder does not affect a person's ability to digest food, but can sometimes cause diarrhea.

Gallstones Treatment other than Surgery

Aside from surgery, gallstones can also be overcome by:

Ursoxoxicolate acid drug

Ursoxoxicolate acid drugs can help dissolve gallstones, but it takes several months and must be monitored every month. However, the medicine for ursodeoxicolate acid has several drawbacks, which can only overcome small stones and stones formed from cholesterol. In addition, gallstones can also recur.

Extracorporeal s l ithotripsy (ESWL)

ESWL is a treatment with shock waves to break down gallstones. The disadvantage of this method is that it is only effective for single gallstones less than 2 cm in diameter. In addition, the effectiveness of ESWL in destroying gallstones is also not entirely clear, so doctors usually recommend surgery.

In conclusion, when gallstones cause symptoms, the treatment option is surgical removal of the gallbladder. There are other alternative treatments with drugs and ESWL actions, but keep in mind that gallstones can reappear if the gallbladder is not removed.

Written by:

dr. Sonny Seputra, M.Ked.Klin, SpB
( Surgical Specialist )

Label : Health cat_Health

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