Asymptomatic gallstone cut off?

summary

Cholecystectomy is not necessary for cholecystolithiasis, but cholecystectomy should be performed for patients with cholecystitis (clinical symptoms or imaging findings of inflammation). Cholecystitis is divided into acute and chronic two, in principle, should be operated on cholecystectomy. However, with the popularity of minimally invasive surgery, laparoscopic cholecystectomy has replaced the traditional open cholecystectomy and become the first choice for the treatment of cholecystitis. Asymptomatic gallstone cut off? Let's talk about it

Asymptomatic gallstone cut off?

First of all, asymptomatic gallstones can not do any treatment, many people with stones for life, does not cause symptoms. For patients with high blood fat or excessive intake of fatty food, we can adjust the diet structure and living habits, eat less greasy food, exercise more, and sometimes the stones may gradually shrink. This part of patients need regular B-ultrasound examination (once a year, regular physical examination will be done), to observe the size of stones, gallbladder size and cyst wall changes.

If the gallbladder atrophy or wall thickening is found during the follow-up, the possibility of gallbladder cancer can not be excluded, and cholecystectomy is needed. In another case, when patients need upper abdominal surgery (such as gastrectomy, partial hepatectomy, etc.) due to other diseases, general doctors would recommend removing gallstones (even asymptomatic) at the same time. This is because the incidence of cholecystitis will increase after surgical interference, and once cholecystitis occurs after surgical operation, It will increase the difficulty and risk of cholecystectomy.

Drug treatment of gallstones is for those patients with chronic cholecystitis who often feel discomfort in the right upper abdomen. Before they make up their mind to remove the gallbladder, they can temporarily control their symptoms by taking anti-inflammatory and cholagogic drugs; Ursodeoxycholic acid and other drugs can also be taken orally to stabilize or even dissolve stones by adjusting the composition of bile acid. It should be pointed out that at present, it is not advocated to treat gallstones with "stone dissolving" or even lithotripsy, because smaller gallstones are more likely to descend into the common bile duct, and the risk of common bile duct stones is much higher than gallstones, and the treatment is more complicated. Therefore, we should not mistake the propaganda of so-called "stone dissolving" or "stone removing" treatment, But should receive the regular treatment to the regular hospital.

matters needing attention

We should pay attention to our diet and avoid some high-fat food, so as to effectively prevent and treat gallstones. The tofu brain mentioned above is rich in protein, and gallstone patients can eat tofu brain.