How to treat gallstone?

summary

There are more than 100 kinds of traditional Chinese medicine and Western medicine for the treatment of cholecystolithiasis, which can improve the symptoms of cholecystitis, such as abdominal pain and abdominal distension, and have a certain effect of removing gallstones. You can choose to take 1-2 kinds of choleretic agents with mild adverse reactions and moderate price, and each drug should not be used for more than 2-3 months to avoid drug resistance. At the same time, you should drink more water to increase the effect of choleretic drugs, When there are choledocholithiasis and other causes of extrahepatic obstructive jaundice can not continue to take, any kind of choleretic agent of stone dissolving effect is not convincing, the possibility is not very big, asymptomatic cholecystolithiasis "attack down row stone" is not at that time may induce biliary colic and cholecystitis attack. So, let's take a look at how to treat gallstone first? Let's introduce the related knowledge of the field.

How to treat gallstone?

First, asymptomatic cholecystolithiasis generally does not need cholecystectomy and "peaceful coexistence", but for other reasons, abdominal surgery and cholecystectomy are also possible.

Second: cholecystectomy can be performed after more than three acute attacks of chronic cholecystitis, or uncontrolled gallbladder enlargement and effusion after the attack of cholecystitis, or after an attack of acute biliary pancreatitis. At present, it is considered that the best time for cholecystectomy is within 7 days or 45 days after cholecystitis, and one month after pancreatitis.

Third: repeated postprandial epigastric pain affects life and work, gallbladder wall thickening > 4 mm or ceramic like changes, stones increase year by year and increase, combined with gallbladder dysfunction or dysfunction, when medical treatment is ineffective, surgical treatment can be considered.

matters needing attention

(1) Before operation, we must make clear whether it is only gallstones or both gallstones and bile duct stones. If there are common bile duct stones at the same time, we can not do laparoscopic cholecystectomy alone. We need to use duodenoscopy to retrograde enter the bile duct from the opening of duodenal duct. This method is called ERCP. The two methods can be done at the same time, first or later. Different hospitals have different methods（ 2) Preoperative blood coagulation, liver function, kidney function, blood type and other blood tests, electrocardiogram, lung function and other tests are in line with the requirements of surgery and anesthesia. Preoperative bile enzyme, B-ultrasound, CT must be done, and it is best to do magnetic resonance MRCP examination to understand whether there are simple gallstones or bile duct stones at the same time（ 3) Before operation, we should understand the risk of bleeding, injury, infection and accident in any operation, and understand the possible physiological and pathological abnormalities after cholecystectomy, and sign the informed consent.