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Gallstones

Gallstones

Gallbladder looks like a pear  on the anatomical line joining the right and left lobes of the liver.  7-10 cm. in length.İt’s capacity is about 30 – 50 ml. bile storage. The bile which is constantly secreted by the liver, is normally stored at the bile and flows into duodenum  as needed. Daily total bile release is 700-1200 ml. The maximal volume of the gall bladder is only 30-60 ml. 12 hours  bile secretion can be stored in the gallbladder.

Gallstone is formed by sedimentation of solid substances in the bile fluid.

Recurrent episodes of abdominal pain; on the right upper abdomen or on the epigastric area. it spreads frequently to the right shovel.

Pain usually starts after heavy meals, gradually increases , It takes a few hours (bilier colic). Nausea and vomiting may accompany the pain. Swelling and belching can also be observed. Asymptomatic biliary stones are usually found when abdominal ultrasonography or tomography is performed for other reasons. 3-5% of symptomatic (asymptomatic) bile duct stones become symptomatic every year. In about 20 years, about three-in-one leads to complaint. Today  bile duct surgery is done by laparoscopic, ie closed method, except in  rare cases. The duration of surgery is usually short for 1 hour. After surgery patients can walk and eat ind the early period. Generally, patients are discharged on the first day of surgery.

Cholecystectomy indications

1-Acute cholecystitis (gall bladder infection)

2-Symptomatic cholelithiasis (bile stones stone)

3-Positive bile culture salmonella carriers

4-Porcelain (calcifiye) gall bladder

5-Sickle cell anemia

6-Children and adults in bile stone stones

7-Gallbladder  polyps

8-Bile duct tumors

Prophylactic cholecystectomy indications

  1. Older people and people with diabetes
  2. İndividuals who can not get health care for a long time
  3. İndividals who have porcelain bile ducts
  4. Gallstones Large 3 cm den or small 0.5 cm