(1) gallstones with acute cholecystitis need to be treated conservatively first, and surgical treatment should be taken within 2 to 3 months after the condition and symptoms are effectively alleviated.
(2) gallstones combined with chronic cholecystitis, recurrent abdominal pain, dyspepsia symptoms, the disease has not been effectively alleviated after drug treatment, through the auxiliary examination found that the gallbladder function is significantly impaired, it is necessary to receive surgery as soon as possible.
(3) Single gallbladder polyps with a diameter of more than 10mm, wide base, progressive enlargement, blood supply, thickening gallbladder wall, with a high risk of cancer; The diameter of a single gallstone is more than 30mm, and the incidence of cancer is 10 times higher than that of conventional gallstones, and it is necessary to take surgical treatment as soon as possible.
(4) Filled gallstones or porcelain gallbladder, the basic loss of gallbladder function, usually also need early surgical treatment.
(5) There are complications of cholecystitis, biliary calculus, and acute pancreatitis in the past, and the probability of recurrence is high, requiring surgical treatment.
What happens to the body after the gallbladder is removed?
Cholecystectomy is a surgical operation to remove the diseased part, generally for gallstones, cholecystitis, gallbladder polyps and gallbladder cancer and other diseases.
After gallbladder removal, the body may face the following four major sequelae:
1, abdominal distension, diarrhea, abdominal pain
After the gallbladder is removed, there is no place to store bile, which goes straight to the intestines. In 1-3 months after surgery, most patients will have diarrhea, dyspepsia, mild bloating, bloating and other complications, diarrhea symptoms will be aggravated after the intake of greasy food, but these symptoms will generally ease slowly about 1 month after surgery.
2. Reflux esophagitis
Unconcentrated bile enters the intestine directly, and if the amount of bile is too much, it may reflux into the stomach, resulting in an increase in stomach pH, which will bring adverse stimulation to the gastric mucosa, and easily induce reflux esophagitis and gastritis.
3, increase the risk of bile duct stones
Some patients may have recurrent biliary tract infection, cholestasis problems, these symptoms still exist after cholecystectomy, the bile duct and other parts of the bile duct are likely to develop stones after surgery.
In addition, the common bile duct may be compensatory dilated after cholecystectomy, or the bile duct stenosis may be complicated after surgery, resulting in the original flow characteristics of bile being broken and forming eddy currents, which is also easy to induce bile duct stones.
4. Increased risk of bowel cancer
Whether removing the gallbladder increases the risk of bowel cancer is controversial.
The study followed more than 270,000 gallstone patients up to 33 years after surgery and found a small increase in colon cancer risk after gallbladder removal. However, other studies have pointed out that removing the gallbladder does not increase the risk of bowel cancer.
The reason for the increase may be that bile will be decomposed by intestinal bacteria after entering the intestine, resulting in the formation of secondary bile acids. High concentrations of secondary bile acids will be converted into methylcholanthrene in the intestine, which has a strong carcinogenic effect and will increase the risk of colorectal cancer.
More and more people are getting gallbladder cancer,
3 Eating habits to change as soon as possible
The incidence and mortality of gallbladder cancer are on the rise worldwide, according to a study published in the American journal Cancer. From 1990 to 2017, the global incidence of gallbladder cancer and cholangiocarcinoma increased by 76% and the mortality rate increased by 65%, while in China, the incidence and mortality rate of gallbladder cancer increased by 84% and 44%, respectively.
The gallbladder is mainly used to store and concentrate bile, to help digest fat, to some extent, the occurrence of gallbladder cancer and dietary habits have an important relationship, especially the following 3 dietary habits, may increase the occurrence of gallbladder cancer.
1. Skipping breakfast
After a night's sleep, the body's bile inventory is very rich, and cholesterol saturation is high. If you do not eat breakfast at this time, the gallbladder will not be concentrated, bile will be concentrated in the gallbladder for a long time, cholesterol is also in a supersaturated state, it is very easy to form stones.
2. Greasy diet
Excessive intake of greasy food will lead to an increase in cholesterol levels in the body, and the cholesterol level secreted by the liver into the bile is more, which is easy to cause stones.
3. Go on a long-term diet
When eating regularly, the gallbladder will also contract regularly so that bile can be discharged from the intestine to promote digestion. Long-term dieting will make the gallbladder unable to get sufficient stimulation, and bile can not be concentrated inside and discharged in time. Stored in the gallbladder for a long time, cholesterol is more likely to precipitate and form stones.
There is a certain relationship between the occurrence of gallbladder stones and the occurrence of gallbladder cancer, but the two cannot be equated, and timely treatment or regular follow-up after the discovery of stones can greatly prevent its evolution into cancer.
