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Article #182: The diagnosis of gallstones, complications and treatment

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By using an ultrasound scanner we can dissolution therapy.
detect the gallstones painless and quick. Cholecystectomy is an operation that
To test the liver's function blood removes the gallstones and the
samples are taken. Other useful tests gallbladder together. If there are
are: CT- scan and a MRI scan. removed only the gallstones, there are
CT -means computerised tomography and high chances that gallstones to be
slices the body with X-rays. formed once again. In almost all cases
MRI-means magnetic resonance imaging and the removing of the gallbladder is done
pictures of the internal organs without by laparosopic and keyhole surgery.
X-rays, is very useful for checking the Usually those operations allow the
bile ducts. patient to go home after one day in the
Oral cholecystogram is an X-ray hospital and to return to normal
examination which shows if the activities. Laparoscopic involves four
gallbladder is capable of contraction. cuts in the abdomen of 1 cm and the use
ERCP meaning endoscopic retrograde of a tiny camera to see the gallbladder,
cholangio-pancreatography is used to through the other cuts other instruments
determine exactly if the patients has are placed in the abdomen. Traditional
gallstones in the bile ducts. Under cholecystectomy involves a cut of 9 and
sedation an endoscope is introduced down 18cm long, but in this case the patient
the gullet and into the duodenum and a will have to stay in the hospital for at
very thin tube is placed into the duct at least five days and won't be able to
the place where it enters the duodenum. return to work for six to eight weeks.
The duct is injected with a dye and after Complications after gallbladder surgery
X-raying one can see if there are are very rare and with no long term
gallstones. So, this way the gallstones effects.
may be removed. The patients are feeling well after the
Using medicines a specific type of operation and the pain has disappeared,
gallstone can be dissolved with so they no longer have to avoid fatty
dissolution therapy. If the patient is foods.
not willing to have an operation than the What to do at home when an attack of pain
alternative is to use ursodeoxycholic repeats: Painful attacks are to be
acid although by using this method it may treated with painkillers. Keeping a low
happen that the gallstone is coming back. fat diet and placing something warm on
Gallstones have to be of a small to the pain spot are also helpful methods.
medium size and to show up on plain If you have gallbladder and no symptoms
X-rays and the gallbladder to contract. appear then no treatment is required,
Lithotripsy is a technique that uses there are also many alternative
sound energy, but it hasn't been used so treatments which can be applied, if they
much on gallstones, the fragments will are not effective surgery is highly
still need to be removed by ERCP or recommended.






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