Gallbladder pain in the upper right side of the abdomen, back and shoulder, can be confused with heart attack symptoms
. If this pain is experienced more severely, especially after heavy fatty meals, gallstones are suspected. Although the gallbladder is an organ adjacent to the liver where bile is stored, it is anatomically defined as a part of the liver
.
Why do gallstones form?
How do gallbladder stones form? Precipitation occurs when there is a deterioration in the proportions of suspended substances in the bile. Cholesterol collapses are the most common, but rarely
Bilirubin stones may form in some blood diseases where blood destruction occurs. When the sediments formed in the form of crystals
combine over time and become small particles, an accumulation defined as "bile sludge" is formed.
Sometimes stones that grow up to 3 to 5 cm can be seen. While very
small particles can pass into the duodenum with bile, stones remaining in the gallbladder or
duct and growing larger can block the duct.
What is gallbladder inflammation (cholecystitis)? ?
When a stone larger than the gallbladder duct blocks the duct, the gallbladder swells and creates a suitable environment for infection because the bile in the gallbladder cannot be discharged
. This condition is called "gallbladder inflammation" (acute cholecystitis).
What is obstructive jaundice?
Stones in the duct, blockage of the breast at the connection point with the duodenum. As a result
it may cause blockage and swelling in the canal. As a result, the gallbladder swells and the pressure in the bile ducts within the liver increases. The liver filters blood well and the bilirubin substance in the blood rises, resulting in a disease called "obstructive jaundice".
What is acute pancreatitis?
Small stones cause blockage of the pancreatic duct, causing the pancreas to collapse. It causes "acute pancreatitis", which progresses with inflammation and swelling. Gallstones are more common after the age of 40.
Due to fertility and estrogen hormone, they are more common in women.
What are the symptoms of gallstones?
Gallbladder. The presence of pain in the upper right side of the abdomen, back and shoulder, can be confused with the symptoms of a heart attack. This pain is experienced much more severely, especially after heavy fatty meals
because the substances in bile are needed more for the digestion of fatty meals
. Sometimes, as small stones fall out of the sac, "bile duct colic" occurs and causes pain. If the patient has chills, chills and fever, this indicates that there is inflammation (cholangitis) in the bile ducts.
The symptoms are more severe in acute pancreatitis.
Diagnosis and treatment methods of gallstones
Ultrasonography is most commonly used to diagnose gallbladder diseases. Morning fasting is considered necessary during ultrasonography
examination. In surgical treatment, there is no method such as removing gallbladder stones and leaving the gallbladder in place; the entire organ is removed together with the stones.
For stones that do not cause any symptoms and are detected by chance, follow-up can be preferred. Laparoscopic cholecystectomy is performed in cases where the gallbladder needs to be removed; The gallbladder is removed by closed surgery through 3 or 4 small incisions made on the abdominal wall. Laparoscopic
koles Cystectomy can also be performed through a single incision in the abdomen, entering only through the belly button.
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