Gallbladder extraction Q&A
Q&A (common question and answer)
１．With the gallbladder (gallbladder), the gallbladder is on the way to the pipe to tie liver and the duodenum to and has a shape of the pear (do). As for the length, 10cm, the width can save choler of 50-60 ml at around 4cm. .
２．It is ryu (ta) meteokuhatarakioshiteimasu in choler (sputum) made with role liver (kanzo). When much food enters the stomach, through gastrointestinal hormone, I work as the pump sending digestive juice called the choler which the gallbladder shrinks, and dismantles fat content to bile duct mainly out.
３．The origin of the gallstone: A gallbladder calculus means the calculus that there is in gallbladder. It is one caused by the abnormality of the choler ingredients in the gallbladder, but does not understand it clearly. The calculus has many kinds by a cholesterol calculus, the ingredient including the black stone.
４．They present with high heat when it merges the symptom epigastric region ache of the gallbladder calculus, a back ache and inflammation.
５．Of the gallstone when there is it, does a symptom come out by all means? A gallbladder calculus is not a cause of the abdominal pain, and when a calculus falls into the exit of the gallbladder, gallbladder internal pressure is finished, and a pain comes out. Even if a gallbladder calculus is found by a clinical survey, there is the Homo sapiens without the symptom throughout the life, too.
６．How about afterwards once when abdominal pain is caused?
It is said that a symptom becomes easy to appear to the patient who experienced the abdominal pain attack due to the calculus within the past one year when I follow up the gallbladder calculus by no treatment in future than so-called asymptomatic patient who has not experienced an abdominal pain attack more frequently. However, there is the report that the establishment to present the later serious symptom, and to have an operation decreases with age. In addition, it is the patient with silent stone, but there is around several percent of outbreak frequency of serious complications such as acute cholecystitis, cholangitis, pancreatitis, and there is the risk to make the existence symptom at 2-4% a year of rates.
２．It is ryu (ta) meteokuhatarakioshiteimasu in choler (sputum) made with role liver (kanzo). When much food enters the stomach, through gastrointestinal hormone, I work as the pump sending digestive juice called the choler which the gallbladder shrinks, and dismantles fat content to bile duct mainly out.
３．The origin of the gallstone: A gallbladder calculus means the calculus that there is in gallbladder. It is one caused by the abnormality of the choler ingredients in the gallbladder, but does not understand it clearly. The calculus has many kinds by a cholesterol calculus, the ingredient including the black stone.
４．They present with high heat when it merges the symptom epigastric region ache of the gallbladder calculus, a back ache and inflammation.
５．Of the gallstone when there is it, does a symptom come out by all means? A gallbladder calculus is not a cause of the abdominal pain, and when a calculus falls into the exit of the gallbladder, gallbladder internal pressure is finished, and a pain comes out. Even if a gallbladder calculus is found by a clinical survey, there is the Homo sapiens without the symptom throughout the life, too.
６．How about afterwards once when abdominal pain is caused?
It is said that a symptom becomes easy to appear to the patient who experienced the abdominal pain attack due to the calculus within the past one year when I follow up the gallbladder calculus by no treatment in future than so-called asymptomatic patient who has not experienced an abdominal pain attack more frequently. However, there is the report that the establishment to present the later serious symptom, and to have an operation decreases with age. In addition, it is the patient with silent stone, but there is around several percent of outbreak frequency of serious complications such as acute cholecystitis, cholangitis, pancreatitis, and there is the risk to make the existence symptom at 2-4% a year of rates.
７．The treatment of the abdominal pain.
Fast is necessary so that gallbladder does not shrink. Intravenous feeding and the pain-killer of antibiotics are necessary, and hospitalization is necessary other than the slight illness.
８．What kind of person is easy to suffer from a gallbladder calculus?
It is said to an underlying disease that the frequency becomes higher in in women and a lardy figure, the plural calculi, young fellows than one and a man with diabetes.
９．The inspection diagnosis of the gallbladder calculus.
The abdominal echo, CT that there is not of insulting it are useful. Furthermore, the MRI is helpful to check having merger or not of the choledocholith.
10. The treatment of the gallbladder calculus.
There are gallstone dissolution therapy by the internal use, crush therapy by the shock wave medically, but a calculus is a cholesterol calculus and there is a limit and suffers from size and a number at time and may recur.
Therefore, it becomes the basics surgically to extract gallbladder. The operations under the endoscope called the laparoscope spread with a method of the first choice without greatly cutting a stomach. However, it becomes high in being established by the gallbladder calculus disease with the complications mentioned above to shift to an open surgery than gallbladder calculus disease without complications. The future should be talked about with a surgery specialist if asymptomatic.
It is said that a symptom becomes easy to appear to the patient who experienced the abdominal pain attack due to the calculus within the past one year when I follow up the gallbladder calculus by no treatment in future than so-called asymptomatic patient who has not experienced an abdominal pain attack more frequently. However, there is the report that the establishment to present the later serious symptom, and to have an operation decreases with age. In addition, it is the patient with silent stone, but there is around several percent of outbreak frequency of serious complications such as acute cholecystitis, cholangitis, pancreatitis, and there is the risk to make the existence symptom at 2-4% a year of rates. It is said to an underlying disease that the frequency becomes higher in in women and a lardy figure, the plural calculi, young fellows than one and a man with diabetes. The basics of the treatment for the gallbladder calculus that presented some kind of symptoms are gallbladder enucleation, and the operations under the endoscope called the laparoscope spread with a method of the first choice without greatly cutting a stomach. However, it becomes high in being established by the gallbladder calculus disease with the complications mentioned above to shift to an open surgery than gallbladder calculus disease without complications. The future should be talked about with a surgery specialist if asymptomatic.