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Definition: Gall Bladder disease includes inflammation, infection, stones, or obstruction of the gall bladder.
Causes, incidence, and risk factors: The gall bladder is sac located under the liver. It stores and concentrates bile produced in the liver. Bile aids in the digestion of fats, and is released from the gallbladder into the upper small intensive(duodenum) in response to food (especially fats). Conditions which slow or obstruct the flow of bile out of the gallbladder result in gallbladder disease.
Types of gall bladder disease include:
- Cholecystitis (inflammation of the gallbladder).
- Cholelithiasis(gall stones).
Symptoms :
- Abdominal fullness or gas.
- Abdominal pain that is:
- Severe.
- Located on the right side (right upper quadrant) or in the upper middle of the abdomen (epigastric).
- Decreased over 12 to 18 hours in uncomplicated cases.
- Recurrent or similar to pain in past.
- Occurring after meals.
- Worse during deep intake of breath.
- Radiating to back or below the right shoulder blade.
- Worse after eating or drinking fatty foods or fluids.
- Fever.
- Nausea and vomiting.
- Heartburn.
- Chills and shaking.
- Chest pain under the breastbone.
Signs and tests:
- Abdominal ultrasound.
- Abdominal CT scan
- Abdominal x-ray
- Gall bladder radionuclide scan
- A CBC shows infection by an elevated white blood cell count.
This disease may also alter the results of the following tests:
- lipase
- Amylase
- Amylase, urine
- Chemistry panel (chem.-20)
| Removal of Gall Bladder |
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| Removal of Gall Bladder with Appendix |
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How is the gallbladder removed:
The surgery to remove the gallbladder is called a cholecystectomy. With traditional surgery, the gallbladder is removed through a 5 to 8 inch long incision (cut) in your abdomen. The cut is made just below your ribs on the right side and goes to just below your waist. This is called open cholecystectomy.
A newer ways to remove the gallbladder is called laparoscopic cholecystectomy. With this surgery a laparoscope (a small, thin tube with a scope on the tip of it that is used to see the inside of your body) is used to remove the gallbladder. Several small incisions are used rather than one large incision.
The laparoscope is put into your body through a tiny cut made just below your navel. Your doctor can then see your gallbladder on a T.V screen and do the surgery with tools inserted in 3 smaller cuts made in right upper part of your abdomen. Your gallbladder is then taken out through one of the incisions.
Treatment by Single Hole Surgery read more >>> |
