When Should Gallbladder Be Removed

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Living Without A Gallbladder

Should I Remove My Gallbladder If I have Stones? Dr.Berg

You can lead a perfectly normal life without a gallbladder.

Your liver will still make enough bile to digest your food, but instead of being stored in the gallbladder, it drips continuously into your digestive system.

You may have been advised to eat a special diet before surgery, but this doesn’t need to be continued afterwards.

Instead, you should aim to have a generally healthy, balanced diet.

Some people experience problems such as bloating or diarrhoea after surgery, although this usually improves within a few weeks.

If you notice certain foods or drinks trigger these symptoms, you may wish to avoid them in the future.

Are There Alternatives To Gallbladder Surgery

Acute Cholecystostomy, an Ultrasound-Guided Drainage Procedure. For patients who have acute cholecystitis or gallbladder inflammation and are unable to have surgery, an endoscopic stent can be placed between the gallbladder and alimentary tract to drain infection in a procedure called acute cholecystoenterostomy .

Can I Try Other Treatments First

You may be able to manage your symptoms for a short time by making changes to your diet. This includes cutting back on fatty foods. But dietary changes donât always help prevent gallbladder attacks.

If surgery isnât an option for you, your doctor can prescribe a medication to dissolve your gallstones. But this can take months or even years to work. And even if your gallstones do go away, thereâs a chance theyâll return.

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What Happens After A Percutaneous Cholecystostomy

Your gallbladder will now drain into the drainage bag rather than into your intestines. You will need to go home with this drain in place with the bag. The drain will need to stay in place for at least 6 weeks. This allows a muscular tract to form around the drainage, so that you do not leak bile into your belly when we remove the tube. You will need to keep the drain site clean, dry and protected from accidentally getting pulled out . You will need to keep track of the amount of fluid that is draining into the bag. You can become dehydrated and you should try to drink at least 3-4 liters of fluid per day to keep hydrated.

As the inflammation resolves, the gallbladder may then be able to drain into your intestines again. A few weeks after we place your tube, you will have a diagnostic study in radiology. For the study a contrast dye in squirted into the tube. This is to evaluate the tube and the gallbladder to see if the gallbladder is able to empty normally again. We also check for gallstones. The doctor will likely try to clamp the tube as another way to test if your gallbladder is draining properly. If the tube is clamped, the gallbladder can then only drain into the intestines.

If your gallbladder works properly, and if you do not have gallstones, your doctor can remove the tube and leave your gallbladder. The hole from the tube will close on its own in 2-3 days.

Is Laparoscopic Gallbladder Removal For You

Cholecystectomy (Gall Bladder Removal)

Laparoscopic gallbladder removal might be the right choice for you because it is the most common type of gallbladder surgery. It might not be an option if:

  • You have severe gallbladder problems, or
  • You had earlier surgery in your upper abdomen.

Ask your family doctor or other health care provider if this surgery is right for you. You should also talk with a surgeon who is trained and qualified to do laparoscopic gallbladder surgery. They can help you decide.

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Symptoms Of A Gallbladder Problem

The primary source of problems within the gallbladder, including inflammation, stem from the development of gallstones. These hard deposits of digestive fluid can occur in the gallbladder itself or in the bile duct, and they can range in size from as tiny as a grain of sand to as big as a golf ball. Some patients may only develop a single gallstone, while others will have several. However, it is not the presence of gallstones but the complications they cause that may necessitate surgery. When these deposits develop and cause a blockage in the bile duct, the bile is unable to circulate out of the liver as normal, building up and resulting in painful inflammation in a condition known as cholecystitis. The symptoms associated with the condition include:

  • Sudden and severe pain at the upper right or center abdomen
  • Tenderness of the abdomen
  • Nausea and vomiting

If left untreated, the complications could lead to an infection or even cause the gallbladder to tear or burst.

How Long Does It Take To Recover From Gallbladder Surgery

Your recovery time will depend on which procedure you had.

  • Laparoscopic: Most people can leave the hospital on the same day or the day after the operation. If you leave that day, have someone stay with you for at least 24 hours as you may still be feeling the effects of the anesthesia. Youll likely be able to return to your normal activities in about two weeks.
  • Open: Usually youll have to stay in the hospital for three to five days afterwards. Recovery takes about six to eight weeks.

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How Do Doctors Find Gallbladder Problems

Your doctor will probably order a test called an ultrasound. It shows the inside of the body using sound waves. You are awake during the test, and it does not hurt.

If you need more tests, you might have a CT scan or a test called a HIDA scan. The HIDA scan uses an injection of dye to show how well your gallbladder and bile duct are working.

Recovering From Gallbladder Removal Surgery

When should a person have their gallbladder removed?

It doesn’t usually take long to recover from keyhole surgery to remove your gallbladder.

Most people can leave hospital the same day or the next morning.

You’ll probably be able to return to most of your normal activities within 2 weeks.

It takes longer to recover from open surgery. You may need to stay in hospital for 3 to 5 days and it could be 6 to 8 weeks before you’re feeling back to normal.

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What Is Gallbladder Removal

Gallbladder removal is a surgery to take out a small organ called the gallbladder. Another name for gallbladder removal is cholecystectomy .

If your gallbladder causes problems, you may have surgery to remove it. You may need to make some minor changes to your diet after a cholecystectomy. But you can live well without your gallbladder.

What Is Robotic Cholecystectomy

Your surgeon might use a surgical robot to do your operation. It is done the same way as the description above. Your doctor guides the robot instead of guiding the instruments by hand. This is commonly referred to as robotic surgery.

You might have a specialized X-ray of your gallbladder and bile duct during surgery. This X-ray can find gallstones in the common bile duct. If you have them, the surgeon might need to do additional procedures during the surgery. Or you might need another procedure to remove them later.

It is very important to know about your doctors training and experience before your surgery. Ask about their experience doing laparoscopic gallbladder removal and open gallbladder surgery.

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Is Gallbladder Surgery The Only Treatment For Gallstones

Although there may be a chance that medications could be helpful, they havent been scientifically proven effective. Your provider may recommend surgery if your gallbladder causes you problems from gallstones. Depending on your general health, you may not need treatment if your gallstones dont cause any symptoms.

Getting Ready For Surgery

Cholecystectomy

You and your care team will work together to get ready for your surgery. Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if youre not sure.

  • I take a blood thinner, such as:
  • I smoke or use an electronic smoking device, such as a vape pen, e-cigarette, or Juul®.
  • I use recreational drugs.
  • About Drinking Alcohol

    The amount of alcohol you drink can affect you during and after your surgery. Its important to talk with your healthcare providers about how much alcohol you drink. This will help us plan your care.

    • If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If we know youre at risk for these problems, we can prescribe medications to help keep them from happening.
    • If you drink alcohol regularly, you may be at risk for other problems during and after your surgery. These include bleeding, infections, heart problems, and a longer hospital stay.

    Here are things you can do before your surgery to keep from having problems:

    • Be honest with your healthcare providers about how much alcohol you drink.
    • Try to stop drinking alcohol once your surgery is planned. Tell your healthcare provider right away if you:
    • Get a headache.
    • For information about being a health care agent, read How to Be a Health Care Agent.
    • If you have more questions about filling out a Health Care Proxy form, talk with your healthcare provider.

    Do breathing and coughing exercises

    Follow a Healthy Diet

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    How To Prepare For Open Gallbladder Removal

    Prior to surgery, youll undergo several tests to ensure youre healthy enough for the procedure. These will include blood tests and imaging tests of your gallbladder.

    You may need to have additional imaging studies, such as a chest X-ray or an EKG, depending on your medical history. A complete physical exam and record of your medical history will also be needed.

    During these appointments, tell your doctor if youre taking any medications, including over-the-counter drugs or nutritional supplements. Certain medications can interfere with the procedure. You may have to stop taking them prior to surgery. Also, tell your doctor if youre pregnant or may be pregnant.

    Your doctor will give you complete instructions on the best way for you to prepare for surgery.

    These instructions may include:

    Gallbladder Liver And Bile

    The liver is the largest organ in the body, aside from the skin. It performs multiple functions like synthesis, excretion, detoxification and storage. The liver is connected to the small intestine with bile ducts, through which bile flows from the liver to the intestine. At the lower border of the liver, the pear shaped gallbladder is present. This organ is attached to the bile duct by means of the cystic duct. It stores and concentrates bile, a green to brown liquid that helps your body digest fats. When a person is not taking food, the bile from the liver flows into the gallbladder and gets stored and concentrated there. When a person eats, especially a fatty meal, the gallbladder contracts and the bile from it flows into the small intestine where it helps in the digestion of fat. After assisting fat digestion, the bile gets reabsorbed at the terminal portion of the small intestine and reaches the liver, from where it is secreted again. A small quantity of bile is lost in the stools. The gallbladder is not a vital organ, as it performs the function of only storing bile and hence a person can live without a gallbladder.

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    What Happens Before Gallbladder Removal

    A few weeks before surgery, you meet with your healthcare provider. At this appointment, you may:

    • Get a blood test to make sure you’re healthy enough for surgery.
    • Discuss what technique your surgeon will use and ask any questions.
    • Receive instructions about when to stop eating and drinking before your operation.
    • Talk about ways you can reduce your risk of postoperative complications, such as quitting smoking.

    Key Points To Remember

    12 Complications of Having Your Gallbladder Removed
    • If you feel comfortable managing mild and infrequent gallstone attacks, and if your doctor thinks that you aren’t likely to have serious complications, it’s okay not to have surgery.
    • Most doctors recommend surgery if you have had repeated attacks. If you have had one attack of gallstone pain, you may want to wait to see whether you have more.
    • Surgery is the best way to prevent gallstone attacks. The surgery is very common, so doctors have a lot of experience with it.
    • Your body will work fine without a gallbladder. There may be small changes in how you digest food, but you probably won’t notice them.

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    What Is The Purpose Of The Gallbladder

    The gallbladders role is in digestion, and while it does serve a purpose, it isnt essential. This small, pear-shaped organ is located just below the liver. It stores small amounts of bile that are released into the small intestine after eating to aid in the digestion of fats. However, it can also become the source of painful and troublesome symptoms should it become inflamed or develop gallstones.

    When Should I See My Healthcare Provider

    See your healthcare provider right away if you experience:

    • Discharge or redness at your incision site.
    • Fever above 100.4 degrees Fahrenheit.
    • Pale stools or dark urine.
    • Persistent nausea or vomiting.
    • Swelling that doesnt go away.

    A note from Cleveland Clinic

    Gallbladder removal or cholecystectomy is surgery to take out an organ called the gallbladder. You may need this surgery if you have gallstones. Gallstones are small pebble-like deposits that build up in your gallbladder. Your surgeon may use an open or laparoscopic cholecystectomy. Both procedures are safe, effective options, and most people recover within two to eight weeks. Cholecystectomy is a common treatment for gallstones. You can live well without your gallbladder.

    Last reviewed by a Cleveland Clinic medical professional on 07/08/2021.

    References

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    Pros And Cons Of Gall Bladder Removal

    Gallstone ClinicGallbladder Removal, Gallstones Disease, Gallstones Info0

    Pros and Cons of Gall Bladder Removal, The gall bladder is a very important organ when it comes to helping with our digestive system. However, the gall bladder is not a required organ for the body to continue functioning so if you need a gall bladder removal you will be fine afterward.

    Fat intakes through our body need to be digested properly but unfortunately fat cannot dissolve correctly in water so our gall bladder helps it to absorb through the intestinal wall. An essential factor that plays a big role in this process is bile, which consists of substances that help emulsify fats.

    It will also help to stimulate the secretions of the enzymes that are needed to help break down the fat so it can be digested properly. The liver can secrete the bile but it is stored inside the gall bladder until its needed.

    If you consume too much fat it will overstimulate the gall bladder causing it to contract to send bile to the intestine. If the gall bladder becomes diseased it will require a gall bladder removal which can be the only cure for severe and large gallstones. Symptoms of a gall bladder attack usually include moderate to severe abdominal pain, vomiting, nausea, fever, yellowish of the eyes and skin from being jaundice, heartburn, diarrhea, constipation, and indigestion.

    How Much Time Will It Take To Recover From Gallbladder Surgery

    Gallbladder Removal

    Your recovery time will relyupon the procedure your surgeon has recommended:

    • Laparoscopic: Certain individuals discharge from the hospital on the same day after the surgery. However, if youre discharged from the hospital the same day, it is highly recommended to take proper rest for at least two weeks or as recommended by the surgeon. You can resume your routine activities in about two weeks
    • Open: It takes a slightly longer time to get recover from surgery and youll have to stay in the hospital for at least three to five days post-surgery. Recovery takes around six to eight weeks.

    Appointment

    For more information on the Diagnosis & Treatment of Gallstones or Gallbladder removal surgery, please feel free to contact our healthcare expert today for free online consultation at +1 748-0200.

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    What Can I Eat For Breakfast With No Gallbladder

    This includes foods like bananas, white rice, boiled potatoes, plain pasta, dry toast, and crackers. Gradually, you’ll be able to advance your diet and add more flavorful foods. Your body will have problems digesting fat right after surgery. In a ‘no gallbladder diet,’ the less fat you eat the better.

    Diseases Of The Gallbladder

    Though the gallbladder is not a vital organ, it can be subject to a number of diseases, some of which can result in serious complications. Gallbladder disease can occur in both sexes though it is more common in women. The two most common diseases involving the gallbladder are gallstone disease and cholecystitis.In gallstone disease, stones are formed in the gallbladder. These gallbladder stones usually do not cause any symptoms. But sometimes gallbladder stones do cause symptoms, and they can also lead to serious complications when they obstruct the flow of bile from the gallbladder by blocking the cystic duct or by moving into the bile duct and causing obstruction.

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    What Are The Risk Factors For Gallbladder Removal

    Gallbladder removal is general surgery and it is safe. Complications of laparoscopic surgery are rare. But, like any type of surgery, theres a risk of complications, which can include:

    Laparoscopic Gallbladder removal surgery is the most recognized and safe method. Risk factors involved in laparoscopic surgery are uncommon. However, similar to surgery, theres a risk factors, which may include:

    • Infection in the surgical area
    • Leakage of bile

    Consult your PCP about the advantages of Laparoscopic surgery and the risks of surgery before you schedule the surgery.

    What Complication Can Happen After A Gallbladder Removal Involve

    Gallbladder Surgery (Removal): WATCH THIS!

    Gallbladder removal surgery is a safe procedure. However, it is a surgical procedure and as such carries a risk of complications.

    These may include: wound infection, bleeding, bile leakage, injury to your bile duct, intestine, bowel or blood vessels, blood clots, reaction to the anaesthetic and post-cholecystectomy syndrome with symptoms similar to those caused by gallstones.

    Recommended Reading: Can Gallstones Be Removed Without Removing The Gallbladder

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