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Gallstone Treatment Kolkata

What is a Gallstone?

Gallstones are solid deposits that form within the gallbladder, a small pear-shaped organ
located beneath the liver. These stones can vary in size and composition, but they typically
consist of cholesterol, bilirubin, bile salts and other substances. Gallstones can cause
discomfort, pain, and potentially serious complications if left untreated.

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Types of Gallstones

1. Cholesterol Stones: These are primarily composed of cholesterol. They form when bile contains excessive cholesterol, leading to crystallization. These are translucent and typically single.

2. Pigment Stones: These stones contain bile salts which are the products of beakdown of red blood cells.They result from an excess of bilirubin in the bile, often associated with certain medical conditions like thalassemia. They're typically multiple faceted and black-green in colour.

3. Mixed Stones: These are the most common type. They are primarily made of bile salts,
bilirubin salts and other organic substances like cholesterol.

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Symptoms of Gallstones

Recognizing gallstone symptoms is crucial for timely intervention. Common signs include:
 

  • Abdominal Pain: Intense pain in the upper right abdomen or under the rib cage. The pain may radiate to the back or shoulder blades.

  • Nausea and Vomiting: Especially after consuming fatty meals.

  • Jaundice: Yellowing of the skin and eyes due to bile duct blockage.

  • Fever and Chills: Indicating inflammation or infection.

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Treatment Options for Gallstones

A. Dissolving Gallstones through Medication

Surgery is the only definitive treatment

Oral Medications:

 

Ursodeoxycholic acid (UDCA) is commonly prescribed to dissolve cholesterol gallstones. However, this seldom works,stones recur and the risk of having gallbladder cancer remains the same or increases with time.

 

Limitations: Medications are rarely effective, and recurrence of gallstones is possible. Theresponse is limited only to pure cholesterol stone which are very rare.

Medication

B. Laparoscopic Cholecystectomy (Keyhole Surgery)

Laparoscopic Surgery for Gallstone

Advantages of Laparoscopic Cholecystectomy

  • Faster Recovery: Compared to traditional open surgery, patients recover more quickly.

  • Less Postoperative Pain: Smaller incisions result in less discomfort.

  • Minimal Scarring: The small incisions leave minimal visible scars.

What is Laparoscopic Cholecystectomy?

  • This minimally invasive surgical procedure involves removing the gallbladder.

  • Surgeons make small incisions (keyholes) in the abdomen.

  • Specialized instruments and a tiny camera (laparoscope) are used to visualize andremove the gallbladder.

  • Bile then flows directly from the liverto the part of intestine known as duodenum

Postoperative Care:

  • Patients can usually resume normal activities in 7-10 days

  • Follow post-operative instructions diligently to ensure a smooth recovery.

C. Robotic Cholecystectomy

Robotic Surgery for Gallbladder

The surgeon operates using the surgical robot which results in the most precise, bloodless, painless and earliest recovery. The patient is ready to resume all activities of daily life typically in 2-3 days time. It is the latest surgical option which is rapidly becoming increasingly popular.

Recovery Time

  • After laparoscopic cholecystectomy, most patients experience a gradual improvement in symptoms.
     

  • Pain and discomfort subside over time.
     

  • Adhere to dietary recommendations and avoid heavy lifting during the initial recovery period.

When to See a Doctor

  • If you suspect gallstone-related symptoms, seek medical attention promptly.
     

  • Consult a Gallbladder Surgeon in Kolkata for evaluation and personalized treatment.
     

  • Early intervention is essential to prevent complications associated with gallstones.
     

  • Delay also increases the risk of developing cancer

Remember, understanding gallstone treatment options empowers you to make informed decisions. If you experience any symptoms, don’t hesitate to seek professional advice. Your health matters!

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