Friday, May 11, 2012

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symptomatic gallstones


A gallstone is a permanent structure in the gallbladder or the ducts of the biliary system.Gallstones are formed from bile and consists mainly (80%) of cholesterol.Gallstones in approximately 30% of the people, especially in old age.Most people with gallstones are asymptomatic and do not need treatment.
Until gallstones in the gallbladder cause they usually asymptomatic. However, they come into the draining bile duct into the intestine, then she often cause an obstruction. Usually very painful biliary colic are due. The pain often radiates out to the back or right shoulder. The pain is usually called or aggravated by a (greasy) meal, because bile plays a role in fat digestion. Through the hormone cholecystokinin pull over the gallbladder stones together so easily into the bile ducts come. Another complication is jaundice, because the bile can not drain and galkleurstoffen through the liver into the bloodstream and into the body water. If the bile flow long time completely blocked the stool decolorization. The normal brown color is caused by galkleurstoffen.Symptomatic gallstones (with attacks) require a operatie.Deze surgery is usually possible with laparoscopy. After such an operation can be completely normal by life, though some people after some trouble with very fat.The diagnosis is usually not difficult: the fairly typical attacks of pain in the right upper abdomen and the perception of gallstones in the gallbladder with an ultrasound examination are sufficient proof.
 

Gallstones can also lead to inflammation of the gallbladder, but this is rare. On an ultrasound of the abdomen would show thickening of the gallbladder wall. In the development of gallbladder inflammation pain in the right upper abdomen, sometimes with fever and general illness. Pancreatitis can also be triggered by a gallstone.
Gallstones stuck in the bile duct can often be achieved with ERCP (endoscopic retrograde choledocho-pancreatografie).
An inflamed gallbladder or gallstones symptoms give his reasons for removing the gallbladder.

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