Food Health

Gallstones can be removed without surgery ?


Stones formed in the gall bladder are vital because of the risk of obstructing the bile ducts as well as negatively affecting the quality of life of the patient. Stones in the gall bladder, which have an important role in the digestion of food, can be removed without surgery with the endoscopic treatment (ERCP) method.

Stone diagnosis can be made definitively by examinations.
The diagnosis of the disease is made by blood, urine, stool tests and ultrasonography (US), together with typical examination findings. With these examinations, nearly 100% definite diagnosis is achieved. Apart from these methods for stones in the bile duct, the endoscopic intervention method called ERCP is used in both diagnosis and treatment.

Attention should be paid to symptoms
Stone formation in the gall bladder and the immobility of the stones in the sac may not cause any complaints in the patient. However, the daily life of the person is seriously affected by the stones falling into the biliary tract by moving from the bladder. Abdominal pain, jaundice or inflammation due to obstruction in the flow of bile. Especially stones coming from the biliary tract can affect the pancreatic duct, causing life-threatening inflammation of the pancreatic gland (acute pancreatitis).

Non-surgical solution to ERCP method in stone treatment
Stones may form in the gallbladder and progress towards the bile duct or may form directly in the biliary tract. Years after the gallbladder is removed, stone formation may occur in the bile ducts. ERCP, that is, endoscopic treatment of gallstones, is the process of non-surgical and invasive removal of stones in the biliary tract. In stone removal, the sphincter in the part where the bile duct connects to the intestine is cut by the method we call sphincterotomy to expand the mouth of the bile duct. Thus, it may be possible for stones to be pulled from the bile duct into the small intestine. Afterwards, stones are removed using a catheter using the ERCP method. Very large stones may need to be broken or removed while in the bile duct.In the treatment of these stones that could be removed with open surgical methods in the past, the ERCP method is now the first method to be applied and is the gold standard.

After ERCP, the patient is taken to a rest room. Swelling or gas complaints may be seen. The patient should be kept under observation until most of the effects of the procedure disappear. The patient can be hospitalized depending on his condition. However, patients can usually be discharged after the rest room. Even if the patient is awake and conscious after the procedure, medications given may affect their judgment and reflexes for the rest of the day. Therefore, they should not drive and avoid jobs that require attention. Most of the patients return to their normal life within 24 hours.

Those with gallstones should pay attention to their daily life
People with asymptomatic or silent stones in the gallbladder should take care not to gain weight. In order for saffron not to be rich in cholesterol, you should consume enough fluids during the day and avoid excessive fatty foods, chocolate and eggs. Patients with gallstones should be removed with the easiest and most convenient method for the patient without losing time from the moment the stone is detected.

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