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Treatment For Distended Gallbladder, Chronic Liver Parenchymal And Mild Degree Of Splenomegaly?

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Posted on Tue, 2 Apr 2013
Question: yes sir,
My father in law has been diagnosis with below,
1.Distended Gall bladder having sludge and few small calculi
2. Chronic liver parenchymal disease
3.Mild degree of plenomalogaly
4. CBD is borderline dialeted

What is the treatmen. His age is 72 yrs. Dr has recommended some blood test and further they say on positive result only it can be operated. What to do if negative result...
doctor
Answered by Dr. Grzegorz Stanko (17 minutes later)
Hello!

Thank you for the query.

1. Gallbladder with small calculi should be removed by laparoscopy as small stones bring risk of bile ducts obstruction and acute pancreatitis.
2. Chronic liver parenchymal disease most likely means that you have fatty liver. You should avoid alcohol, fatty foods, spicy foods, medicines involving liver to reverse fatty liver process.
3. Mild degree of splenomegaly should be consulted with hematologist as this can be a symptom of many many diseases including leukemia, liver hypertension, infectious diseases.
4. CBD borderline dilated can be caused by sludge or small stones inside. I suggest you to have liver tests (AST,ALT,GGTP,AP), lipase, amylase, bilirubin checked.

He should be operated anyways as small stones are more prone to move to bile ducts and cause acute pancreas disease.

Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Treatment For Distended Gallbladder, Chronic Liver Parenchymal And Mild Degree Of Splenomegaly?

Hello!

Thank you for the query.

1. Gallbladder with small calculi should be removed by laparoscopy as small stones bring risk of bile ducts obstruction and acute pancreatitis.
2. Chronic liver parenchymal disease most likely means that you have fatty liver. You should avoid alcohol, fatty foods, spicy foods, medicines involving liver to reverse fatty liver process.
3. Mild degree of splenomegaly should be consulted with hematologist as this can be a symptom of many many diseases including leukemia, liver hypertension, infectious diseases.
4. CBD borderline dilated can be caused by sludge or small stones inside. I suggest you to have liver tests (AST,ALT,GGTP,AP), lipase, amylase, bilirubin checked.

He should be operated anyways as small stones are more prone to move to bile ducts and cause acute pancreas disease.

Hope this will help. Feel free to ask further questions.
Regards.