Gallstones are 2 main types of cholesterol stones and pigment stones.
- Cholesterol stones are created mainly from ingredients cholesterol in bile. This stones common in Western countries, accounting for 80-85%. The study in Vietnam showed that the proportion accounted for only 30-50% cholesterol stones cases. This stones common in obese people, women having more than two men, who used the diet of the West, estrogen pill.
- Pigment stones are often caused by biliary tract infection, the cause
hemolytic disease, cirrhosis, arthritis or have cut the ileum (the last part of the
small intestine).
Gallstones are common in the West. The population has gallstones increases with age. In the US, at the age of 60, approximately 25% of women and 12% of men have gallstones.
All cases of symptomatic gallstones are indicated for the treatment regardless of the size and number of stones. With asymptomatic gallstones, the role of cholecystectomy and other treatments is unclear. From the study tracking the natural history of gallstones showed no need for preventive cholecystectomy, except high-risk patients with
gallbladder cancer as porcelain gallbladder, combined with stone gallbladder polyps larger than 10 mm, 25 mm larger stones ...
Annually, only 1- 2% of patients with asymptomatic gallstones develop into symptoms. There are some (The complications of gallstones include:
- Acute inflammation of the gall bladder stones stuck in the neck or cystic duct need emergency surgical treatment.
- Inflammation of the bile duct by gallstones in the common bile duct dropped clog the bile ducts resulting in cholangitis. This is a serious complication, need to remove the stones emergency intervention.
-
Acute pancreatitis caused by gallstones in the common bile duct and fell in the end stuck clog bile duct and
pancreatic duct the bile duct. This is very serious complications, should intervene promptly remove the stones.
- Cancer of the gallbladder associated with gallstones big (over 25 mm), gravel with gallbladder polyp, porcelain gallbladder. It progresses silently, often diagnosed late.
Currently, there are 2 methods gallstone treatment: non-surgical and surgical.
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Non-surgical treatments tan gravel pill, the body lithotripsy by shock waves, melt and remove stones and gravel through the skin, gall bladder stone removal through endoscopy. The result of the treatment methods are not high, depending on the type of stone, gravel size and anatomy of the bile duct. Additionally, these therapies have the same characteristics as to the gallbladder, where will future stone formation, thereby limiting the long-term results.
- Surgical treatment cholecystectomy surgery laparotomy and cholecystectomy through laparoscopy. Today, in many hospitals have adopted
laparoscopic cholecystectomy routinely with many advantages: small incision, less postoperative pain, faster recovery and aesthetic.
After gallbladder surgery, patients do not need to take additional drugs for digestive support liver secretes bile still full.
I understand your concern, you do not have symptoms, complications of gallstones, gallstones size was small. therefore, no need to intervene with surgery, you use some to dissolve gallstones, reasonable diet
(Reduced Fat, Rich in carbohydrates, rich in vitamin C and group B). when the stones have no symptoms, or complications you should see a doctor for treatment choice for your next.
wishing you all the best!