“Do I need surgery for gallstone removal?”
Is surgery the only way to remove gallstones?
17 Answers
Gallstones are common but not all gallstones require intervention. Most gallstones remain without symptoms and are an incidental finding on abdominal imaging. Only 15-25 % of patient with gallstones require surgery.
So yes, surgery is the only way to remove gallstones which is done by removing the gallbladder (a cholecystectomy) but that surgery is only recommended for symptomatic gallstone disease.
So yes, surgery is the only way to remove gallstones which is done by removing the gallbladder (a cholecystectomy) but that surgery is only recommended for symptomatic gallstone disease.
Surgery is the only way. 35 years ago we tried to dissolve them but all of the trials failed to have an outcome of working. If you are totally asymptomatic, you can observe. Minor symptoms such as bloating after eating, upper abdominal wall pain after meals, or pain radiating to the back on the right side are signs of minor gallbladder symptoms. In this case, removal is suggested.
If you never had symptoms, then you can keep an eye on it. A monetary stone in the gallbladder does not necessarily need an operation unless clinical symptoms appear. It's important to adopt a low-fat diet and control your weight.
Yes, absolutely. Minimally invasive removal of the gallbladder is the gold standard of symptomatic gallstones. Visit our website www.mivendoklinik.de to get further information.
If your gallstones are causing symptoms (pain, nausea, bloating) then the treatment will be laparoscopic removal of the gall bladder. If you have no symptoms, then watchful waiting is acceptable. Symptomatic gallstones in diabetics must always be removed... Good luck!!
Joseph E. Ronaghan, MD, FACS, FICS
Joseph E. Ronaghan, MD, FACS, FICS
Yes. There is a medicine that dissolves gallstones but is has many side effects and the stones return once you start.
Yes. Not all gallstones need to be removed though. Your surgeon can advise you after simple evaluation.
Surgery is the best way to remove the stones. We used to use medications to help prevent stone formation, but once they have been formed, they will not disintegrate and they will continue to cause problems. We used to also do lithotripsy, which would break off the stones and make them smaller, but the issue with this is that you can pass small stones, which may cause pain and pancreatitis. So, again, the best option would be to proceed with surgery to remove the entire gallbladder.
Yes. A cholecystectomy is the only solution to remove stones from de gallbladder. But it has to be done only if there are symptoms related to the gallstones.
Best regards
Best regards
No surgeon would remove the gallstone without removing the gallbladder because as a result of your genetic makeup, YOUR gallbladder is making stones.
Ursodeoxycholic acid and chenodexycholic acid can dissolve gallstones in a select patient population group (small and few stones made up of predominantly cholesterol). The medication is not without side effects and stones can come back.
Ursodeoxycholic acid and chenodexycholic acid can dissolve gallstones in a select patient population group (small and few stones made up of predominantly cholesterol). The medication is not without side effects and stones can come back.
There is a medication called cholestyramine that may cause gallstones to dissolve. The medication is not very effective and can cause as many side effects and symptoms as the gallstones. I typically do not recommend medication as a treatment method. Surgery to remove the entire gallbladder (not just the stones) is the recommend course of treatment for symptoms related to gallstones.