Assoc. Dr. Bülent Yaşar warned about the usually insidious gallstones. Assoc. Dr. Yaşar said, “Bile fluid is produced by liver cells and stored in the gallbladder. After the meal, it is poured into the small intestines through the main bile duct and ensures that the fat we take with food is absorbed into the body. Disturbances in the composition of bile in the bladder and gallbladder movements, diseases or surgeries that affect the reabsorption of bile from the intestine cause gallstones to form. “The most common cholesterol stones are” he said.


Noting that the incidence of gallstones increases with age, Assoc. Dr. Yaşar continued as follows:

“Since estrogen hormone increases cholesterol excretion into bile, it is more common in women. High cholesterol diet, obesity, pregnancy, use of birth control pills, rapid weight loss, especially after obesity surgery, some intestinal diseases and surgeries and metabolic syndrome are among the factors that increase the risk of gallstone formation. It is also more common in those with a family history of gallstones. Nutrition rich in unsaturated fatty acids, coffee and physical activity are protective factors. Gallstones are usually asymptomatic. Approximately 80 percent of patients with gallstones are diagnosed in examinations performed for other problems. Because gallstones do not have many symptoms. Only 1 to 4 percent of these patients have complaints every year. “


Assoc. Dr. Yaşar stated that the most common complaint is pain, “Our patients mostly describe pain as ‘stomach pain’. They are severe and even agonizing pains that start after eating in the upper middle and right side of the abdomen, that can hit the back and right shoulder, and last a few hours. It is mostly intermittent, meaning there may be long periods of time between pain attacks without complaints. If gall bladder inflammation occurs, fever, nausea and vomiting may accompany. As a result of small gallstones falling into the bile duct, jaundice, bile duct and pancreatic inflammation may occur. Most patients can be diagnosed with ultrasonography. The standard treatment is laparoscopic surgery, which we call closed. Preventive surgery is not recommended for gallstones that do not cause any complaints. Monitoring patients is still the accepted approach. However, patients who are young and have many small stones are more risky. Treatment should be evaluated individually. Surgery is recommended even if there is no complaint in the presence of polyp in the gallbladder together with the stone, family history of gallbladder cancer, porcelain sac (ultrasonography finding) and a stone larger than 3 cm, “he said.

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