Natalia SANDROVICH, “FACTS”
The gallstones are often found on ultrasound by accident. Funny: don’t be worried — should I worry?
For those who have revealed cholelithiasis, you need to be wary: in recent years, increasingly on the background of asymptomatic carriage of stones developing gallbladder cancer, says surgeon, head of the Kyiv city Department of surgery of the liver, biliary tract and pancreas named after V. S. Zemskov, acting on the basis of the capital clinical hospital No. 10, the candidate of medical Sciences Dmitry lubenko. — Can harm the small and large stones. First often go to the bile ducts, causing jaundice, inflammation of the pancreas. And large, over time, can cause the appearance of ulcers in the bile ducts, abscesses of the liver.
— You can understand that small stones clog the bile duct?
— The person complains of jaundice, dark urine, white feces, and most importantly — intense pain in the upper abdomen. You need to go to a surgeon with the help of the endoscope the specialist will remove the stones, bile will flow away freely.
But the operation needs to be done urgently — in the first hours or during the day since the first attack. Why? We fear the development of acute pancreatitis — threatening disease, in which the mortality rate reaches 15 percent. Acute inflammation of the pancreas occurs when the stone is at the same time shuts off the ducts that come out at the same place as the bile duct.
— How to treat acute pancreatitis?
— First conservative, particularly prescribers, to reduce the secretion of the pancreas. But if no improvement, need surgery. Pancreas normal produces enzymes that are released in the duodenum and digest food. However, due to block pancreatic juice goes back and “breaks” its cells. Starts the digestion and pancreas, and are located around her adipose tissue — necrosis occurs. Surgery is needed to remove dead tissue and to save the life of the patient.
What are the advantages of laparoscopic surgery in front of an open intervention? How long after gallbladder removal need to stick to a diet? How dangerous running is jaundice?
To these and other questions from our readers on Monday, August 3, from 16:00 to 17:00 during the direct line of “FACTS” will meet the surgeon, candidate of medical Sciences Dmitry Leonidovich, lubenko.
Call in edition by phone (044) 503-77-74
Pre-send questions to the email address [email protected]
The material on a straight line read on Thursday, August 13
Informed on questions of readers “the FACTS,” said ophthalmologist Oksana Vitovskaya. She spoke about eye diseases, prevention and treatment, and also gave practical advice.
See also: Stones in the gall bladder is a ticking time bomb that could explode at any moment