Gall bladder is the organ of bile storage, it does not produce bile. Due to various factors bile became lithogenic and gall stone formations occurs.
In selected group of patients with no high risk, asymptomatic gallstones may be managed expectantly.
However, if somebody is symptomatic only treatment is surgical removal of gall bladder. as the complications of gall stones can be sometimes too problematic like Acute Cholecystitis, Mcuocele, Pyocele, Pancreatitis, CBD stones, jaundice, gangrene of GB or perforation of gall bladder.
Q1 . Is Surgery necessary or it can be treated with medicines?
Ans- Gall bladder stones are surgical diseases and it cannot be treated medically. In all symptomatic patients and in selected patients with asymptomatic gall stones needs removal of gall bladder is the standard of care worldwide.
Q2. Open vs Lap, which isbetter?
Ans- In earlier times it use to be done by open technique, however since last 25 years laparoscopic removal of gall bladder is the gold standard.
Q3. Removal of gall bladder can induce indigestion /or patient cannot eat fat?
Ans- Liver makes bile, which is important for the digestion of the fat (not the Gall bladder). Patient can take normal diet (even fat) after the surgery.
Q4. Does number or size determine treatment?
Ans- No , treatment of any number or any size stones is the removal of gall bladder . Size and number can help is determining potential complications related to gall stones not the treatment.
Q5. Why removal of gall bladder not the stones?
Ans- Gall bladder stones occurs in the non-functional or poor functional gall bladders, and it does not make bile (kidney makes urine) hence treatment of gall bladders stones is only removal of gall bladder.
Q6. Does gall stones can cause cancer?
Ans. It is found as associated factor but not the causative factor.