Clinically, unless absolutely necessary, we generally do not recommend patients to remove their gallbladder, because once the gallbladder is removed, it will lead to a series of sequelae, which will seriously affect the quality of life of patients.
The shape of the gallbladder is interesting. It is like a pear, hidden behind the liver. As we said above, its main function is to contain and concentrate bile, and it does not secrete bile itself. Because bile contains cholesterol, bile acids, bile salts, etc., it can effectively promote the absorption of fat-soluble vitamins and promote the decomposition, digestion and absorption of fat in the body. The key is to effectively remove some bacteria in the biliary tract. To sum up, gallbladder is a good assistant to help our digestive system function normally.
Generally speaking, many simple cholecystitis and asymptomatic gallstones do not need cholecystectomy. Because of the removal of the gallbladder, we lost the function of accumulation and storage of bile in non-digestive period. In other words, bile will be continuously discharged directly into the intestine, thus affecting the normal digestion and absorption of organs.
Clinically, if you have to remove the gallbladder as a last resort, there are generally the following possibilities:
1, cholecystolithiasis complicated with acute cholecystitis, if the condition is serious and the drug treatment effect is poor, there is the possibility of recurrent attacks.
2. The gallbladder is broken after trauma, and the gallbladder is perforated due to other diseases.
3. There is a serious gallbladder infection, which has a serious impact on the health of patients. Suggest surgery.
4. Gallbladder stones complicated with chronic cholecystitis, severe gallstones, obstructive infection, threatening health, and surgery is recommended.
5, gallbladder wall thickening, it is possible to be alert to gallbladder cancer. Once gallbladder cancer is found, if the gallbladder is not removed in time, cancer cells may spread to the whole body, leading to death. Surgery is recommended.
To put it simply: when the drug treatment effect is not good, when the drug can't be cured, when the fistula breaks, and when cancer is possible, we generally need to remove the gallbladder in time.
After cholecystectomy, the most obvious change is the absence of an important organ in the body. According to online data, after cholecystectomy, some patients will have symptoms such as abdominal distension, diarrhea and indigestion, and some patients will have bile duct stones inside and outside the liver and common bile duct stones in the later stage.
Here is a brief list of possible sequelae:
1. Reflux gastritis
After cholecystectomy, although bile can continue to be produced, the secretion of bile will be reduced, and the concentration process will not work normally, which will have a certain impact on digestive function, especially when patients eat some indigestible foods or foods with high fat content, which are more prone to gastrointestinal problems such as abdominal distension and diarrhea. Some patients will have bile reflux after cholecystectomy, which will easily lead to reflux gastritis after a long time.
2. Common bile duct stones
After cholecystectomy, under normal circumstances, the common bile duct will also replace a part of the gallbladder. However, because there is no gallbladder to store bile, the common bile duct usually expands partially due to excessive internal pressure, which makes bile stay in the common bile duct for a long time and easily increases the incidence of common bile duct stones.
3. Postcholecystectomy syndrome
The incidence of postoperative gallbladder syndrome is about 9%-32%, and the symptoms are generally flatulence in the upper abdomen, jaundice, high fever, nausea, vomiting, loss of appetite, and increased stool frequency. Severe patients will affect the quality of life.
Some experts and doctors believe that after cholecystectomy, bile in the liver will flow into the intestine, which will stimulate the intestine and increase the prevalence of colon cancer. But there is no particularly strong evidence to prove the relationship between cholecystectomy and colon cancer.
In order to protect the gallbladder, it is very important to develop a regular lifestyle and diet in the usual society, and regular physical examination is also necessary, because no one can say that any part of the body will have problems. If there is a problem, early treatment can improve the condition.
In short, in daily life, you should learn to be kind to your gallbladder, and don't wait until you lose it to know how to cherish it.
Under normal circumstances, people's gallbladder will be emptied of contents regularly. Many patients often skip breakfast because they have to rush to school or work in the morning. If we don't eat breakfast for a long time, our gallbladder will not be able to excrete bile accumulated all night into the small intestine to help digest food, which will not only prolong the time of bile in the gallbladder, but also increase the risk of stones.
Diet should be light. Usually, we should try to avoid high-fat and high-cholesterol diet, so as to avoid the high cholesterol concentration in bile, which will precipitate cholesterol crystals and form stones. For some indigestible foods, try to eat less cold food and eat less.
Avoid long-term vegetarian diet without meat. Long-term vegetarianism will affect the body's absorption of nutrients, cause bile deficiency, affect cholesterol metabolism and cause gallstones.
Drink more water and eat more fresh vegetables and fruits. We suggest that you drink more water and eat more fresh vegetables and fruits. People who rarely drink water are more likely to cause bile concentration than people who drink more water, thus inducing gallstones.
Timely treatment of induced diseases In general, patients with diabetes, liver cirrhosis and other diseases are advised to receive timely and standardized treatment. These two diseases are easy to change the bile composition, make the gallbladder contraction function abnormal, and thus increase the incidence of gallstones.
In general, our irregular life and diet are one of the important reasons for the formation of gallstones. The gallbladder seems to have no effect on the body, but in fact it plays an irreplaceable role in the body. Like the appendix, it may be a legacy of evolution. You can't say it's useless, and it can't be very useful. From the perspective of instrumental philosophy, existence is reasonable.
Only by adhering to the habit of natural diet, forming a healthy breakfast on time every day, purposefully reducing the intake of oil, cholesterol and sugar, supplementing a certain amount of vitamins and dietary fiber, strengthening physical exercise, doing more exercise and maintaining a reasonable sleep time can we effectively prevent the formation of gallstones and better protect our gallbladder health.