CONTACT US
CONTACT US
CONTACT US

GALLBLADDER PROBLEMS (OBSTRUCTION, HYDROPS, PERFORATION, FISTULA)

  • Home
  • Condition
  • GALLBLADDER PROBLEMS (OBSTRUCTION, HYDROPS, PERFORATION, FISTULA)
UNDERSTANDING THE PROBLEM

The gallbladder is a 4-inch-long pear-shaped organ found under the liver in the upper right quadrant of the abdomen. It stores the bile the liver makes to digest fat.

The liver sends the bile to the gallbladder through a tube that connects the two organs called the hepatic duct. When food is eaten, the cells of the intestines produce a hormone called cholecystokinin. This hormone causes the gallbladder to contract, releasing bile into the common bile duct.

In a healthy gallbladder, this process happens painlessly. However, when the gallbladder stops working properly or the bile ducts are blocked, it can cause a lot of pain and discomfort.

UNDERSTANDING WHO SUFFERS

It is estimated that there are 20.5 million cases of gallbladder disease in the United States, 14.2 million of who are in women. More than 600,000 cholecystectomies per year are performed in the United States, most of which are for symptomatic gallstone disease.

Epidemiologic studies have shown variations in the prevalence of gallstones in different ethnic populations, with particularly high rates in Native Americans. In addition to ethnic background, other risk factors for the development of gallstones include diabetes, rapid weight loss, morbid obesity, cirrhosis, and conditions associated with infrequent gallbladder emptying, such as total parenteral nutrition.

POTENTIAL SIGNS AND SYMPTOMS

Symptoms of gallbladder problems include:

  • Pain in the mid- or upper-right section of the abdomen. Most of the time, gallbladder pain is colicky in nature, meaning that it comes and goes. However, pain from gallbladder problems ranges from mild and irregular to very severe, frequent pain. Gallbladder pain often causes pain in the chest and back.
  • Nausea or vomiting. Any gallbladder problem may cause nausea or vomiting. Long-term gallbladder diseases and disorders may lead to long-standing digestive problems that cause frequent nausea.
  • Fever. A fever or shaking chill signals an infection in the body. Alongside other symptoms, fever and chills may point to a gallbladder problem or infection.
  • Changes in bowel movements. Gallbladder problems often cause changes in bowel habits. Frequent, unexplained diarrhea can signal a long-term gallbladder disease. Light-colored or chalky stools may point to a problem with the bile ducts.
  • Changes in urine. Patients suffering from gallbladder issues may notice darker than normal urine. Dark urine may indicate a bile duct block.
  • Jaundice. Yellowing of the skin occurs when liver bile doesn't make it to the intestines. This normally happens due to a problem with the liver or due to a blockage in the bile ducts caused by gallstones.
EXAMINATIONS USUALLY REQUIRED

If doctors suspect a gallbladder problem, they will likely order the following exmainations:

Physical Exam: The doctor may perform a special maneuver during the abdominal exam to look for what is referred to as “Murphy’s sign (a test for gallbladder disease)

  • Imaging tests of the gallbladder. Ultrasounds and computerized tomography (CT) scans are commonly used to create images of the gallbladder. These images will then be looked at to check for gallstones.
  • Tests to examine bile ducts. These tests use dye to show if a gallstone is causing a blockage in the bile ducts. Tests to check the bile ducts for stones include magnetic resonance imaging (MRI), hepatobiliary iminodiacetic acid (HIDA) scans, and an endoscopic retrograde cholangiopancreatography (ERCP).
  • Blood tests. Doctors can use blood tests to reveal signs of infection, inflammation of the bile ducts, pancreatitis, or other complications caused by gallstones.
PROPOSING TREATMENT AND WHY AIMIS

Surgery for Gallbladder and Biliary Tract Disorders

If your doctor recommends surgery for a disorder, you may be a candidate for a minimally invasive approach - da Vinci Surgery.

AIMIS is an expert in Robotic Surgery for Robotic Assisted Cholecystectomy, Choledochotomy, Cholecystostomy and other minimal invasive procedures for the Gallbladder and Biliary Tract involving the best American and International surgeons who are experts in the field including:

  • Cholelithiasis – Gallstones - Cholecystectomy (Gallbladder removal), Hepatico-Jejunostomy, Choledochotomy, Cholecystostomy, Intraoperative Cholangiography, Transduodenal Papillosphincterotomy and Plastic Stent
  • Cholecystitis - Gallbladder Inflammation - Cholecystectomy, Hepatico-Jejunostomy, Choledochotomy, Cholecystostomy, Intraoperative Cholangiography, Transduodenal Papillosphincterotomy and Plastic Stent
  • Gallbladder Problems (Obstruction, Hydrops, Perforation, Fitsula) - Cholecystectomy, Hepatico-Jejunostomy, Choledochotomy, Cholecystostomy, Intraoperative Cholangiography, Transduodenal Papillosphincterotomy and Plastic Stent
  • Bile Duct Problems (Obstruction, Hydrops, Perforation, Fistula) - Cholecystectomy, Hepatico-Jejunostomy, Choledochotomy, Cholecystostomy, Intraoperative Cholangiography, Transduodenal Papillosphincterotomy and Plastic Stent
  • Cholangitis -Inflammation/bacterial infection of the biliary tract - Cholecystectomy, Hepatico-Jejunostomy, Choledochotomy, Cholecystostomy, Intraoperative Cholangiography, Transduodenal Papillosphincterotomy and Plastic Stent

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for gallbladder and biliary tract and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Low rate of major complications
  • Low conversion rate to open surgery
  • Virtually scarless surgery
  • High patient satisfaction
  • Minimal pain

To see the procedures we undertake with Robotic Xi Surgery, please click here

GETTING MORE INFORMATION BEFORE MOVING FORWARD
YOU MAY HAVE QUESTIONS LIKE:
  • Can I get more information before I commit to this?
  • Can I get a second opinion from you before I commit to this?
  • How can I find out the cost before I have any obligation?
WHAT AIMIS CAN DO:

AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.

AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.

FURTHER INFO
TECHNOLOGIES
OUR SURGEONS
OUR FACILITIES
AFFORDABILITY

AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.

 

FURTHER INFORMATION ON THE PROBLEM:

The following conditions are all gallbladder diseases:

  • Gallstones. Gallstones are small, hardened deposits that form in the gallbladder. These deposits can develop and go undetected for years. In fact, many people have gallstones and aren’t aware of them. They eventually cause problems, including inflammation, infection, and pain. Gallstones typically cause short-term cholecystitis.
  • Inflammation. Inflammation of the gallbladder is called cholecystitis. Cholecystitis can be either chronic (long-term) or acute (short-term). Chronic inflammation is the result of several acute cholecystitis attacks. Inflammation may eventually damage the gallbladder, making it lose its ability to function correctly.
  • Gallbladder Polyps. Polyps are growths that develop. These growths are typically benign, or noncancerous. Small gallbladder polyps may not need to be removed. In most cases, they don’t pose any risk. But larger polyps may need to be surgically removed before they develop into cancer or cause problems.
  • Gallbladder Cancer. Gallbladder cancer is very rare. However, it can spread beyond the gallbladder quickly if it’s not detected and treated.
  • Common Bile Duct Stones (Choledocholithiasis). Gallstones can occur in the common bile duct. The common bile duct is the channel that leads from the gallbladder to the small intestine. Bile is ejected from the gallbladder, passed through small tubes, and deposited in the common bile duct. It’s then ushered into the small intestine.
  • Gallbladder Disease Without Stones. Gallstones don’t cause every type of gallbladder problem. Gallbladder disease without stones, also called acalculous gallbladder disease, can occur. In this case, one may experience symptoms commonly associated with gallstones without actually having stones.
  • Common Bile Duct Infection. An infection may develop if the common bile duct is obstructed. Treatment for this condition is successful if it’s found early. If it’s not, the infection may spread and become fatal.
  • Abscess of the Gallbladder.A small percentage of patients with gallstones may also develop pus in the gallbladder. This condition is called empyema. Pus is a combination of white blood cells, bacteria, and dead tissue. The development of pus leads to severe abdominal pain. If the condition isn’t diagnosed and treated, it can become life-threatening as the infection spreads to other parts of the body.
  • Gallstone Ileus. A gallstone may travel into the intestine and block it. This condition is rare but can be fatal. It’s most common among individuals over age 65.
  • Perforated Gallbladder. If seeking treatment is delayed, gallstones can lead to a perforated gallbladder. This is a life-threatening condition. If the tear isn’t detected, a dangerous widespread abdominal infection may develop.
  • Porcelain Gallbladders. A healthy gallbladder has very muscular walls. Over time, calcium deposits can stiffen gallbladder walls, making them very rigid. This condition is called porcelain gallbladder. Those with this condition have a very high risk of developing gallbladder cancer.
FURTHER INFORMATION ON INCREASED RISK GROUPS

While gallbladder problems can't be entirely prevented, patients can take steps to lessen the risks of developing gallstones or other infections.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) states that the following people have an increased risk of gallstones:

  • Women
  • People over 40
  • People with a family history of gallstones
  • Certain ethnic groups

If a person falls into a category that increases the risk of gallstones, they should avoid the following to reduce their risk:

  • Rapid weight loss
  • Diets high in calories but low in fiber
  • Excess weight gain
FURTHER EXAMINATION THAT MAYBE REQUIRED OR REQUESTED

The imaging study of choice is a right upper quadrant ultrasound, which, in the presence of cholecystitis, typically shows the presence of gallstones, a thickened gallbladder wall, and pericholecystic fluid. In those patients with symptomatic gallstones and a negative ultrasound examination, endoscopic ultrasound may be helpful. To confirm the suspicion of cholecystitis, a hydroxyiminodiacetic acid (HIDA) scan can be useful. The radionuclide material is concentrated in the liver and excreted into the bile but does not fill the gallbladder because of cystic duct obstruction.

WHY AIMIS FOR THIS SURGERY

AIMIS is an expert in Robotic Surgery for Robotic Assisted Cholecystectomy, Choledochotomy, Cholecystostomy and other minimal invasive procedures for the Gallbladder and Biliary Tract involving the best American and International surgeons who are experts in the field In contrast to other gallbladder-preserving minimally invasive or interventional methods, robotic is a one-session procedure avoiding the need for post-operative drainage of the gallbladder by a balloon catheter. Robotic cholecystectomy does not cause functional disturbances or severe bile duct injury, as is observed after cholecystectomy.

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for gallbladder and biliary tract and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Low rate of major complications
  • Low conversion rate to open surgery
  • Virtually scarless surgery
  • High patient satisfaction
  • Minimal pain

Cholecystectomy through the belly button can be done using traditional single incision laparoscopy or da Vinci® Single-Site® Surgery. The da Vinci System features a magnified 3D high-definition vision system and flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision.

OTHER SERVICES PROVIDED BY AIMIS

In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you'll know the best flights to take, where you'll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become "part of our family" and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.

FURTHER INFO
TECHNOLOGIES
OUR SURGEONS
OUR FACILITIES

© AIMIS 2017-2019 All Rights Reserved. | Site by GetNetty