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Gall Stone

Gall bladder is a small pear-shaped sac like organ in the upper right part of the abdomen. It is located under the liver, just below the front rib cage on the right side. It stores bile temporarily. Bile is synthesized in liver. During empty stomach/fasting, gall bladder gets distended with bile and it empties it when food (especially fatty food) reaches intestine. Due to various reasons like excessive weight (obesity), pregnancy, genetic, infection, prolonged stay in ICU bile gets concentrated and forms Gall Stones.

Gallstones can block the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine. If the blockage persists, these organs can become inflamed. Inflammation of the gallbladder is called cholecystitis. Inflammation of the pancreas is called pancreatitis. Gall stones are primarily of two types. Cholesterol and pigmented stone.

Cholesterol stones. These are usually yellow-green. They're the most common, making up 80% of gallstones.
Pigment stones. These are smaller and darker. They're made of bilirubin.

Small stones can be asymptomatic initially and at times of gall bladder emptying may slip inside bile duct resulting surgical obstructive jaundice. It is a surgical emergency and may require clearance of bile duct (ERCP) followed by gall bladder removal. Whereas bigger stone causes recurrent mild pain initially and if gets impacted at gall bladder neck may cause moderate to severe pain over upper half of abdomen. Pain due to gall bladder stone may radiate to right upper back side. Gallstones may be asymptomatic, even for years. These gallstones are called “silent stones.

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Causes

Gallstones occur when bile forms solid particles (stones) in the gallbladder. The stones form when the amount of cholesterol or bilirubin in the bile is high. Other substances in the bile may promote the formation of stones

• Pigment stones form most often in people with liver disease or blood disease, who have high levels of bilirubin.
• Poor muscle tone may keep the gallbladder from emptying completely. The presence of residual bile may promote the formation of gallstones.
• Taking certain medications such as birth control pills or cholesterol lowering drugs.
high levels of bilirubin
Being overweight
Rapid weight loss on a "crash"
or starvation diet
Symptoms
Intensifying pain just below breastbone
Back pain between shoulder blades
Pain in right shoulder
Nausea and vomiting
Juandice
Tea-colored urine
High fever with chills
Pale or discolored skin
Sleepiness, difficulty rousing
Short of breath
Indigestion, belching, bloating
Intolerance for fatty or greasy foods

Risks If Condition Persists

Blockage of the common bile duct
Gallstones can block the tubes (ducts) through which bile flows from your gallbladder
Blockage of the pancreatic duct
The bile ducts carry bile from the liver and gallbladder through the pancreas to the duodenum, which is a part of the small intestine. Pancreatic juices may not reach the duodenum if the duct or papilla is blocked
Gallbladder cancer
This may be related to the increased frequency of gallstones and chronic inflammation
Sepsis, a blood infection
Some people are at higher risk of developing sepsis with signs of organ dysfunction, such as difficulty breathing (problems with the lungs), low or no urine output (kidneys), abnormal liver tests (liver), and changes in mental status (brain)
Acute cholecystitis
When a gallstone blocks the duct where bile moves from the gallbladder, it can cause inflammation and infection in the gallbladder. This is known as acute cholecystitis.
Acute pancreatitis
it can cause inflammation and infection in the pancreas as well.

About Treatment at Pelvinic

At Pelvinic, we perform a specialised Laparoscopy Treatment for treating Gallstone Removal. Here are some advantages of our Laparoscopy Treatment over the Traditional Surgical Procedure.
logo Less Pain
Our Laparoscopy Treatment is Painless, compared to Open surgery procedure which is painful.
logo No tissue damage
Our Laparoscopy Treatment cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo No Diet Restrictions
Our Laparoscopy Treatment doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo Fast Recovery
Can resume work immediatly
logo Minimally Invasive
Our Laparoscopy Treatment is minimally invasive compared to open surgery for which its large
logo No Rest Required
Go back to a normal routine within 2 to 4 days.

Patient Testimonials

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“Dr. Sandip diagnosed my medical Condition clearly and above all, gave the courage and filled me with confidence to go through the surgery.”
Alexa
Argentina

Treatment Procedure for Gallstone Removal

Our expert doctor will perform a physical examination that includes checking your eyes and skin for visible changes in color. A yellowish tint may be a sign of jaundice, the result of too much bilirubin in your body.The exam may involve using diagnostic tests that help your doctor see inside your body.

These Tests include:
Ultrasound: An ultrasound produces images of your abdomen. It’s the preferred imaging method to confirm that you have gallstone disease. It can also show abnormalities associated with acute cholecystitis.

Abdominal CT scan: This imaging test takes pictures of your liver and abdominal region.

Gallbladder radionuclide scan: This important scan takes about one hour to complete. A specialist injects a radioactive substance into your veins. The substance travels through your blood to the liver and gallbladder. On a scan, it can reveal evidence to suggest infection or blockage of the bile ducts from stones.

Blood tests: Your doctor may order blood tests that measure the amount of bilirubin in your blood. The tests also help determine how well your liver is functioning.

Endoscopic retrograde cholangiopancreatography (ERCP): ERCP is a procedure that uses a camera and X-rays to look at problems in the bile and pancreatic ducts. It helps your doctor look for gallstones stuck in your bile duct.
The usual treatment for gallstones is surgery to remove the gallbladder. Doctors sometimes can use nonsurgical treatments to treat cholesterol stones, but pigment stones usually require surgery. Doctors use nonsurgical treatments for gallstones only in special situations, like if you have cholesterol stones and you have a serious medical condition that prevents surgery.

Even with treatment, gallstones can return. Therefore, you may have to be regularly treated for gallstones for a very long time, or even for the rest of your life. A doctor may use of medicines that contain bile acids that can break up cholesterol gallstones. These medicines work best to break up small cholesterol stones. You may need months or years of treatment to break up all stones.
Once diagnosed, the treatment of choice is Gall bladder removal. Untreated gallstone disease can become life-threatening, particularly if the gallbladder becomes infected or if the pancreas becomes severely inflamed. Gallstone surgery has been revolutionized over the years by arrival of new age ambulatory surgery or Day Care surgery is a clinical admission for a surgical procedure, with discharge of the patient on the same working day.

We have a trained anesthesiologist, OT assistant, and nursing assistant to perform to do such advanced procedures. At PELVINIC, Laparoscopic gallbladder removal is practiced and is successful in almost all of the affected patients. Through laparoscopy, tiny holes are made (5mm) and gall bladder is removed and sent for pathological examination. Cholecystectomy. This is a common surgery that requires general anesthesia. With the advent of laparoscopy, not only surgical procedure has become more surgeons friendly but patient’s post-operative recovery is excellent. Removing a gallbladder involves rerouting the bile from the liver to the small intestine. Bile no longer goes through the gallbladder and it becomes less concentrated. The result has a laxative effect that causes diarrhea.To treat this, eat a diet lower in fats so that you release less bile. You usually go home on the day of the procedure or the day after if you have no complications. Laparoscopic gallbladder surgery is safe and effective. Patient can resume his/ her work the very next day.
Most people can return to their normal activities in 5 to 7 days. People who have open gallbladder surgery are sore for about 2 to 4 weeks. The discomfort should go away within a couple of days. You can usually resume all normal activities within a week in case of laparoscopy.

Patient can expect pain after having surgery. So doctor will prescribe a painkiller to ease the discomfort. You'll need to attend a follow-up appointment with your doctor about two weeks after laparoscopy. No special diets or other precautions are needed after surgery but should avoid fatty or heavy foods for the first few days, since some of these foods may cause diarrhea or nausea temporarily following surgery. Do not lift heavy objects for the first 4 weeks. Also avoid pushing, pulling or abdominal pressure for these first 4 weeks. When coughing, be sure to place a pillow over the incision and gently press inward to reduce the pressure (from coughing) on your incision. Avoid driving until your first follow-up post-surgery.

Why Pelvinic

Pelvinic - The Pelvic Floor Clinic, is a proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
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PELVINIC’s success is recognized by many awards from the various organizations national & international.
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Highly skilled surgeons. Our doctors have a vast experience of over 50000 surgeries.
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Frequently Asked Questions

High-fat foods include :
  a) Fried foods, like French fries and potato chips.
  b) High - fat meats. 
  c) High -fat dairy products. 
  d) Pizza. 
  e) Foods made with  lard or butter. 
  e) Creamy soups or sauces. 
  f) Chocolate. 
  g) Meat gravies. 

.a) Difficulty in digesting fat. It may take your body time to adjust to its new method of digesting fat. 
 b) Diarrhea and flatulence. Indigestion can cause diarrhea and flatulence.
c) Constipation. 
d) Intestinal injury.
e) Jaundice or fever. 

Whether you have a gallbladder doesn't have any impact on your life expectancy. In fact, some of the dietary changes you'll need to make might actually increase your life expectancy.
It'll usually take around 2weeks to return to normal activities.
Pain at the incision sites and in your abdomen is common. You might also have pain in your shoulders. This is from the air put into your abdomen during the operation. The shoulder pain should go away in 24 to 28 hours.
Laparoscopic gallbladder surgery (cholecystectomy) removes the gallbladder and gallstones through several small cuts(incisions)in the abdomen. The surgeon inflates your abdomen with air or carbon dioxide in order to see clearly.
Gallstones can block the tubes(ducts) through which bile flows from your gallbladder or liver to your small intestine.severe pain, jaundice and bile duct infection can result. Blockage of the pancreatic duct.... Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization.
It include : Liver tests, blood test that can show evidence of gallbladder disease. A blood test to check the levels of the enzymes amylase or lipase to look for inflammation of the pancreas. A complete blood count. Ultrasound testing.
Acute cholecystitis is not usually a medical emergency. However, in the later stages it could lead to death of the tissue of the gallbladder, called gangrenous cholecystitis, which can cause a serious infection.
Water helps the organ empty and keeps bile from building up. This protects against gallstones and other problems. Sipping more also can help you Slim down. Research shows people who drink more water eat fewer calories and less sugar. Q11: How many types of gallstones?

There are three main types of gallstones being: Mixed stones ( the most common type). They are made up of cholesterol and salts. Mixed stones tend to develop in batches

Cholesterol stones – made up mainly of cholesterol, a fat-like substance that is crucial to many metabolic processes. Cholesterol stones can grow large enough to block bile ducts

Pigment stones – bile is greenish-brown in colour, due to particular pigments.

Gallstones - made from bile pigment are usually small, but numerous.

Your gallbladder is a pear-shaped organ that stores bile, the fluid that helps digest food. If it’s not working the way it should (or your bile gets out of balance), hard fragments start to form. These can be as small as a grain of rice or as big as a golf ball. Gallstones don’t go away on their own. If they start to hurt or cause other symptoms, your doctor may decide to remove your gallbladder. This type of surgery is called a cholecystectomy. It’s one of the most common surgeries doctors perform. About 80% of people who have gallstones will need surgery.