At what age do gallstones have to be removed? What will be the effect on the body after removal?

There is no doubt that there are relatively many people who have undergone cholecystectomy in life, but it does not mean that all patients with gallstones must have their gallbladder removed.

It is too one-sided to judge whether it is necessary to perform gallbladder removal surgery only according to the size of the patient's gallstones. There is no direct relationship between the severity of gallstones and the size of the stones. There are a series of evaluation criteria for the need for surgical treatment, and it is best to listen to the advice of a professional physician.

If it is true that there are various acute and chronic cholecystitis, gallbladder polyps, gallbladder infection and other related conditions caused by gallstones, considering that repeated attacks will have a serious impact on the patient's life, it is still possible under the evaluation of the doctor. Consider cholecystectomy.

Cholecystectomy has been carried out for more than 100 years, and a scientific and mature surgical plan has been formed, and the recovery after the operation is relatively satisfactory.

This is related to the function of the gallbladder itself. The gallbladder is mainly used as an organ for storing and concentrating bile. After the gallbladder is removed, this part of the function can be replaced by structures such as the common bile duct, which will not cause much damage to the whole digestive function. Influence.

There are three sentences about gallstones:

1. Not all gallstones have symptoms, and not all gallstones need to be removed. Whether gallstones require surgery has a certain relationship with the size of the stone, but this is not an absolute relationship.

Static stones, that is, asymptomatic stones, are ignored, but when a single stone is larger than 2cm or the number is relatively large, stone removal needs to be considered.

2. There are two methods for gallstone surgery, gallstone preservation and direct gallbladder removal. Whether gallstone can be preserved depends on one's own constitution. Different people have different constitutions, and some people with stone constitution will have stones repeatedly.

If this type of person undergoes gallbladder-preserving surgery, stones will appear again, and gallbladder-preserving stone extraction cannot fundamentally solve the problem. For people with non-calculus constitution, gallbladder-preserving surgery can be considered.

3. The gallbladder removal operation is now very mature, and there are many people who have removed the gallbladder, so the operation is relatively safe. Cholecystectomy is the most effective way to solve gallbladder stones. The operation is mature and can be done in ordinary hospitals, and the cost is not high. One surgery can solve the problem.

Simple gallbladder removal surgery is an elective surgery, and it is up to you to decide whether or not to perform surgery. However, when cholecystolithiasis is accompanied by obstruction of common bile duct stones, surgery must be performed.

So how big is the gallbladder stone, and the doctor recommends removing the gallbladder?

The occurrence of gallstones has a certain relationship with the bile stored in the gallbladder mainly containing cholesterol, bile pigment, calcium and other components. In life, we can find that people who eat a long-term high-fat diet are more likely to develop gallstones.

This is directly related to the increase in cholesterol synthesis in the body. The more cholesterol in the body, the more cholesterol in the bile, and the bile acids that can inhibit the precipitation and precipitation of cholesterol in the bile will be reduced, which will lead to our bile. The cholesterol in it is more likely to precipitate into stones!

At the same time, clinically, the proportion of men and women suffering from gallbladder stones is also different. Women are more likely to have gallstones than men. This is related to the fact that estrogen in women can increase cholesterol in the body. Therefore, women should be more careful not to eat a long-term high-fat diet. , Not only will you gain weight, but it will also make it easier to get stones!

Under normal circumstances, it is recommended to remove the gallbladder if the gallbladder stone is more than 2-3cm, but in clinical practice, it is not entirely based on the size of the gallbladder stone to decide whether to remove the gallbladder!

Of course, if there are obvious symptoms or complicated gallbladder stones, it is definitely recommended to remove the gallbladder, but in life, many of us find gallbladder stones.

It is often found after the B-ultrasound physical examination. It can be seen that most people have asymptomatic gallbladder stones at this time. Whether or not to cut the gallbladder at this time depends on the specific analysis of the specific problem!

In the following cases, even if your gallbladder stone size is less than 2cm and there are no symptoms, the doctor will recommend that you remove the gallbladder!

1. In addition to gallbladder stones, polyps with a diameter of > 1 cm were also found in the gallbladder, which are recommended to be removed to prevent deterioration;

2. It is recommended to remove gallbladder stones for several years, if there is a long-term inflammatory reaction, in order to avoid deterioration;

3. Gallstones combined with cardiopulmonary dysfunction;

4. The gallbladder wall is obviously thickened;

5. Calcified gallbladder;

6. Children with gallbladder stones, because the gallbladder wall is relatively thin and easy to perforate, it is also recommended to remove the gallbladder;

7. Patients with gallbladder stones such as pregnancy and diabetes;

For patients with asymptomatic gallstones, conservative treatment can be used first, such as dietary modification and drug therapy.

Dietary adjustments include:

1. Regular diet, excretion of bile requires food stimulation, regular diet can prevent excessive accumulation and concentration of bile, and regular excretion can reduce the further formation of gallstones.

2. Avoid overeating. The most direct cause of overeating may be the development of gallbladder disease, because overeating will stimulate excessive contraction of the gallbladder, causing a series of gallbladder diseases.

3. Eat a healthy diet and maintain a more appropriate ratio of carbohydrates, proteins and fats.

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