Gallbladder Stones Treatment

Experiencing constant abdominal pain due to gallbladder stones? Consult with HeptaCare Health‘s expert and highly experienced surgeons to undergo gallbladder removal surgery and get permanent relief from gallstones. From consultation to post-operative care, HeptaCare Health strives to provide a seamless and hassle-free patient experience.

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What Is A Gallbladder Stone?

Gallbladder stones, or gallstones, are solid particles that develop in the gallbladder, a small organ located under the liver. The gallbladder’s main function is to store and release bile, a fluid made by the liver that aids in digesting fats.

Gallstones can vary in size, from tiny sand-like particles to larger stones resembling pebbles. They can be composed of cholesterol, bilirubin (a waste product from the breakdown of red blood cells), or a combination of both.

Gallstones may not cause symptoms in some people and can remain asymptomatic for long. However, they can cause various health issues if they obstruct the bile ducts, which are tubes that carry bile from the gallbladder to the small intestine. When a gallstone blocks the bile ducts, it can cause severe abdominal pain, known as a gallbladder attack.

What Are The Types Of Gallbladder Stones?

Gallstones can be classified into two main types based on their composition:

  1. Cholesterol Stones: Cholesterol stones are the most common type of gallbladder stones. It accounts for approximately 80 to 85% of cases. These stones primarily comprise cholesterol, a fatty substance found in the bile. These stones can vary in size and color, ranging from yellow to green. Cholesterol stones develop when there is an imbalance in the components of bile, resulting in excess cholesterol and a reduction in bile salts and lecithin (a type of fat). 
  2. Pigment Stones: Pigment stones are primarily formed of bilirubin, a pigment that is a waste product from the breakdown of red blood cells. It is also made up of calcium salts that are found in bile. These stones are generally smaller and darker in color, unlike cholesterol stones. Pigment stones can form when there is excessive bilirubin in the bile or when the bile contains fewer bile salts to keep the bilirubin in a soluble form.

How Can Gallbladder Stone Be Diagnosed?

Doctors use a patient’s medical history, a physical exam, and lab and imaging tests to diagnose gallbladder stones. A healthcare professional will ask you about your symptoms. He or she will also ask if you have a history of health conditions or problems that make you more likely to get gallstones. 

The health care specialist may ask if you have a family history of gallstones and what you typically eat. During a physical exam, the doctor examines your body and checks for abdominal pain or other signs of gallbladder issues. Here are the common tests used for diagnosing gallbladder stones:

  • Abdominal Ultrasound: Abdominal ultrasound is the most commonly performed imaging test to diagnose gallstones. It involves moving a device (transducer) back and forth across the stomach region. The transducer transmits signals to a computer, which produces images that show the structures in your abdomen.
  • Endoscopic ultrasound (EUS): This procedure can help pinpoint smaller gallbladder stones that may be missed on an abdominal ultrasound. During an endoscopic ultrasound, your doctor passes a thin tube (endoscope) through the mouth and digestive tract. A small ultrasound device (transducer) in the tube creates sound waves that form a precise image of surrounding tissue.
  • CT Scan (Computed Tomography): A CT scan may be used to provide more clear and precise images of the gallbladder and surrounding organs. It is particularly useful if there are concerns about complications from gallbladder stones or if ultrasound results are inconclusive.
  • Endoscopic Retrograde Cholangiopancreatography (ERCP): ERCP is a procedure used to diagnose and treat conditions of the bile and pancreatic ducts. During ERCP, an endoscope is passed through the mouth, esophagus, stomach, and into the duodenum to examine the ducts. Dye is then injected into the ducts, and X-ray images are taken to identify gallstones that may have reached the bile ducts.
  • MRCP: Magnetic resonance cholangiopancreatography (MRCP) is a kind of MRI that precisely visualizes the bile ducts. It is non-invasive in nature and produces clear images of the biliary system, including the common bile duct. 
  • Cholescintigraphy (HIDA Scan): This nuclear medicine test assesses the function of the gallbladder and biliary system. In this test, a radioactive tracer is injected into the bloodstream, and its uptake and excretion by the liver and gallbladder are observed using a special camera.
  • Cholescintigraphy: Cholescintigraphy utilizes radioactive material to create pictures of the biliary tract. The radioactive material is injected into a vein in the arm. A special camera then takes pictures of the radioactive material as it travels through the biliary tract to diagnose abnormal contractions of your gallbladder or a blockage in the bile ducts.
  • Blood tests: Blood tests may reveal infection, jaundice, pancreatitis, or other complications caused by gallbladder stones.

What Are The Various Gallbladder Stones Treatment Options?

Surgical Treatment for Gallstones

The surgical treatment for gallbladder stones involves the removal of the gallbladder, a procedure known as cholecystectomy. When gallstones cause symptoms or complications, surgical gallbladder removal is the definitive treatment for long-term relief. Around 80 percent of people with gallstone symptoms will require surgery.

There are two main types of cholecystectomy:

  • Laparoscopic Cholecystectomy (keyhole surgery): It is the most common and best treatment for gallbladder stone. During a laparoscopic cholecystectomy, numerous small incisions (cuts) are made in the abdomen. A laparoscope (a thin, flexible tube with a camera) and surgical instruments are inserted through these incisions. Your abdomen is then inflated with carbon dioxide gas to allow room for the surgeon to work with surgical tools. The laparoscope is used to visualize the gallbladder and nearby structures on a monitor. The gallbladder is detached from its attachments and the bile duct and blood vessels. 

Once the gallbladder is separated, it is pulled out through one of the small incisions. The remaining incisions are closed, and the surgery is complete. Laparoscopic cholecystectomy is minimally invasive, resulting in minor pain, faster recovery, and smaller scars than open surgery.

  • Open Cholecystectomy: In some instances, laparoscopic cholecystectomy may not be appropriate, and open surgery may be performed. During an open cholecystectomy, a larger incision is made in the abdomen, and the gallbladder is directly accessed and removed. Open cholecystectomy is used in circumstances where there are complications, extensive scarring from previous surgeries, or certain medical conditions that make gallstone laparoscopic surgery challenging.

Both laparoscopic and open cholecystectomy effectively remove the gallbladder, stopping the risk of recurrent gallstone-related symptoms and complications. After removing the gallbladder, bile flows directly from the liver to the small intestine, bypassing the gallbladder. The absence of the gallbladder does not generally significantly impact digestion or overall health.

Gallstone Size Indication for Surgery

When deciding if surgery is necessary, the size of the gallstones can be a crucial factor in knowing which size of gallbladder stone is dangerous. Gallstone size is typically measured in millimeters (mm) and can vary from 2 mm to as large as a few centimeters. Small gallstones, measuring less than 2 mm, rarely cause symptoms and are typically observed without treatment. However, the risk of developing complications increases if the gallstone size exceeds 2 mm. 

Gallstones that measure between 3 and 5 mm can cause mild to moderate symptoms, such as abdominal pain and indigestion. These symptoms can be treated with medication and dietary changes, but surgery may be required if they become more severe.

Gallstones that measure between 5mm and 10 mm are considered the intermediate size and can cause moderate to severe symptoms. Treatment with medication and dietary modifications is generally ineffective, so surgery is often suggested by healthcare professionals. In addition, a greater risk of developing complications such as cholecystitis is more likely with this gallstone size.

Gallstones larger than 10 mm pose a significant risk for developing complications, and surgery is most often recommended. These gallstones can cause obstructions in the gallbladder or digestive tract, leading to complications such as pancreatitis. Therefore, if the gallstone size is greater than 10 mm, it is essential to seek medical care immediately to evaluate the risk for these serious complications.

What Are The Benefits Of Laparoscopic Surgery For Gallbladder Stones?

Gallstone Laparoscopic surgery provides several benefits compared to traditional open surgery. Your healthcare provider will decide whether open or laparoscopic cholecystectomy is right for you. Here are some of the advantages of laparoscopic surgery for gallbladder stones:

  • Minimally Invasive: Laparoscopic cholecystectomy is a minimally invasive surgical procedure. It results in more minor scars and less trauma to the surrounding tissues compared to the larger incision needed in open surgery.
  • Less Pain: Due to the smaller incisions and reduced tissue trauma, patients go through less postoperative pain and discomfort than open surgery. This can lead to faster recovery and shorter hospital stays.
  • Faster Recovery: Laparoscopic cholecystectomy allows for faster recovery times. Patients can often resume everyday activities and return to work within a few days to a week after the operation.
  • Lower Risk of Complications: Laparoscopic surgery has been linked with a lower risk of complications, such as wound infections and incisional hernias.
  • Cosmetic Benefits: The smaller incisions used in laparoscopic cholecystectomy result in smaller and less apparent scars, which can be cosmetically appealing to patients.
  • Effective Stone Removal: Laparoscopic cholecystectomy is highly effective in removing gallstones, providing long-term relief from gallstone-related symptoms.
  • Accurate Visualization: Laparoscopic procedures provide surgeons with high-definition visualization of the surgical area through a laparoscope. This enhances the surgeon’s precision and ability to perform the surgery effectively.
  • Reduced Bowel Disturbance: Laparoscopic cholecystectomy preserves the bile duct and surrounding structures. Therefore, there is a lower risk of postoperative bowel disturbances, such as diarrhea or fat malabsorption.

How To Prepare For Gallbladder Stone Surgery?

Preparing for gallbladder stone operation involves several important steps to ensure a safe and effective procedure. Here are some ways to help you prepare for your surgery:

  • Consultation with your healthcare provider: Schedule an initial consultation with your healthcare provider, who will perform the procedure. During this visit, discuss your medical history, any pre-existing conditions, medications you are taking, and any allergies you may have. 
  • Preoperative Tests: Your surgeon may conduct certain preoperative tests, such as blood tests and possibly an abdominal ultrasound or other imaging studies, to evaluate your overall health and the extent of gallstone disease.
  • Fasting: Your surgeon may ask you to fast for a certain duration before the surgery. This includes not eating or drinking anything (including water) for a specific period, usually starting at midnight before the surgery. Fasting helps lower the risk of aspiration during anesthesia.
  • Smoking and Alcohol: If you are a smoker, quit or reduce smoking before the surgery. It is because smoking can interfere with the healing process. Avoid alcohol for a few days before the surgery, as it can interact with anesthesia and medications.
  • Hygiene: On the day of the surgery, take a shower and clean your body, including your abdomen, using a mild unscented soap. Avoid using lotions, oils, or other products after the shower.
  • Clothing: Wear comfortable, loose-fitting clothing to the hospital on the day of your surgery. This will help you feel calmer and more comfortable before and after the procedure.
  • Personal Items: Bring only necessary personal items with you to the hospital. This may include your identification, insurance cards, and any essential medical documents.
  • Arrangements for Transportation and Support: Arrange for someone to drive you to the hospital and accompany you home after the surgery, as you may not be fit to drive instantly after the procedure.
  • Follow Preoperative Instructions: Your surgeon will provide preoperative instructions to follow after surgery. Follow these instructions carefully to ensure a smooth and successful procedure.
  • Stay Informed: Ask any questions you may have during your preoperative consultation. Being well-informed about the procedure and what to expect can help prepare you mentally for the surgery.

Remember to follow your surgeon’s instructions closely to ensure a successful gallbladder stone operation and a smooth recovery. 

What Are The Recovery Tips To Follow After Gallbladder Stone Surgery?

After a gallbladder stone operation, following suitable recovery tips is essential to ensure a smooth healing process and reduce the risk of complications. Here are some recovery tips to follow after a gallbladder stone operation:

  • Follow Doctor’s Instructions: Stick to the postoperative instructions provided by your surgeon. These may include instructions on wound care, medications, diet, physical activity, etc.
  • Rest and Limit Physical Activity: Allow yourself adequate time to rest and recover after surgery. Avoid strenuous activities and vigorous exercise for a few weeks, as this could strain the healing incisions.
  • Incision Care: Keep the incision area clean and dry. Follow your surgeon’s guidelines for dressing changes, and watch for signs of infection, such as increased redness, swelling, or pus.
  • Pain Management: Take prescribed pain medications as directed by your healthcare provider. Over-the-counter pain relievers like acetaminophen may also be used if your doctor advises.
  • Dietary Changes: After surgery, you may be suggested to stick to a light diet. Gradually, you can introduce regular foods to your diet as tolerated. However, it is important to avoid heavy or fatty meals that may trigger discomfort or digestive problems.
  • Hydration: Stay well-hydrated by consuming plenty of water throughout the day. Proper hydration encourages healing and helps prevent constipation, a common side effect after surgery.
  • Avoid Smoking and Alcohol: Refrain from smoking and drinking alcohol during recovery, as these can hinder the healing process.
  • Walk and Move: Gentle walking can assist in improving circulation and reducing the risk of blood clots. Therefore, follow your doctor’s advice on slowly increasing physical activity.
  • Monitor Symptoms: Always keep an eye on your recovery progress. Contact your surgeon promptly if you experience persistent or worsening symptoms, such as intense pain, fever, chills, or unusual discharge from the incision areas.
  • Postoperative Follow-up: Attend all scheduled follow-up appointments with your surgeon. These visits allow your doctor to monitor your healing progress and address any concerns.

What Are The Risk & Complications Associated With Gallbladder Stone Surgery?

Gallstone operation is a generally safe procedure. However, like any surgical procedure, it carries certain risks and potential complications. It’s crucial to be aware of these risks and discuss them with your gallbladder stone specialist before surgery. Some of the risks and complications associated with gallbladder stone surgery include the following:

  • Infection: There is a slight risk of developing an infection at the incision areas or within the abdominal cavity. This risk is relatively low, and antibiotics are generally administered before and after surgery to reduce the likelihood of infection.
  • Bleeding: Bleeding may occur during or after surgery. Although rare, extreme bleeding may need further intervention.
  • Bile Duct Injury: During the surgery, there is a risk of damaging the bile duct, which can lead to bile leakage or obstruction. This complication may need additional procedures to repair the bile duct.
  • Bile Leak: In some possibilities, a small bile leak may occur from the ducts or the gallbladder bed. Most bile leaks resolve on their own, but some may need further treatment.
  • Adverse Reaction to Anesthesia: While uncommon, some people may experience adverse reactions to anesthesia, which can include respiratory issues, severe allergic reactions, or other complications.
  • Blood Clots: After surgery, there is a small risk of developing blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism). To reduce this risk, patients are encouraged to walk and move around after surgery.
  • Organ Damage: There is a slight risk of damage to nearby organs, like the intestines, liver, or pancreas, during the surgical procedure.
  • Cardiovascular Complications: In people with pre-existing heart diseases, gallbladder surgery may pose a small risk of cardiovascular complications.
  • Postoperative Pain: After the surgery, some people may experience mild to moderate pain or discomfort, which is usually manageable with pain medications.
  • Incisional Hernia: There is a risk of developing an incisional hernia at one of the incision sites. This happens when the abdominal muscles weaken and tissues protrude through the incision site.
  • Delayed Healing: Some people may experience delayed wound healing at the incision sites, leading to infections or prolonged recovery.
  • Digestive Changes: After gallbladder surgery, some individuals may experience changes in bowel movements or temporary digestive issues. 

What Are The Lifestyle Changes Required After Gallbladder Stone Surgery?

Here are some lifestyle adjustments that may be advised after the surgery:

  • Fiber-Rich Foods: Include fiber-rich foods in your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps encourage regular bowel movements and can help avert constipation.
  • Limit Caffeine: Some people may be sensitive to caffeine after surgery. Therefore, limit or avoid caffeine if it causes discomfort or digestive problems.
  • Avoid Trigger Foods: Identify specific foods that may trigger digestive discomfort and consider avoiding them.
  • Maintain a Healthy Weight: If you are overweight, strive to achieve and maintain a healthy weight through a balanced diet and regular exercise. Weight management can help lower the risk of gallstone recurrence.
  • Manage Stress: Stress can impact digestion and overall well-being. Therefore, practice stress-reducing practices such as meditation, deep breathing, and yoga. 
  • Probiotics: Some people find that taking probiotic supplements or consuming probiotic-rich foods helps enhance digestion and gut health after gallbladder surgery. Therefore, include supplements and foods like yogurt, kimchi, kefir, and fermented cheeses in your diet.
  • Avoid Tight Clothing: Avoid wearing tight-fitting clothing, particularly around the abdomen, to prevent unnecessary pressure on the healing incision sites.
  • Maintain Good Posture: Practice good posture to support proper digestion and reduce pressure on the abdominal muscles.
  • Monitor Bowel Movements: Pay attention to your bowel movements and inform your doctor if you experience persistent diarrhea, constipation, or any unusual changes.
  • Sleep Well: Get enough sleep each night to support the healing process and overall health.

What Is the gallbladder stone surgery cost In India?

Gallbladder stone operation cost in India ranges from Rs. 55000 to Rs. 93500. However, various factors can impact the gallbladder stone surgery cost. Some factors that affect the gallbladder stone surgery cost in India include the following:

  • Type of Surgery: The surgery cost can differ based on whether it is an open or laparoscopic cholecystectomy. Laparoscopic surgery is typically less invasive and may have lower costs compared to open surgery.
  • Hospital or Clinic: The choice of hospital or clinic can significantly influence the cost of surgery. Well-established and reputable hospitals with advanced facilities may have higher charges than smaller or less recognized healthcare facilities.
  • Surgeon’s Experience: The experience of the surgeon performing the procedure can impact the surgery cost. Highly trained and renowned surgeons may charge higher fees for their services.
  • Medical Condition: The complexity of the patient’s medical condition and any additional health problems or complications can affect the cost. Complicated cases may need more extensive procedures and postoperative care.
  • Location: The cost of medical services can differ based on the city or region in India. Metropolitan cities with a higher cost of living may have higher healthcare costs.
  • Hospitalization Duration: The duration of hospital stay may affect the overall cost. 
  • Choice of Room Category: The type of room selected for a hospital stay can also affect the gallbladder stone surgery cost. Private rooms or deluxe suites typically have higher charges compared to general wards.
  • Health Insurance Coverage: If you have health insurance, the cost of surgery may be partially covered, depending on your insurance plan’s coverage and benefits. 
 
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