| Disease |
GALLSTONES |
| |
|
| Quotation |
“How much will lap surgery cost, you think doctor?”
“I have no idea, you better ask the surgeon for an estimates” |
| |
|
| Definition |
Cholesterol or pigment stones formed and contained in the gallbladder. |
| |
|
| Prognosis |
CBD obstruction over 30 days and can lead to billiary cirrhosis. Hepatic failure with portal hypertension occurs in untreated cases. |
| |
|
| General Measures |
Intimate the patient about the presence of the stones possible pointer to a diagnosis in failure
Low fat diet may be helpful. |
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|
| Advice to Patient |
Seek treatment if symptoms occur.
Avoid rapid weight loss, if dieting. |
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|
| Follow Up |
Patients on oral dissolution therapy with chenodeoxycholic acid should get periodic monitoring of liver enzymes, cholesterol, and follow up imaging |
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|
| Inadequate Response |
Occurs after atttempted oral dissolution, when surgical approach has to be reconsidered.
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| Prevention |
For patients attempting rapid weight loss, Ursodeoxycholeic acid therapy to be given simultaneously.
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