Gallbladder disease

Gallbladder disease.  Photo from www.pediatrikradyoloji.com

Gallbladder— Digestive organ, similar to a small hollow pear. It is located directly under the liver, which is connected by piping — the bile ducts. The main role of the gall bladder and bile ducts is the accumulation and excretion of bile. Bile — special fluid that is produced in the liver. Purpose of bile — to improve the absorption of fat and increase the movement of food through the intestines. At night in the human liver produces up to 2 liters of bile.

Before you hit the bile into the intestine, it goes through a complicated by biliary pathways. At first, she goes into the gallbladder, where it's stored and concentrated. And then — if necessary — is delivered to the "place of work" — in the duodenum by the so-called common bile duct.

The walls of the gallbladder and bile ducts have the muscle layer, and may decrease, which ensures the promotion of bile. If all of these contractions occur smoothly — all right, but if by chancesome because there is a failure — there is dyskinesia, that is literally translated as "violation of mobility" biliary tract. The main manifestation of dyskinesia — recurrent pain in the right upper abdomen (right upper quadrant), the nature of which may vary depending on the form of the disease.

By itself, biliary dyskinesia is not a dangerous disease, but it can have dramatic effects. Often, this "functional" disease leads to this "organic" effects — the development of gallstones.

Cholelithiasis— A condition in which the gallbladder or bile duct stones are formed. Meets gallstone disease often enough, most often it affects adults (especially women) who were overweight. While the stones lie quietly in the gallbladder, a person can not even guess about his illness. But when they go out into the bile ducts occurs attack the so-calledbiliary colic. It is characterized by a sharp pain in the right upper quadrant or in the upper abdomen, bitter taste in the mouth, nausea, and vomiting.

If a stone (with relatively small amounts) could pass ducts and fall into the duodenum — the attack itself is terminated. Otherwise there is a blockage of the bile ducts, against which is inflammation of the gall bladder — acute cholecystitis. This condition is life threatening and requires immediate hospitalization in a surgical ward.

Inflammation of the gallbladder in gallstone disease may not occur abruptly and violently, but slowly and gradually — then there chronic cholecystitis.

Treatment of uncomplicated disease of the gall bladder and bile ducts has been gastroenterologist. At no effect of therapeutic treatment or the development of life-threatening complications it is taken surgeons. In the case of gallstones optimal treatment considers cholecystectomy — removal of the gall bladder, which can be done classically (abdominal surgery) and using low-impact laparoscopic surgery.

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