| A special system was created for the digestion | | | | upper abdomen, discomfort and flatulence after |
| and the absorption of the gall bladder through the | | | | eating a fatty meal. The most frequently affected |
| intestinal wall. Since it contains substances that | | | | are women between the ages of 20 and 40. It is |
| allow fats to be emulsified because the bile is an | | | | caused by a stone becoming jammed either in |
| essential factor for these. | | | | the junction of the gallbladder and duct or in the |
| The breakdown of fats stimulates the secretion | | | | duct itself. This appear at many patients who |
| of an enzyme. After being secreted by the liver | | | | suffered from binary colic indigestion or flatulence. |
| the bile is stored in the gallbladder until needed. | | | | The inflammation of acute cholecystitis is caused |
| The gallbladder is stimulated when a fat is eaten | | | | at first by the chemicals in the bile. It was proven |
| and bile flows down the cystic duct, into the | | | | that a bacterial infection supervenes in 50 percent |
| common bile duct and through the ampulla of | | | | or more of cases. |
| Vater into the intestine. | | | | The pain is severe and constant and comes |
| The gallbladder also concentrates the bile within it | | | | suddenly. It appears in the right and central parts |
| by removing water through its wall. If the | | | | of the upper abdomen and under the right |
| gallbladder is removed the bile still flows into the | | | | shoulder blade. In this case the patient usually |
| intestine from the liver when fat digestion may be | | | | vomits and it is ill and feverish. If the bile duct |
| less efficient because the bile is not concentrated. | | | | becomes swollen, slight jaundice appear as bile |
| The must common disorder of the biliary tract is | | | | from the liver which is prevented from passing |
| gallstones. | | | | into the intestine and enters the blood stream |
| It is thought that the gall bladder produce an | | | | instead. When dealing with gallstones the |
| excessive amount of water from the bile so that | | | | gastrointestinal surgeons are experts choosing the |
| some of its constituents can no longer remain in | | | | correct treatment for an individual patient. |
| solution. Gallstones are frequently associated with | | | | The most commonly performed operation is |
| eating a diet that is high fat and refined | | | | called laparoscopic cholecystectomy-designed to |
| carbohydrates and low in fiber. Gallstones taken | | | | remove to the gallbladder as easily and safely as |
| for some other reason can be discovered by an | | | | possible and with the smallest possible incisions. An |
| x-ray practice in order to leave them alone if | | | | usual cholecystectomy involves major abdominal |
| they are causing no symptoms, since the risk of | | | | surgery. In cases when the patients are not fit |
| developing problems is slightly less than the risk | | | | for surgery it may be possible to dissolve the |
| from a major operation. | | | | stones by giving them chenodeoxycholic acid or |
| If a patient with asymtomatic gallstones is having | | | | ursodeoxycholic acid. This kind of preparation are |
| an abdominal operation for another reason, the | | | | taken by mouth and are excreted in the bile. If |
| gallbladder may be removed at the same time. | | | | the gallstones are very small and contain very |
| The problems that gallstones can give rise are the | | | | little calcium which make them invisible on a plain |
| following: cholecystitis, choledocholithiasis and | | | | x-ray of the abdomen they will not work without |
| cholangitis, pancreatitis and gallstones ileus. Patients | | | | the gallbladder. |
| with symptoms from gallstones will suffer from | | | | The treatment is not good for women of |
| chronic cholecystitis. A stones becoming stuck in | | | | childbearing age or for those with any form with |
| the junction of the gallbladder and the bile duct | | | | liver disease. Although 80 percent of stones may |
| may cause severe attacks. | | | | be dissolved after six month's or a year's |
| The muscle situated in the wall of both gallbladder | | | | treatment they frequently re-appear after the |
| and duct contracts in a effort to move the stone | | | | medication have stopped. When external shock |
| and this produces intense pain felt under the ribs | | | | waves are used to bombard and shatter the |
| on the right-hand side of the abdomen. The pain | | | | stones, the process is called lithotripsy. An |
| may be felt under the V on the ribs or may | | | | approach involves injecting into the gall bladder a |
| extend right across the abdomen and spread | | | | strong solution that dissolves the cholesterol from |
| around to the back below the right shoulder blade. | | | | which the stones are made. Gallstone disease |
| The patient vomit and is usually restless. The | | | | needs an extensive experience to manage |
| stone falls into the gallbladder or by some muscle | | | | properly. |
| contractions is past down the bile duct and into | | | | In many cases diseases due to the appearance of |
| the intestine. This process may last several hours. | | | | the gall bladder the cure is possible. |
| The main symptom is a constant dull ache in the | | | | |