Dr Shanthi Vijayaraghavan is best Surgical gastroenterologist in Chennai who has been in practice for over 35 years. She specialises in septic / gastric ulcer treatment, haemorrhoids treatment, acidity treatment, irritable bowel syndrome ( IBS ) treatment, bladder cancer surgery, gallbladder (Biliary) stone treatment, ulcerative colitis treatment, inflammatory bowel disease (IBD) treatment, Gastritis treatment, liver disease treatment, liver biopsy, upper and lowers GI, diagnostic and therapeutic procedures. Dr Shanthi Vijayaraghavan is currently associated with Apollo Specialty Hospital, OMR
After completing MBBS from Madras University in 1986, she pursued DCH in 1991 from Mangalore University followed by DNB in Pediatrics from the National Board of Examinations in 1985. Afterwards, obtained a DM in Gastroenterology from Tamil Nadu Dr MGR Medical University in 1999. She is an active member of the Indian Society of Gastroenterology, the European Association of Liver Diseases, and the Society for Gastrointestinal Endoscopy. She also received the World Hepatitis Alliance accreditation in 2015 and 2014.
What is Gall Bladder (Biliary) Stone Treatment
Bile is stored and released by the gallbladder to aid in fat digestion. Gallstones, which are stone-like particles composed of cholesterol or bilirubin, can form in the gallbladder or bile ducts. These stones can cause discomfort as well as other problems. Treatment options frequently include minimally invasive surgery to remove gallstones and, in some cases, the gallbladder. Gallstones can range in size from a grain of sand to a golf ball. You may be unaware that you have them until they obstruct a bile duct, producing severe discomfort that requires immediate treatment.
Symptoms of gallstones
- Acute pain, perhaps severe, that arrives abruptly. It might last a few minutes or several hours.
- Back pain between the shoulder blades
- Jaundice (a yellow tint to the skin and eyes)
- Indigestion of food.
- Nausea and vomiting
- Gallstone pancreatitis is caused by a gallstone that becomes lodged in the common bile duct near the duodenum and clogs the pancreatic duct.
Gallstone Diagnosis
Blood test: We can detect infection, jaundice, pancreatitis, and other bile stone-related abnormalities with a blood test.
Ultrasound: This abdominal ultrasound is the most often utilised diagnostic method for detecting gallstones. Abdominal ultrasonography uses a device (transducer) that moves back and forth across the stomach area. The transducer sends a signal to the computer, which captures the whole picture of the stomach. It is used to quickly locate bile stones.
Computerized tomography (CT) scan: A CT scan is a type of x-ray that creates images of the body. A CT scan may include the administration of a specific dye known as a contrast medium. CT scans produce three-dimensional (3-D) pictures by combining x-rays and computer technologies.
Endoscopic retrograde cholangiopancreatography (ERCP): A tube called an endoscope is sent into your mouth and your small intestine by the doctor. They inject a dye into your bile ducts so that a camera in the endoscope can observe your bile ducts. they can often take out any gallstones that have moved into the ducts.
How are gallstones treated?
The most frequent therapy for gallstones is the surgical removal of the gallbladder. A cholecystectomy is the surgical removal of the gallbladder. There are two types of cholecystectomy: the standard “open” cholecystectomy; and, a less invasive procedure called laparoscopic cholecystectomy. This surgery can be performed laparoscopically in the vast majority of patients (90 per cent), a minimally invasive method that leads to less post-operative discomfort and a faster recovery than traditional cholecystectomy. Even if there are no symptoms, gallstones discovered in the bile ducts may need to be removed. Endoscopic retrograde cholangiopancreatography (ERCP) is widely used for this surgery.
Laparoscopic cholecystectomy: The surgeon will make 3-4 incisions in your belly throughout this procedure. A tiny, illuminated instrument is inserted via these incisions to delicately remove the gallbladder. If no more complications are discovered, the patient is discharged on the same day of the surgery.
Open cholecystectomy: The standard cholecystectomy is a major abdominal operation in which the gallbladder is removed through a 5-to-8-inch incision. The patient will spend roughly a week in the hospital and then recover at home for many weeks.
The gallbladder is not a necessary organ, which implies that a person may live properly without one. Instead of being held in the gallbladder, bile flows out of the liver via the hepatic and common bile ducts and straight into the duodenum after the gallbladder is removed.
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