7 votes

Why after 140 years, is the primary surgical treatment for gallstones to still just chop out the gallbladder?

I share your feelings about gallbladder removal being barbaric. Here is some reasoning why most gallbladder conditions are treated by gallbladder removal. Alternative treatments, such as gallstone ...
Jan's user avatar
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6 votes

Why can one not simply remove gallstones, not the whole gallbladder?

According to this article from the Society of American Gastrointestinal and Endoscopic Surgeons, Gallstones do not go away on their own. Some can be temporarily managed by making dietary ...
Kate Gregory's user avatar
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5 votes
Accepted

How often is endoscopic ultrasound done to check for gallbladder disease?

UpToDate has a couple (1) (2) pretty good articles discussing current research and recs on the use of endoscopic ultrasound (EUS). As it is behind a paywall (which some hospitals pay for, so you ...
DoctorWhom's user avatar
  • 5,804
4 votes
Accepted

How/why is it possible for a body to produce gallstones -- yrs after gallbladder was removed?

So, they never officially confirmed if the problem 9 years ago was from gallstones? After the gallbladder is removed, a doctor usually cuts it and checks if there is any stone in it, so if it were, ...
Jan's user avatar
  • 15.9k
4 votes

Correlation between gallbladder disease and pancreatitis

Gallstones are the most frequent cause of acute pancreatitis. According to the American Gastroenterology Association (see ref below), gallstone related acute pancreatitis represent 35-40% of the cases....
S.Victor's user avatar
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3 votes
Accepted

Is there any known link between cholecystitis (gall bladder inflammation) and breastfeeding?

PREVENTATIVE AND RISK FACTORS FOR GALLSTONES BREASTFEEDING: Childbearing, breastfeeding, other reproductive factors and the subsequent risk of hospitalization for gallbladder disease (PubMed) (A ...
Jan's user avatar
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3 votes
Accepted

Distinguishing gallbladder polyps vs gallbladder cancer on ultrasound

Gallbladder cancers can only definitely be diagnosed or ruled-out with a biopsy. However, as biopsies are an invasive procedure, you can‘t just biopsize everyone routinely to check for gallbladder (...
Narusan's user avatar
  • 6,772
3 votes
Accepted

How does gallbladder removal affects fat digestion?

The bile is produced in the liver and stored in the gallbladder. After a meal, fats trigger gallbladder contraction, which results in the release of the bile into the small intestine. The bile helps ...
Jan's user avatar
  • 15.9k
2 votes

Why after 140 years, is the primary surgical treatment for gallstones to still just chop out the gallbladder?

Simple answer. "Once a stone former, always a stone former" "Gallstones recur in about 50% of patients, and that the risk of recurrence is confined mainly to the first 5 years after dissolution." ...
kit's user avatar
  • 828
2 votes

Gallbladder/Ulcer Pain

Both a duodenal ulcer and gallbladder dyskinesia can result from stress. Duodenal ulcer and stress Biliary dyskinesia and stress Duodenal ulcer can, rarely, affect the opening of the common bile ...
Jan's user avatar
  • 15.9k
2 votes
Accepted

Does this paper report miscalculated metrics?

As the other answer points out, the authors here have clearly calculated the positive and negative predictive values (PPV and NPV) rather than sensitivity/specificity. They report these clearly in ...
Bryan Krause's user avatar
  • 13.9k
2 votes

Does this paper report miscalculated metrics?

It seems that they meant to say PPV(positive predictive value) and NPV instead of sensitivity and specificity. This provided a positive predictive value (PPV) of 0.85 and a negative predictive value (...
Mesentery's user avatar
  • 642
1 vote

Does intermittent fasting increase or decrease the odds of getting gallstones, assuming a healthy diet?

According to the following study in 9 women, theoretically, 16/8 hour intermittent fasting could increase the risk of gallstones (the risk increases with increased cholesterol content of bile): ...
Jan's user avatar
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