How is calculous cholecystitis treated? How gallstones and cholecystitis are treated

Asymptomatic calculous cholecystitis, gallbladder stones, anti-inflammatory and choleretic drugs, ursodeoxycholic acid, soocholetong, anitrisulfide, etc. 2.Symptomatic calculous cholecystitis, gallbladder stones, antispasmodic analgesics:

Atropine, 654-II, and pividinium bromide can be used orally, or intramuscular injection of atropine and 654-ii. Analgesia can be relieved by intramuscular injection of promethazine and meperidine, the latter of which can be combined with antispasmodics to enhance the analgesic effect; Anti-infective**: According to the results of bile culture in patients with calculous cholecystitis, the severity of infection, antibiotic resistance and antimicrobial spectrum, as well as the patient's underlying diseases, especially for liver and kidney function impairment, antibiotics should be used rationally, and empirically** antibiotics with high concentrations in bile and antibiotics with anti-anaerobic effects can be preferred.

Calculous cholecystitis and gallstones are generally preferred by internal medicine**. However, if the pain and infection are reversed for a long time, and the non-surgical ** is ineffective, or severe obstruction, infection and jaundice occur, toxic shock and liver complications occur, surgical methods such as cholecystectomy can be considered.

Stones not more than 1 cm is recommended to be conservative**, your situation is cholecystitis for a long time, not to get the correct treatment, the gallbladder itself is very difficult to use, and at the same time easy to be misdiagnosed. It is recommended that you use less Western medicine, Western medicine treats the symptoms but not the root cause, the best is traditional Chinese medicine conditioning, Depu's Tung Shu Tea, which is conducive to soothing liver interest, soothing the liver and relieving gallbladder and clearing heat and intestines.

Secondly, you are the best doctor, you must control the diet well, high cholesterol and high fat, you have to try not to eat or eat less including (wine, chili, fatty meat, animal offal, caviar, egg yolk, milk, etc.).

Another is personal emotion, gall is the central organ, the most can not be angry, some patients are angry inevitably, so this is also very important.

Finally, don't stay up late, from 23 o'clock to 3 o'clock in the morning, respectively, the hepatobiliary active period (which is why cholecystitis patients have severe pain at night)), so try to fall asleep before 23 o'clock!

After the occurrence of gallstones, the discharge of bile will be affected, and over time there will be cholestatic infection, rupture and perforation of the gallbladder, diffuse peritonitis, and symptoms of septic shock. The diagnosis is clear, and the obstruction should be relieved as soon as possible to avoid the occurrence of gallbladder perforation and signs and symptoms of peritonitis throughout the body.

At the same time, it is necessary to control the diet, eat more fresh vegetables and fruits, and avoid high-fat and high-cholesterol foods. If there is no remission after aggressive anti-inflammatory choleretic**, surgical removal of the gallbladder is often required, and biliary exploration, stone removal, and postoperative anti-inflammatory** are often required. In addition, it is necessary to ensure the patency of the drainage tube and avoid**.

Thoroughly** must. Surgery. Yes.

Cholecystectomy.

Cholecystectomy.

Cholecystectomy is.

Biliary tract surgery. Commonly used.

Surgery.. There are two types of resection: anterograde (starting from the cystic duct) and retrograde (starting at the base of the gallbladder). Anterograde gallbladder resection, with less bleeding and simple surgery, should be preferred. But.

Inflammation. severely, the gallbladder with surrounding.

Organ. Tight adhesions, not easy to expose the cystic duct and gallbladder.

Arteries. , retrograde excision is appropriate. Sometimes a combination of the two is required. [1]

The gallbladder is located. Abdomen.

On the right side, the liver.

below. The gallbladder is stored and concentrated by the liver.

bile, and transport bile to.

Duodenum, help.

Fat. Digestion. Bile passes from the gallbladder through the cystic duct.

Common bile duct. Drain into the duodenum.

Gallbladder surgery is used for**.

Diseases of the gallbladder, mainly cholelithiasis.

Blockage of the cystic duct in the gallbladder, causing severe abdominal pain – biliary colic.

Infection and inflammation of the gallbladder – cholecystitis.

Obstruction of bile flow to the duodenum – bile blockage.

In all of the above cases, cholecystectomy is required**.

Today, most gallbladder surgeries are inherited.

Celioscope. Surgical techniques, using delicate techniques including video cameras.

Instruments, which are accessed through a small puncture in the abdomen.

Abdominal cavity. Surgery is performed.

Laparoscopic cholecystectomy.

It's simple and convenient. Laparoscopic camera from.

Navel. The abdominal cavity is inserted nearby, and other instruments are entered through two or more other small puncture openings.

After the gallbladder is found, cut off. Blood vessels. And.

bile ducts, you can remove the gallbladder.

If the gallbladder is severely infected, inflamed, or has a giant one.

gallstones, gallbladder removal is performed by opening the abdomen. Surgery..

Incision. Just in the right abdomen, under the costal arch.

During the operation, the liver is pushed open to expose the gallbladder, the blood vessels and bile ducts that connect the liver to the gallbladder are severed, the gallbladder is removed, and the common bile duct is checked for blockage by stones.

If there is a co-infection, a small tube may need to be left in place for several days.

Most underwent laparoscopic cholecystectomy.

Patient. You can go home the same day after surgery and eat and drink normally [2] and be active.

Patients who have undergone open cholecystectomy will have to stay in the hospital for 5-7 days after surgery, and they will be able to eat and drink normally after a week, and they will be able to move normally after 4-6 weeks.

Ultrasound means that you have multiple stones in your gallbladder. There is no point in being conservative**, and surgery is recommended ** (laparoscopic surgery is possible).

The Second Affiliated Hospital of Nanchang University - Department of Hepatobiliary Surgery - Chief Physician Huang Changwen.