Gallstones After Weight Loss Surgery


Gallstones Surgery - Gallstones Health Information

The incisions are small, and there is less postoperative pain and disability than with the open procedure. High risk for gallbladder cancer (such as patients with anomalous junction of the pancreatic and biliary ducts or patients with certain forms of porcelain gallbladder) With this procedure, dye is injected into the bile duct, and moving x-rays are used to view the duct. Complications include bleeding, infections, and injury to the common bile duct. Patients with complications of acute cholecystitis (empyema, gangrene, perforation of the gallbladder) At the end of a cholecystectomy, if the surgeon detects stones in the common bile duct (only if there are experts in ERCP present, and equipment is available). For patients with gallstone cholangitis (serious infection in the common bile duct). The ERCP and ES Procedure. ERCP is often performed after gallstones in the common duct are discovered during cholecystectomy. In some cases, stones in the gallbladder are detected during ERCP. more...



Gallbladder Disease – Liver Doctor

If the gallbladder or large bile ducts become infected or obstructed with sludge or gallstones, very severe acute symptoms may supervene and these include – It is a gallbladder that is inflamed and/or sluggish and the causes of this include – Bile that sits in the gallbladder and contains excess toxins. Sometimes symptoms of a sluggish liver and/or sluggish bile flow can be interpreted incorrectly as gallbladder disease and the solution is to improve liver function. There may be excessive pressure inside the bile ducts within the liver and this occurs before the bile ducts get to the gallbladder. Other problems can masquerade as gallbladder problems and the diagnosis may not be made correctly. The gallbladder may not be the cause of any of your symptoms and may not be making you sick. Build up of toxins and bacteria in the bile ducts. How to treat gallbladder and biliary problems and cysts in the bile ducts naturally. The Liver and Gallbladder Flush. The liver/gallbladder flush is a quick way of flushing toxins, fatty sludge and small gallstones out of the liver and gallbladder. The Standard Method for the Liver and Gallbladder flush is: An Alternative Method for the Liver and Gallbladder flush is: It is important to support the healthy function of your liver and gallbladder. more...



Gallstones : Symptoms, Causes and Treatment

Gallstones (commonly misspelled gall stones or gall stone) are solid particles that form from bile cholesterol and bilirubin in the gallbladder. There are two types of gallstones: 1) cholesterol stones and 2) pigment stones. Patients with cholesterol stones are more common in the United States; cholesterol stones make up a majority of all gallstones. They form when there is too much cholesterol in the bile. Pigment stones form when there is excess bilirubin in the bile. Gallstones within the gallbladder often cause no problems. If there are many or they are large, they may cause pain when the gallbladder responds to a fatty meal. They also may cause problems if they block bile from leaving the gallbladder or move out of the gallbladder and block the bile duct. Blockage of a duct can cause bile or digestive enzymes to be trapped in the duct. Gallstones are most common among overweight , middle-aged women, but the elderly and men are more likely to experience more serious complications from gallstones. more...



Weight Loss Surgery Risks - What Are the Risks of Weight

If you are thinking of having weight loss surgery, it is essential that you consider the risks that accompany the procedure. Some potential risks are minor and are resolved soon after the weight is lost, while others can be more serious and/or long-term. In addition to the general risks of surgery that apply to patients undergoing any surgical procedure, there are additional concerns that those considering weight loss surgery need to be particularly aware of. When caught early, supplements can manage the deficiency and help head off serious problems. In addition to the above conditions, vitamin and mineral deficiencies that can result from weight loss surgery can cause malnutrition. Low levels of vitamins and minerals can happen very quickly in patients who have had malabsorptive surgeries that limit the digestion of food. When significant amounts of weight are lost, skin may begin to hang off of the body. This is because skin loses its elasticity when stretched and cannot spring back after significant weight loss. The symptoms are distressing, though not life-threatening, and they typically improve within a few hours. Suture Line Disruption (SLD) When there is an interruption in an area that is stapled or sutured in the digestive tract, known as an SLD, food can pass into areas that are no longer intended for food. more...



Gallstones : Pain, Symptoms, Causes, Treatment, and Surgery

Gallstones are "stones" that form in the gallbladder or bile ducts. The common types of gallstones are cholesterol , black pigment, and brown pigment. The majority of gallstones do not cause symptoms. The most common symptoms of gallstones are biliary colic and cholecystitis . Gallstones are managed primarily with observation (no treatment) or removal of the gallbladder (cholecystectomy). more...



The Bariatrics Lounge : Gallbladder, stones, sludge, and

Gallbladder, stones, sludge, and Gastric Bypass. There are different ways of dealing with the gallbladder, in relation to gastric bypass, and all of them are acceptable. A new trend in recent reports concluded no need to screen for gallbladder disease, based on the low incidence of patients who will actually have symptoms from gallstones after gastric bypass. Some reports will even not consider it necessary to remove a gallbladder with stones during a gastric bypass, because the majority of those with no symptoms before, will not develop symptoms after gastric bypass. Many surgeons, however, still routinely order an ultrasound of the gallbladder before a gastric bypass. If abnormal, the gallbladder may be removed the same time of a gastric bypass. Other surgeons routinely recommend the removal of the gallbladder at the time of a gastric bypass surgery, particularly with the open technique. If it is chosen that the gallbladder not be removed at the time of a gastric bypass, most will wait until symptomatic gallbladder disease develops, at which time the gallbladder would be removed (cholecystectomy). The symptoms of gallstones or sludge after gastric bypass are not different from the general. But, notice that treating gallstones, if they migrate to the common bile duct, is much more challenging after gastric bypass. The risks of removing the gallbladder along with a gastric bypass. more...



Best Diet After Gallbladder Removal Surgery

Best Diet After Gallbladder Removal Surgery. Although the surgery is tolerable, your diet after gallbladder removal may significantly be altered to counter side effects in the first few weeks of recovery . Because of this, your diet after gallbladder surgery should not contain too much fat, which could cause diarrhea. If you have gone through gallbladder removal you may also feel bloated and gain weight. What to Eat After Gallbladder Surgery. A well balanced post cholecystectomy diet is important to help your body adjust to the loss of the gallbladder, maintain regular digestion and to avoid weight gain. If you’re not sure what to eat after gallbladder removal, stock up on fiber-rich food like: As for regular foods to eat after gallbladder surgery, the following are safe: Foods to Avoid After Gallbladder Surgery. When deciding on a gallbladder diet after surgery, the most important maxim to remember is to avoid eating fatty foods like: This is to reduce digestive stress that can come when eating solid food directly after the operation, and to clear out anesthesia from the system. Ingestion of bile salts after gallbladder removal may also be recommended in some cases to supplement digestion of fats. However, this should be taken as a last resort and if fats cannot be avoided in the diet. To fight diarrhea and constipation, some doctors recommend the BRAT diet after gall bladder removal: bananas, rice, applesauce, tea or toast. I also showed him letters from WEBMD where it was not uncommon for neuromas to result after gall bladder surgery, and that some doctors when not knowing what action to take would claim the patient over-rated their pain level. more...



Gallstones - Diet and Weight Loss

Gallstones are solid material that forms in the gallbladder or bile ducts. Gallstones form when some of the material in bile solidifies. At first the solid particles are small and may form a semi-solid sludge in the gallbladder. Whether gallstones cause symptoms or not depends on their size and number and whether they move out of the gallbladder and block the common bile duct or the pancreatic duct. Cholesterol gallstones are the most common type of gallstone found in people in Western industrialized countries. In the United States, about 80% of gallstones are of this type. These form directly in the bile duct instead of in the gallbladder and are rare. One thought is that gallstones are more likely to develop when the gallbladder contracts infrequently or sluggishly and does not empty completely. The amount of cholesterol in bile is not related to the amount of cholesterol in blood, and lowering-lowering drugs do not affect the amount of cholesterol the liver makes. Bilirubin is the main component of pigment gallstones, and these diseases increase amounts of bilirubin formed in the liver. Symptoms tend to occur when a gallstone moves out of the gallbladder and irritates or blocks the common bile duct or the entrance to the pancreatic duct. Ultrasound is the least invasive and often the most effective way to locate gallstones. Air and dye are then injected that allows the physician to see the place where the bile duct empties into the small intestine. Once the gallbladder is removed, no more gallstones can form. Most complications from gallstones arise when treatment is delayed and the pancreas or gallbladder becomes infected. more...



Life After Bariatric Surgery - Patient Education

Your chance of maintaining a healthy weight will increase if you have a network of people who can offer encouragement and help you stay on track. Some of these medications will be taken for a few months after surgery, and others you will take for life. You will not be able to absorb whole pills as well as you did before surgery, and pills may have difficulty passing through your new digestive system. You must take the following vitamins and supplements on a daily basis to prevent nutrient deficiencies. Take two tablets daily until at least three months after your surgery, and then one tablet daily for life. When you can return to work will depend on your general state of health and physical condition before surgery. Diet guidelines limit the calories you consume while providing you with balanced meals to help prevent nutritional deficiencies and preserve your muscle tissue. Daily calories should be between 400 to 900 for at least the first 12 months after surgery, and never exceed 1,000 calories a day. Over time, increase the variety and consistency of the foods in your diet. For more of a challenge, you can try alternating between jogging and sprinting. Our hope is that the practices you put in to play early on after your surgery, such as calorie counting and regular exercise, become routine in your life. The key is to stay engaged in as many activities, behaviors, and groups that remind you of your weight loss goals and encourage your new lifestyle. We recommend that you have a series of tests every three months for the first year and then annual tests for the rest of your life. You may have tests to measure your levels of thiamine and vitamin D. more...



Gallstone Formation Prophylaxis After Gastric

Rapid weight loss after surgery for the treatment of morbid obesity is associated with a high incidence of gallstone formation. Patients admitted to vertical banded gastroplasty (VBG) and adjustable gastric banding (AGB) for the treatment of morbid obesity were enrolled in this study. In the study, 76 were randomized to placebo and 76 to 500 mg/d ursodeoxycholic acid. Weight loss was equivalent between the placebo and the ursodeoxycholic acid group (Table 2) . Gallstone Formation of the Intent-to-Treat for Efficacy Group. In the 24-month follow-up period, 15 cholecystectomies were performed (mean 14.9 ± 4.3 months after bariatric surgery) in patients with symptomatic cholelithiasis: 3 patients in the ursodeoxycholic group and 12 patients in the placebo group, 12% versus 4.7%, respectively (P < 0,02, Fisher exact test). Ursodeoxycholic acid administered during VLCD and weight loss after bariatric surgery is effective in preventing gallstone formation 19–23. Postoperatively, the gallstone formation is correlated with rapid weight loss in a high incidence. A double-blind placebo-controlled trial of ursodeoxycholic acid in the prevention of gallstones during weight loss after vertical banded gastroplasty. The role of gallbladder emptying in gallstone formation during diet-induced rapid weight loss. more...



Gallstone formation after rapid weight loss : a prospective

Intraoperative ultrasonography demonstrated gallstones in 20 (19%) and gallbladder sludge in four (4%) patients. At 6 months, gallstones had developed in 36% and gallbladder sludge in 13% of patients. No significant differences in age, body weight, percent ideal body weight, percent weight loss, or percent of excess body weight lost existed between patients who developed gallstones or sludge and those who did not. Patients who developed gallbladder sludge had less cholesterol and lower cholesterol saturation (1.25 +/- 0.42) in their gallbladder bile than persons who developed gallstones (2.00 +/- 0.79). more...



Gallstones

Gallstones are hard particles that develop in the gallbladder. The biliary tract consists of the gallbladder and the bile ducts. Imbalances in the substances that make up bile cause gallstones. The two types of gallstones are cholesterol and pigment stones: These conditions increase the risk of gallstones. What are the symptoms and complications of gallstones? Silent gallstones do not interfere with the function of the gallbladder, liver, or pancreas. If gallstones block the bile ducts, pressure increases in the gallbladder, causing a gallbladder attack. Gallbladder attacks usually stop when gallstones move and no longer block the bile ducts. CT scans can show gallstones or complications, such as infection and blockage of the gallbladder or bile ducts. ERCP uses an x ray to look into the bile and pancreatic ducts. ERCP helps the health care provider locate the affected bile duct and the gallstone. Factors related to eating, diet, and nutrition that increase the risk of gallstones include. The usual treatment for gallstones is surgery to remove the gallbladder. more...



Dieting and Your Risk for Gallstones

Are People on a Diet To Lose Weight More at Risk for Developing Gallstones? People who lose a lot of weight rapidly are at greater risk for developing gallstones. Gallstones are one of the most medically important complications of voluntary weight loss. However, about a third of the dieters who developed gallstones did have symptoms, and a proportion of these required gallbladder surgery . In short, the likelihood of a person developing symptomatic gallstones during or shortly after rapid weight loss is about 4 to 6 percent. Are Some Weight Loss Methods Better Than Others in Preventing Gallstones? If substantial or rapid weight loss increases the risk of developing gallstones, more gradual weight loss would seem to lessen the risk of getting gallstones . But again, no studies have directly linked a diet's nutrient composition to the risk of gallstones. Are People Who Have Surgery To Lose Weight Also at Risk for Gallstones? Gallstones are common among obese patients who lose weight rapidly after gastric bypass surgery . Should People Who Already Have Gallstones Try To Lose Weight? However, they don't know whether weight loss increases the risk of silent gallstones becoming symptomatic gallstones or of other complications developing. more...



Gallbladder - gallstones and surgery - Better Health Channel

Gallbladder - gallstones and surgery. Treatment options include surgery and shattering the stones with soundwaves. Gallstones (biliary calculi) are small stones made from cholesterol, bile pigment and calcium salts, usually in a mixture that forms in the gallbladder. Some things that may cause gallstones to form include the crystallisation of excess cholesterol in bile and the failure of the gallbladder to empty completely. The symptoms of gallstones may include: Fever and pain, if the gallbladder or bile duct becomes infected. Treatment depends on the size and location of the gallstones, but may include: Surgical removal of the gallbladder or gallstones. Surgeons may remove your entire gallbladder (cholecystectomy), or just the stones from bile ducts. Techniques to remove the gallbladder include: The ducts and artery that service the gallbladder are clipped shut. more...



What Causes Weight Loss after Gallbladder Surgery

What Causes Weight Loss after Gallbladder Surgery? Some patients may experience mild to moderate weight loss after gallbladder surgery, and there are several potential causes for this phenomenon. Without the gallbladder, problems with the digestive process may arise, resulting in weight loss. Weight loss after gallbladder surgery may occur due to the low-fat diet recommended by many surgeons following the procedure. Post- cholecystectomy syndrome may sometimes be responsible for weight loss after gallbladder surgery, although medical experts do not completely understand the reason some people develop symptoms while others do not. Weight loss may occur in these situations due to the extreme fatigue , pain, and digestive disturbances that make up the symptoms of this condition. I had surgery five weeks ago, but my surgeon failed to tell me about the alternative options to dissolving gallstones and told me to just get the organ removed. I still experienced this when I had the gallstones, except I was always constipated and wasn't able to get. I don't think is that much, and personally I don't feel like I've lost weight, but the scale doesn't lie, and also people around me have noticed the difference. I, on the other hand, weighed about 176 before the surgery, and now five months after the surgery, my pure weight (with my birthday suit on) I weigh 162. The doctor to have tests run to make sure there is not something else causing this weight loss. more...



Weight loss after gall bladder surgery

My eating habits or nothing changed, then i had to have my gall bladder taken out about a week ago and i have lost 5 lbs. I was given the option of waiting for surgery, since I don't have stones. The timing right now is just not good for surgery, and I just had surgery 4 monghs ago. Don't postpone the surgery if you don't have to. I was in pain for months(agony)I have been pain free since the surgery. I had my gallbladder removed over eight months ago and was at the time weighing before the operation 88 KG, I am now at 84 KG, so all in all I have lost over 4 KG or 8 pounds, I try and eat very sensibly now and try and eat small and often but of course you do not always feel like eating all the time. Thought I might have gotten a hiatel hernia after the gall bladder surgery, but it does feel better now, so, I was probably just sore after the surgery. I've now lost 45 lbs with very little effort and I've had a weight problem all my life. I am eating better and still not the volume I had before and I feel great. I was 58 kilos after the op and I'm now 45. I am vegan and have alway eaten healthily so did not need to lose the weight. more...



After Weight Loss Surgery - NYU Langone

After Weight Loss Surgery. If you are contemplating weight loss surgery, you are probably looking ahead to the results and what to expect during recovery. Learn more about life after your weight loss surgery at NYU Langone. If you have gastric band surgery, band adjustments are critical to the success of your surgery. If your weight loss plateaus, or if you continue to be hungry after eating, your band needs tightening. During the first six months after surgery, almost everyone who has weight loss surgery experiences hair loss or thinning. When your weight stabilizes and you consume more protein, your hair grows back. If you don’t have problems eating during the first month after surgery and then suddenly experience nausea or vomiting after eating or drinking, you may have developed a stricture, or narrowing, at the point where the stomach pouch connects with the small intestine. Nutritional deficiencies can occur, particularly in patients who have a gastric bypass or biliopancreatic diversion, which causes food to skip the duodenum—the section of the small intestine where most iron and calcium are absorbed. Weight loss surgery can change your food intake as well as your digestion. Therefore, your initial weight loss may come at the expense of your muscle mass. Fortunately, loss of muscle mass can be avoided by exercising every day and consuming more protein. At NYU Langone, we do not routinely remove gallbladders at the time of weight loss surgery because most people would have their gallbladders removed unnecessarily. more...



Gallstones : Causes, Risk, and Treatment

Gallstones can lurk inside your gallbladder. Gallstones are hard deposits in your gallbladder, a small organ that stores bile, which is a digestive fluid made in the liver. The components in bile can crystallize and harden in your gallbladder, leading to gallstones. The other 20 percent of gallstones are made of calcium salts and bilirubin. Gallstones may develop when there is too much cholesterol in the bile secreted by your liver. Stones form when your gallbladder cannot break down the excess bilirubin. What Are the Symptoms of Gallstones? The most common symptom of gallstones is pain in the right upper quadrant of your abdomen. What Are the Stages of Gallbladder Disease? It occurs when the gallstones block the movement of bile from the gallbladder. In stage 1, gallstones form in the gallbladder. The substance travels through your blood to the liver and gallbladder. Your doctor may order blood tests that measure the amount of bilirubin in your blood. These medications may take several years to eliminate the gallstones. However, if you don’t have surgery, the gallstones can return. more...



How Can I Avoid Gallbladder Problems after Bariatric

Gallbladder problems are more common in the obese. Rapid weight loss may cause an imbalance of bile and cholesterol in the body, as well, which can lead to the formation of gallstones. Because of the rapid weight loss, about a third of weight loss surgery patients develop gallstones in the first few months following surgery, and many of them do have symptoms. This is one reason that you should consistently adhere to the followup care schedule and consult with your bariatric surgeon should you experience serious discomfort or irregularities. While it is true that both obese people and those losing weight get gallstones at a higher rate than the general population, losing weight is still the better option for your gallbladder and the rest of your body. To decrease the risk further, you can aim for more gradual weight loss — although with bariatric surgery, this is not often possible. Your Marina Hospital nutritionist can advise you on the appropriate amounts and types of fat. Gallstones can be a concern for bariatric patients, but you can manage the risk and monitor your health for signs of this condition. Set up an appointment for a free consultation if you are obese and at risk of gallbladder conditions by calling (800) 491-1977 today! Fiber can help you to lose weight and to avoid gallbladder attacks. According to the University of Maryland Medical Center, drinking one to two alcoholic beverages per day may reduce your risk of gallbladder problems and can also improve your heart health. Partaking in a cup of java each day also breaks up the cholesterol in bile and can help prevent gallstones. If you are very overweight, the benefit of rapid weight loss may be greater than the risk of having a gallbladder attack and may be made even more so with the help of these medications, whi*lude ursodiol and orlistat. "The most difficult part of changing how you live and eat is believing that change is possible. more...



Weight loss surgery - Risks - NHS Choices

Weight loss surgery - Risks   Risks of weight loss surgery  The rapid weight loss associated with weight loss surgery can cause a number of side effects and has a number of risks. While weight loss surgery can successfully remove the fat in the body, it can't cause skin to revert to its pre-obesity tightness and firmness. Cosmetic surgery can be used to remove the excess skin. Around 1 in 12 people develop gallstones after weight loss surgery, typically 10 months after surgery. Around 1 in 35 people with a gastric band develop a food intolerance, often many years after their surgery. The reason why a food intolerance can develop after surgery is unclear. However, the outlook for weight loss surgery has greatly improved with modern techniques. The risk of death in hospital after having any kind of weight loss surgery is around 1 in 1,000. Complications of weight loss surgery that could lead to death include: A number of risk factors have been identified that increase the risk of death during or shortly after weight loss surgery. In most cases, the benefits of surgery outweigh the risks in people who meet the National Institute for Health and Care Excellence's criteria for weight loss surgery. more...



Weight loss surgery long term complications

When we sew the abdomen back together the fascia heals slowly—in fact it takes about six weeks for the fascia to be at about sixty percent of the strength it was before weight loss surgery. This is why we tell patients not to lift anything heavier than about fifteen pounds for the first six weeks after bariatric surgery. This isn’t a problem the first few weeks, because the incision is sore and will remind weight loss surgery patients not to do anything too strenuous. The small bulge grows over time, and becomes a bigger bulge, and at some point your doctor will have to fix that hernia. Every weight loss surgeon has his favorite suture and method of closing the wound. Hernias develop in about 20 percent of weight loss surgeries, whether you have an open or laparoscopic operation. Some bariatric surgery patients have a tummy tuck and their hernia repaired at the same time. Weight loss surgeons can insert some material in the abdomen to reduce adhesions, but cannot totally prevent them. Some adhesions will also bind the bowel so that when you turn a certain way, you will wince a bit from the pain. In RNY gastric bypass weight loss surgery, the area where the small bowel is connected to the upper pouch can develop an ulcer or a stricture. If this happens, the weight loss surgeon calls the friendly neighborhood gastroenterologist who will put a scope down and open up the stricture with a balloon. This is one of the reasons we ask bariatric surgery patients to always take some acid-reducing agent, such as Pepcid® or Prevacid®. Gallstones after weight loss surgery. Twenty-five percent of bariatric surgery patients develop gallstones during the weight loss, which is why some weight loss surgeons remove the gallbladder as a matter of routine. more...



WEIGHT GAIN AFTER GALLBLADDER SURGERY - Get Relief

Your gallbladder is merely a sac for holding some of the bile that the liver produces. The gallbladder does facilitate and regulate the flow of bile in your body. Gallstones can also be found in the liver and the bile ducts leading to the gallbladder. Treat your lack of a gallbladder as you would any gallbladder disease and eat the same way. There is a whole page on gallbladder diet with foods that are good for the gallbladder (think "bile") and liver and foods that are hard on the biliary system. You no longer have a gallbladder and that was the problem, right? Then order the After Gallbladder Removal Kit and stay on it from now on. That the Gallbladder Starter Kit can still be helpful after gallbladder removal? Thank you for your website and all the helpful email articles. Suggest you start with the gallbladder starter kit and stay on. Then switch to the weight gain after gallbladder removal kit and stay on it. more...



Department of Surgery - Gallstones

Gallstones are small, pebble-like substances that develop in the gallbladder. The two types of gallstones are cholesterol stones and pigment stones. The gallbladder and the ducts that carry bile and other digestive enzymes from the liver, gallbladder, and pancreas to the small intestine are called the biliary system. Gallstones can block the normal flow of bile if they move from the gallbladder and lodge in any of the ducts that carry bile from the liver to the small intestine. Cystic duct, which takes bile to and from the gallbladder. Diets high in fat and cholesterol and low in fiber increase the risk of gallstones due to increased cholesterol in the bile and reduced gallbladder emptying. What are the symptoms of gallstones? As gallstones move into the bile ducts and create blockage, pressure increases in the gallbladder and one or more symptoms may occur. The test may show the gallstones or complications, such as infection and rupture of the gallbladder or bile ducts. ERCP is used to locate and remove stones in the bile ducts. The most common complication in gallbladder surgery is injury to the bile ducts. If gallstones are present in the bile ducts, the physician-usually a gastroenterologist-may use ERCP to locate and remove them before or during gallbladder surgery. Gallstones form when bile hardens in the gallbladder. Gallstones can cause serious problems if they become trapped in the bile ducts. more...



Gallstone - Wikipedia, the free encyclopedia

Gallstones are formed in the gallbladder but may pass distally into other parts of the biliary tract such as the cystic duct , common bile duct , pancreatic duct or the ampulla of Vater . [7] [8] The size and number of gallstones present does not appear to influence whether or not patients are symptomatic or asymptomatic. [14] Wine and whole-grained bread may decrease the risk of gallstones. [20] The second factor is the presence of proteins in the liver and bile that either promote or inhibit cholesterol crystallization into gallstones. Obstruction of the common bile duct with gallstones can sometimes be relieved by endoscopic retrograde sphincterotomy (ERS) following endoscopic retrograde cholangiopancreatography (ERCP). Choledocholithiasis is the presence of gallstones in the common bile duct . While stones can frequently pass through the common bile duct (CBD) into the duodenum , some stones may be too large to pass through the CBD and may cause an obstruction. Choledocholithiasis (stones in common bile duct) is one of the complications of cholelithiasis (gallstones), so the initial step is to confirm the diagnosis of cholelithiasis. If the patient must have the gallbladder removed for gallstones, the surgeon may choose to proceed with the surgery, and obtain a cholangiogram during the surgery. During ERCP the endoscopist may surgically widen the opening into the bile duct and remove the stone through that opening. Multiple gallstones are present in the gallbladder and cystic duct . The common bile duct and pancreatic duct appear to be patent. In this procedure, tiny incisions are made in the abdomen and then in the cystic duct that connects the gallbladder to the bile duct, and a thin tube is introduced to perform a cholangiography. more...



Gallstones - University of Maryland Medical Center

The gallstones are often found during a routine x-ray, abdominal surgery, or other medical procedure. However, if a large stone blocks a tube or duct that drains the gallbladder, you may have a cramping pain in the middle to right upper abdomen. The pain may be constant or cramping. Most of the time, surgery is not needed unless symptoms begin. However, people planning weight loss surgery may need to have gallstones removed before undergoing the procedure. In general, people who have symptoms will need surgery right away or soon after the stone is found. The chemicals used can be toxic, and the gallstones may return. Shock wave lithotripsy (ESWL) of the gallbladder has also been used for people who cannot have surgery. The chance of symptoms or complications from gallstones is low. Blockage by gallstones may cause swelling or infection in the: more...



Post - Operative Complications : Gallstones - Gastric Surgeon

Gallstones can be an excruciating condition, which may be a side effect of bariatric surgery or other forms of rapid weight loss. They can form when the bile in the gallstone contains more cholesterol than can be reasonably processed by the gallbladder, or when bilirubin levels cause cholesterol to form solid crystalline structures. The excess levels of fat in the body may negatively affect the gallbladder’s mobility to contract as regularly as it needs to, which can lead to excessive amounts of bile and a higher risk of gallstones forming. Rapid types of weight loss, as seen in bariatric procedures like gastric bypass surgery and the lap band, also greatly increase the risk of developing a gallstone—as opposed to slower, more gradual forms of weight loss. With an increase in gallbladder cholesterol and no corresponding increase in bile salts, the formation of gallstones is more likely to occur. Rapid weight loss can also cause irregular contractions in the gallbladder, leading to a build-up of bile and an increased likelihood of gallstones. Approximately one third of all gallstones formed from rapid weight loss require some form of gallbladder surgery to successfully remove. Consult a medical professional about using the drug after bariatric surgery or rapid weight loss to prevent gallstones. more...



Obesity Action Coalition Gallbladder

Gallbladder Disease and the Obese Patient. Gallbladder disease is one of the most common surgical conditions seen in our society. The surgery to treat gallbladder disease by removal of the gallbladder is known as a cholecystectomy. Although there are many risk factors which would increase the likelihood of developing gallbladder disease, two of the major causes are obesity and rapid weight-loss; therefore, gallbladder disease is an important issue for an obese patient. Gallbladder disease is indicated by the presence of gallstones, which can be detected with an ultrasound. To prevent cholecystitis and other complications of gallbladder disease, early and prompt removal of the gallbladder is recommended as soon as symptoms develop. Development of symptoms indicates progressive active gallbladder disease and the need to consider surgery. As previously mentioned, one of the major causes among the many risk factors for gallbladder disease is obesity; therefore, many patients have already had their gallbladders removed prior to their treatment for their obesity. Studies suggest that a patient undergoing weight-loss surgery can have as high as a 25-30 percent risk of developing symptomatic gallstone disease within the first year after their bariatric procedure; therefore, some physicians suggest the routine removal of the gallbladder for all patients undergoing weight loss surgery. This practice of routine removal of the gallbladder has raised debate among physicians. The flip side of the argument, in routine practice of removing the gallbladder, 70-75 percent of bariatric patients will have their gallbladder removed unnecessarily. If the patient has documented asymptomatic gallstones and is not a candidate for laparoscopic surgery, then the decision of whether to remove the gallbladder at the time of the bariatric procedure is ultimately a choice for the patient to make after being properly informed of the risks associated with the surgeries. more...



What to Expect After Weight Loss Surgery

What to Expect After Weight Loss Surgery. If you're getting ready to have weight loss surgery , you're probably looking ahead to the results. You can expect to lose a lot of weight . And almost all people who get weight loss surgery - 95% - say their quality of life improves, too. Is Weight Loss Surgery Right for You? It may depend, in part, on what you weigh now and the type of surgery you get. On average, people lose 60% of their extra weight after gastric bypass surgery . Most people experience no serious problems after weight loss surgery . Constipation is common after weight loss surgery. Dumping syndrome happens after eating high-sugar meals after weight loss surgery. Up to 50% of patients will develop gallstones after gastric bypass surgery , and these are usually harmless. About 15% to 25% of people need surgery to remove their gallbladder after gastric bypass surgery. more...



Weight - Control Information Network – Dieting and Gallstones

In some cases, gallstones may cause serious health problems that require the gallbladder to be removed. The gallbladder may have one or more gallstones of different sizes. Estrogen may increase the amount of cholesterol in the bile and decrease gallbladder movement, which may lead to gallstones. Other factors that may increase your chances of developing gallstones are these: Some drugs may also increase your chances of getting gallstones. Being overweight or obese may increase your chances of having gallstones, especially if you are female. Although rapid weight loss may increase your chances of developing gallstones (see the next section), obesity may be a bigger problem. How may rapid weight loss increase my chances of getting gallstones? Weight cycling, or losing and regaining weight repeatedly, may also lead to gallstones. The more weight you lose and regain during a cycle, the greater your chances of developing gallstones. Losing weight very quickly may increase your chances of forming gallstones. How may I safely lose weight and reduce my chances of getting gallstones? more...



What to Expect After Weight Loss Surgery

The small stomach created by weight loss surgery can only hold so much. People who exercise after weight loss surgery are less likely to regain weight. These can help people make the change to a healthier lifestyle before and after weight loss surgery. Bariatric surgery is not a magic bullet or a panacea for what is wrong with your life, it is just a tool to help jumpstart your weight loss journey. Preparing yourself for some of the psychological hurdles that may arise as you begin to adjust to your new body and your new life may help you cope with some of the physical and mental ups and downs that will occur along the way. Support groups may also help as you struggle to accept the new, thinner and healthier you. You may begin to worry that the weight loss will never stop and you will be at risk for serious physical complications as a result. After years of fighting the battle of the bulge unsuccessfully, this dramatic weight loss may also be quite energizing and empowering. This can set you up for depression down the road if you do regain weight. Keep your weight loss in perspective, stay committed to the dietary and lifestyle changes needed to maintain your weight loss, and if you hit a roadblock or plateau, talk to your bariatric surgeon. You may feel a sense of loss after bariatric surgery. You may feel sorry for yourself that you can no longer eat or enjoy your favorite foods, leading to questions of whether having the surgery was the right decision. You may need to evaluate some of your relationships after bariatric surgery. Some of your old friends may not provide the kind of support and encouragement that you need. If you have had a weight problem for most of your life, you may find the notion of developing an eating disorder laughable, but you are at risk. more...



Is Weight Loss Surgery for You? - WebMD

Is Weight Loss Surgery Right for You? 4 Types of Weight Loss Surgery continued. Benefits of Weight Loss Surgery. After weight loss surgery, most people lose weight for 18-24 months. If you had any medical conditions related to obesity, those usually improve after weight loss surgery. Long-term problems following weight loss surgery depend on which type you have. It can occur in up to 50% of people who had weight loss surgery. more...



Gallstones and Lap - Band Surgery - Day One Health

Day One Health > Blog > Gallstones and Lap-Band Surgery. Gallstones and Lap-Band Surgery. The gallstones are pebble-like substances, usually hardened cholesterol, which form in the gallbladder and may travel to the bile ducts causing blockage or inflammation. Researchers usually lists main causes of gallstones conditions as increased amount of cholesterol, inadequate amount of bile salts, or incomplete emptying of the gallbladder. Gallstones and weight. If you are a bariatric patient you have an increased risk of developing gallstones, first due to your higher weight and co-morbidities associated with it, as well as the relatively rapid weight loss. The relationship between higher BMI and gallstones comes from the reduced amount of bile salts. This in turn, interferes with the emptying of gallbladder and further increases the risk of developing gallstones. Lap-band and gallstones. If you are at increased risk of developing gallstones don’t ignore prolonged pain, nausea and vomiting, or a fever. more...



Gallstones and gallbladder disease - University of

Endoscopic Retrograde Choliangiopancreatography (ECRP) with endoscopic sphincterotomy is the most common procedure for detecting and managing bile duct stones. Bile and the Gallbladder. Pigment stones (black or brown) are also very common and account for the remaining 30% of stones. Black stones form in the gallbladder and are the more common type. Gallstones can also be present in the common bile duct, rather than the gallbladder. In most cases, common bile duct stones originally form in the gallbladder and pass into the common duct. Gallstones are the most common cause for emergency room and hospital admissions of patients with severe abdominal pain. With this procedure, dye is injected into the bile duct, and moving x-rays are used to view the duct. Patients with complications of acute cholecystitis (such as empyema, gangrene, and perforation of the gallbladder) The ERCP and ES Procedure. In this procedure, the doctor performs open abdominal surgery and extracts gallstones through an incision in the common bile duct. more...



Digestive Diseases

New York-Presbyterian Hospital has a Center of Excellence for the treatment of digestive diseases. The Division of Digestive and Liver Diseases at New York-Presbyterian Hospital/Columbia University Medical Center and the Division of Gastroenterology & Hepatology at New York-Presbyterian Hospital/Weill Cornell Medical Center offer a comprehensive and coordinated approach to digestive disease care, and the programs, services, and centers here provide access to the latest developments in the field. The Center of Excellence in Digestive Diseases provides key prevention and treatment programs for esophageal disorders, as well as specialized expertise in a range of gastric disorders, including abdominal malignancies, peptic ulcer disease, acid hypersecretory conditions, Zollinger-Ellison syndrome, and gastrointestinal bleeding. Additional significant programs in the Center of Excellence in Digestive Diseases include an anorectal disorders program that employs the latest in diagnostic imaging, multidisciplinary pancreatic and biliary disorders programs, a nutritional disorders program that features the Celiac Disease Center at New York-Presbyterian/Columbia, and prevention programs at both New York-Presbyterian/Columbia and New York-Presbyterian/Weill Cornell. more...



Gallstones : Causes, Symptoms and Treatment

They are formed inside the gall bladder formed as a result of precipitation of cholesterol and bile salts from the bile. Symptoms may vary and often follow fatty meals, and they may occur during the night. Ultrasound is the most sensitive and specific test for gallstones. Computed tomography (CT) scan may show the gallstones or complications. ERCP is used to locate and remove stones in the ducts. Bile-duct blockage and infection caused by stones in the biliary tract can be a life-threatening illness. With prompt diagnosis and treatment, the outcome is usually very good. Cholangitis – Cholangitis is an infection of the common bile duct, which carries bile (which helps in digestion) from the liver to the gallbladder and then to the intestines. While watching the monitor, the surgeon uses the instruments to carefully separate the gallbladder from the liver, ducts, and other structures. If gallstones are in the bile ducts, the physician (usually a gastroenterologist) may use endoscopic retrograde cholangiopancreatography (ERCP) to locate and remove them before or during the gallbladder surgery. more...



Gallstones - Treatment - NHS Choices

Your treatment plan for gallstones depends on how the symptoms are affecting your daily life. If your symptoms are more severe and occur frequently,  surgery to remove the gallbladder  is usually recommended. The gallbladder isn't an essential organ and you can lead a perfectly normal life without one. Keyhole surgery to remove the gallbladder. If surgery is recommended, you'll usually have keyhole surgery to remove your gallbladder. This is harmless and makes it easier for the surgeon to see your organs. After the gallbladder has been removed, the gas in your abdomen escapes through the laparoscope and the cuts are closed with dissolvable stitches and covered with dressings. Laparoscopic cholecystectomies are usually performed under a general anaesthetic , which means you'll be asleep during the procedure and won't feel any pain while it's carried out. The operation takes 60-90 minutes and you can usually go home the same day. Single-incision laparoscopic cholecystectomy is a newer type of keyhole surgery used to remove the gallbladder. During this procedure, a 10-15cm (4-6in) incision is made in your abdomen underneath the ribs so the gallbladder can be removed. An endoscopic retrograde cholangio-pancreatography (ERCP) is a procedure that can be used to remove gallstones from the bile duct. The bile duct stones are then removed or left to pass into your intestine and out of your body. If your gallstones are small and don't contain calcium, it may be possible to take ursodeoxycholic acid tablets to dissolve them. more...



Weight Loss and Gallstones

Obesity is a risk factor for gallstones . This may lead you to wonder if weight loss can cause gallstones to form. The Link Between Weight Loss and Gallstones. But before you go on a diet to decrease your risk, it's important to know that quick weight loss may also put you at risk for gallstones. Losing weight on a very low-calorie diet or after weight loss surgery can increase your risk of gallstones. According to the National Institute of Diabetes and Digestive and Kidney Diseases  (NIDDK), "People who lose more than 3 pounds per week may have a greater chance of getting gallstones than those who lose weight more slowly."  In addition, losing and regaining weight over and over again (often called weight-cycling or yo-yo dieting) can also increase your risk of gallstones. Those who lose and regain more than 10 pounds have a higher risk of gallstones than those who lose weight and maintain their weight loss. How to Lose Weight Safely to Prevent Gallstones. If you are on a very low-calorie diet that is supervised by a physician, tell him or her about any past experience with gallbladder disease, gallstones or gallstone attacks . An eating plan that includes diet-friendly high-fiber foods , healthy fats and limited sugar and refined grains will help you lose weight and keep your risk for gallstone problems lower. Even though losing a small amount of weight may improve your gallstone risk, sny diet that leads to rapid weight loss may not be sound and can lead to health problems. The Health Effects of Overweight and Obesity. Dieting and Gallstones. more...



Gallstones symptoms, risk factors, causes

However, intense pain from biliary colic is the most common symptom when a gallstone blocks a bile duct. Biliary colic pain is constant and affects the centre of the abdomen above the bellybutton to below the breastbone and the upper right hand side of the abdomen towards the shoulder blade. Symptoms may also include sweating and feeling sick. Biliary colic is also called uncomplicated gallstone disease and can last from a few minutes, but usually lasts over an hour. more...



Losing weight too quickly gave me gallstones - Daily Mail

The room was spinning. About one in four women and one in eight men will develop gallstones at some stage, according to the British Liver Trust. And the numbers are rising. Slow and steady: The best way to lose weight to avoid other health problems (posed by model) Gallstones are lumps of cholesterol that form in the gall bladder, ranging in size from fine gravel to a golf ball. Combine these factors and you have the optimum conditions for gallstones to develop. The gall bladder contracts in response to the fat and may move a gallstone to block the bile duct, causing inflammation and pain. Many studies have looked at the threshold at which gallstones develop and, according to an overview in the journal Obesity, anyone losing over 3.3lb (1.5kg) a week is at risk. It’s possible to have gallstones for years without symptoms, and it seems mine were forming in the 18 months since I began losing weight. But up to 4 per cent of people with gallstones suffer from biliary colic, when a stone moves to the neck of the gall bladder. There are drugs which can dissolve stones, but they don’t always work and, once treatment stops, the stones may form again. And, if you already have gallstones, the best way to keep them quiet is to get your weight under control and eat a balanced diet, avoiding ‘bad’ cholesterol (in saturated fats, fatty meats and fast food). Despite the gallstones, I don’t regret losing weight — being slim and fit feels fantastic. But it’s worth remembering that slow and steady really is the best way to do it. more...



Gallstones Prognosis and Complications - Gallstones Health

In most cases of obstruction, the stones block the cystic duct, which leads from the gallbladder to the common bile duct. About 10% of patients with symptomatic gallstones also have stones that pass into and obstruct the common bile duct (choledocholithiasis). Perforation of the gallbladder is most common in people with diabetes. The risk for perforation increases with a condition called emphysematous cholecystitis, in which gas forms in the gallbladder. Pus in the gallbladder (empyema) occurs in 2 - 3% of patients with acute cholecystitis. In some cases, the inflamed gallbladder adheres to and perforates nearby organs, such as the small intestine. Infection in the Common Bile Duct (Cholangitis). Infection in the common bile duct from obstruction is common and serious. Common bile duct stones are responsible for most cases of pancreatitis (inflammation of the pancreas), a condition that can be life threatening. If the cancer has spread beyond the gallbladder, other treatments may be required. Certain conditions in the gallbladder, however, contribute to a higher-than-average risk for this cancer. Primary sclerosing cholangitis is a rare disease that causes inflammation and scarring in the bile duct. This condition may develop from a chronic inflammatory reaction that may actually be responsible for the cancer risk. more...




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