How are gallstones treated?


Question
Hello doctor,
Doctor let me ask, how to treat gallstones? How is the patient's ability to recover?
Anonymous customer
Answer
Answered by Master, Doctor Vu Tan Phuc - Gastroenterologist - Department of Medical Examination & Internal Medicine, Vinmec Phu Quoc International General Hospital.
Hello friend,
With the question "How to treat gallstones?", the doctor would like to answer as follows:
Gallstone is a disease that forms stones in the biliary system (including the gallbladder and the bile ducts). secret). There are 3 locations of gallstones:
Gallstones: Base, body, funnel, neck, duct Stones Extrahepatic bile duct: Common bile duct; common hepatic duct; right hepatic duct; left hepatic duct. Intrahepatic biliary stones: segmental duct, subsegmental duct; smaller tubules (liver parenchyma). Depending on the type of gallstone, the doctor will have different treatment methods, which can be treated without surgery, laparoscopic surgery. Non-surgical treatment is as follows:
Lithotripsy (CDCA & UDCA) Dissolution 7% (CDCA) - 30% (UDCA) after 1 year for stones Cholesterol 10% recur/year after drug discontinuation Extramuscular lithotripsy Percutaneous lithotripsy (MTBE) Endoscopic stone removal. Laparoscopic surgery to treat gallstones is indicated in the following cases:
Gallstones with complications: acute cholecystitis, gallbladder necrosis, cholecystitis .. Long-term pain: Severe pain, pressure Gallbladder pain Severe digestive disorders, dyspepsia. You should see a specialist to determine the condition, the cause of the disease and have the appropriate treatment.
If you still have questions about gallstones, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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