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Gallstone Prevention and treatment

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Updated: Wednesday, Jan 13,2010, 3:56:44 PM
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Gallstone prevention: combination of gallstone disease, the major risk factors, preventive measures include: maintaining good living habits, diet and reasonable adjustments to avoid eating too much high cholesterol, high saturated fat foods, to promote low-fat, low cholesterol , high vitamin C and high-fiber diet; timely detection and control of hyperlipidemia, hypertension and diabetes; to avoid multiple pregnancies; to increase physical exercise and maintain normal body weight.

Gallbladder stones treatment: present, China's treatment of gallbladder stones more than 10 kinds, how to choose the right treatment is of great concern to patients, but also an important subject of medical research. Only scientific treatment in order to achieve a satisfactory effect.

1, retention in treatment of the gallbladder: mainly including aggregates, percutaneous biliary stone mirror check, drug RONGSHI and traditional Chinese medicine methods such as stone rows. The study found that a simple oral RONGSHI drugs (chenodeoxycholic acid and ursodeoxycholic acid) RONGSHI 9 months, stone disappearance rate was only 3.94%, and the high recurrence rate, RONGSHI

Each year, about 10% of the land after the relapse, 5 years can be accumulated up to 50%. Gallbladder infusion drugs (methyl tert-butyl ether, or methyl tert-butyl ether compound emulsion) RONGSHI due to complicated to operate, drug side effects, it is difficult in clinical practice. Percutaneous gall stone need to take lens surgery under anesthesia, there is a certain degree of trauma and the high rate of stone recurrence, loss of clinical application value. The information at home and abroad have shown that extracorporeal shock wave lithotripsy combined with oral medication RONGSHI, as a non-invasive, safe and have a certain therapeutic methods, but select the method of treatment requires a strict indications and contraindications have a certain disease, stone exclusion depends on the automatic discharge and dissolution of stones after treatment need to adopt more effective measures to prevent the stones, and stone recurrence rate remains high. Domestic research results showed that patients treated by more than the stone recurrence rate was: 1 year 11.6% 2 years 22.3% 3-year 24.5% 4 years 36.4% 5 years 39.3%, more than 5 years up to 40-50%. Since a reservation gallbladder treatment of high relapse rate and long, costly and difficult popularized in clinical application, require much more in-depth scientific research. With a row of stone-based Chinese herbal medicine treatment, but also include other methods, such as ear acupuncture, magnetic therapy device, vibration meter, pushed by transport through the device, umbilical Sticking plaster, etc., there are reports and propaganda, the lack of adequate scientific basis, efficacy has yet to be evaluated does not yet have clinical value.

2, gallbladder surgery: cholecystectomy for the treatment of gallbladder stones more than 100 years of history, to date, remains the most effective treatment for gallbladder stones, the ideal choice for treatment. Cholecystectomy indications include: 1) symptomatic gallbladder stones; 2) occurred in patients with acute cholecystitis or acute pancreatitis; 3) bile duct stones; 4) polypoid lesions; 5) Porcelain gallbladder; 6) The limitations of the gallbladder wall thickening> 5mm or suspected gallbladder carcinoma; 7) gallbladder contraction; 8) suspected Mirizzi syndrome, or gallbladder intestinal fistula; 9) combined with diabetes or heart and lung function abnormalities in elderly patients with asymptomatic stones, because of acute attack surgery much higher than the risk of major elective surgery. Cholecystectomy methods include the traditional open cholecystectomy and laparoscopic cholecystectomy. Since 1988, the first foreign laparoscopic cholecystectomy reported successful treatment of gallbladder stones, the China in the early 90s to carry out the technology and gradually spread widely, technology has improved steadily and has now become a hospital for treatment related to the main method of gallbladder stones, the trauma, postoperative pain is small, the advantages of rapid postoperative recovery has been the majority of patients recognized. Laparoscopic cholecystectomy has become the treatment of gallbladder stones trends.

In short, understanding the basics of gallbladder stones, to take appropriate preventive measures, the timely selection of rational methods of treatment can avoid or mitigate harm the body caused by gallbladder stones.


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