Gallbladder surgery brings relief of painOur specialists at Schoen Clinic have the right treatment for every case:
If gallstones tend to cause minor discomfort, the gallbladder is surgically removed at a suitable opportunity.
Surgery is urgently required in the event of acute gallbladder inflammation and all situations with mechanical bile flow obstruction.
Severe colic pain also often becomes an emergency event.
Conservative treatment methods
Gallstones: Treatment without surgeryTreating gallstones without surgery not only takes a long time but also requires long-term medication. What’s more, conservative treatment offers no guarantee that gallstones will not be formed again.
If there are no symptoms or conspicuous laboratory changes, the patient remains under observation. However, even if the symptoms are only minor, a gallbladder removal can be useful in order to avoid possible colic.
Surgical treatment methods
Gallbladder surgery – depending on the type of symptomsColic
The pain that occurs with biliary colic can be improved by avoiding colic-inducing food. Nevertheless, gallbladder surgery with removal of the gallbladder including the gallstones a safer option.
In the case of acute inflammation of the gallbladder, surgery is the first priority. In this case, gallbladder surgery should be performed very promptly. If there are signs of peritonitis, this may also be necessary as an emergency.
Inflammation of the bile ducts
Following antibiotic treatment, the cause must be carefully clarified.
Stones in the bile duct
First, a notch is created in the papillary sphincter. The stones can then generally be removed endoscopically with a basket. In addition to endoscopy, an X-ray fluoroscopy (ERC) is required, during which a contrast medium is injected into the bile duct.
Plastic tubes can be inserted into the bile duct after notching of the scarred constriction and possible collection of a tissue sample. These then allow drainage into the duodenum.
This is usually followed by an extensive open abdominal operation. It involves a large area of the tumour, including the lymphatic ducts, possibly also neighbouring tissue and organs, in order to facilitate healing.