Gallstones in the gallbladder cannot decompose – requires surgery. – ‘Breaking up gallstones’ cannot be used for gallstones. In the gallbladder
Many people may have heard of a method called gallstones. ‘Dissolving the stone’, which fires sound waves into the stone To break the gallstones into small cubes or break until they disappear. And comes out with urine Without surgery And do not need anesthesia But the dissolution of that gall It cannot be used for gallstone disease.
by Dr. Weerayut Ueawisetwong, MD. General surgeon Vejthani Hospital explains that there are different types of gallstones. It depends on the nature of the birth and the resulting organs. Which each has a different treatment approach Gallstones that we often find And the patient is often confused Are gallstones in the gallbladder And stones in the urinary tract
1. Gallstones in the gallbladder Caused by an imbalance in the composition of bile Often associated with hyperlipidemia. This will cause the formation of stones in the gallbladder.
2. Stones in the urinary tract Classified by the location of the stones: kidney stones, ureter stones, bladder stones And stones in the urethra Caused by the solute is more concentrated than the solvent. Until it settles into stones
How to break up stones with a shock wave It is the treatment of gallstones without surgery. It is one of the methods of treating urinary tract stones. But not suitable for treating gallstones Due to the principle of shooting the shockwave into the stone, it will break down into smaller pieces. The caveat is that the broken stones must be in a part that can be excreted from the body, such as excreted in urine.
Therefore, if used to dissolve gallstones in the gallbladder Will not bring any benefit Since it has disappeared Broken stones into small pieces Cannot be expelled from the gallbladder And can also cause symptoms from gallstones as before
Dr. Virayuth continued that For the treatment of gallstones Is surgery to remove the gallbladder To reduce the chance of serious complications, including cholecystitis, jaundice, cholangitis. Pancreatitis
For surgery to remove the gallbladder, it is not harmful or cause negative effects to the body. This is because the gallbladder is only a reservoir of bile. When the surgery went out Bile is still being produced from the liver.
Currently there is Single Port technology which is a single hole endoscopic surgery. The patient will have a small incision on the navel in only one position. Making it less vulnerable to infection No scars Less pain than traditional laparoscopy surgery because the number of incisions is a few fewer incisions than regular laparoscopy, thus faster recovery.
–
