Is it necessary to remove the gallbladder for gallstones? Choose treatment according to the situation

The most important concern for patients with gallstones is whether they need surgical removal of the gallbladder. This should be considered based on their specific situation. If you are young and your gallbladder function is good, you can choose gallbladder preservation treatment. If the situation is serious, you will need surgical removal of the gallbladder.

1. Is it necessary to remove the gallbladder for gallstones?

Gallstones are a common disease among middle-aged and elderly people. After the age of 40, the gallbladder function weakens, and bad eating habits such as a high-fat diet can easily induce gallstones. Currently, the treatment for gallstones is mainly surgical resection, which can cure the stones once and for all and prevent recurrence. However, there are also patients who wish to retain their gallbladder, and there are strict clinical standards for this type of gallbladder-preserving and stone-removing surgery. Generally, for patients over 50 years old with gallbladder atrophy, functional degeneration or cancer, gallbladder removal is necessary to treat gallstones. Gallbladder-preserving surgery can only be considered for patients with single gallbladder stones, good gallbladder function and gallbladder wall less than 4 mm. There is a risk of recurrence after cholecystolithotomy, with a general recurrence rate of 2% to 10%, and it is easy to cause diseases such as pancreatitis.

2. Daily care for gallstones

1. Live a regular life, eat three meals a day normally, balance meat and vegetables, do not eat too much greasy food, participate in more physical exercise, avoid high-fat and high-sugar diets, and it is best not to take birth control pills.

2. Have an optimistic attitude, keep a good mood, be less irritable, and avoid getting angry to prevent liver qi stagnation.

3. Eat more black fungus, mushrooms, watermelon, walnut, apple, lemon, black plum, hawthorn and other foods, which are beneficial to expel stones and prevent stone regeneration.

4. Drink plenty of water, do not drink alcohol, and be sure to wash your hands before and after meals.

5. It is not advisable to eat a purely vegetarian diet. You should eat some fatty foods to prevent long-term stagnation of bile.

3. Daily prevention of gallstones

1. Dietary regulation is the most ideal preventive method to prevent cholelithiasis and gallbladder cancer. To prevent gallstones, you should pay attention to dietary adjustment and have a variety of meals. In addition, raw, cold, greasy, high-protein, irritating foods and strong liquor can easily promote moisture and heat, causing bile stasis, so they should be eaten less. Vegetables and fruits rich in vitamin A and vitamin C, fish and seafood can help clear the gallbladder and dampness, and dissolve stones, so you should eat more of them.

2. Leading a regular life, paying attention to the combination of work and rest, regularly participating in physical activities, eating breakfast on time, avoiding weight gain, and reducing the number of pregnancies are also very important preventive measures.

3. If there are patients with gallstones among the fathers in your family, you should pay attention to relevant preventive physical examinations.