Gallbladder stones and gallbladder polyps differentiation

Written by Zhang Tao
Hepatobiliary Surgery
Updated on September 29, 2024
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Gallbladder stones and gallbladder polyps are common diseases in the digestive system and are usually benign. Both gallbladder stones and gallbladder polyps can cause chronic inflammation of the gallbladder, leading to chronic cholecystitis. Some patients may experience acute episodes of pain in the upper right abdomen, leading to an acute cholecystitis attack. Both conditions typically require laboratory tests and diagnostic imaging to confirm diagnosis. Clinically, they are mainly identified through color Doppler ultrasound; gallbladder stones are formed by the deposition of bile salts within the gallbladder, while gallbladder polyps are protrusions growing from the gallbladder wall into the cavity, which can be clearly distinguished by ultrasound.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Dietary Taboos for Gallstones

Patients with gallstones should primarily avoid spicy and irritating foods, such as chili peppers, barbecue, and garlic. They should adopt a light diet, eat more fresh vegetables and fruits, and also avoid foods high in cholesterol and fats, as these foods can exacerbate gallstone symptoms. Since most gallstones are cholesterol stones, patients with symptomatic gallstones should also undergo surgery as soon as possible. Only through surgery can a cure be achieved, which can significantly improve the patient's quality of life. Post-surgery, patients still need to be mindful of their diet to facilitate recovery.

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Written by Zhang Tao
Hepatobiliary Surgery
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Can gallstones turn into cancer?

If gallstones are not treated promptly, the probability of developing gallbladder cancer is higher than in healthy individuals. Long-term untreated gallstones can irritate the gallbladder, leading to decreased gallbladder function and causing cancerous changes. Chronic thickening of the gallbladder wall can occur from prolonged episodes of gallstones, worsening inflammation, which can lead to more severe inflammation of the gallbladder mucosa and result in cancerous changes. In fact, gallstones are an important factor in the development of gallbladder cancer. However, not all patients with gallbladder cancer have gallstones, but clinically, about 70% of patients with gallbladder cancer have concurrent gallstones. Therefore, even if patients with gallstones do not exhibit symptoms, they should be particularly cautious and undergo regular physical examinations annually to detect problems early and treat them promptly.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What will happen if gallstones worsen?

For patients with gallstones, if exacerbation occurs, they will exhibit significant pain in the upper right abdomen, and may even experience radiating pain in the right shoulder, scapular area, and back, severely affecting the quality of life. Some patients may also experience nausea, vomiting, and abdominal distension among other gastrointestinal symptoms. Thus, patients with these symptoms should undergo surgery as soon as possible. The primary treatment for gallstones is laparoscopic cholecystectomy, as it has the advantages of a small incision, minimal injury, and faster recovery, making it often the first choice in clinical settings. Additionally, it is still necessary for postoperative patients to avoid spicy and irritating foods to reduce inflammation and better facilitate recovery from the condition.

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Written by Jiang Zhen Hui
Hepatobiliary Surgery
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Can ERCP remove gallbladder stones?

ERCP is currently being explored by some hospitals in China for the removal of gallstones. It involves inserting a tube through the lower part of the gallbladder to remove the gallstones. However, we generally do not recommend using ERCP for gallstone removal because if it becomes necessary to remove the stones, the gallbladder must be cut open, which can easily lead to complications such as suppurative cholecystitis. Currently, the most common method for removing gallstones is laparoscopic cholecystectomy, which, of course, requires mature surgical skills and relatively has fewer complications.

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Written by Zhang Tao
Hepatobiliary Surgery
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How many days are needed for minimally invasive gallbladder stone surgery?

Gallbladder stones clinically often require surgical treatment. There are two types of minimally invasive surgery for gallbladder stones. The first type is laparoscopic cholecystectomy, and the other type is laparoscopic gallbladder-preserving stone removal. If the patient undergoes minimally invasive gallbladder-preserving stone removal, they can generally move around within three to five hours after surgery, resume a liquid diet after half a day, be discharged three days postoperatively, and fully recover within a week without affecting their normal life and work. If the patient undergoes a laparoscopic cholecystectomy, and if they are relatively young, it is recommended that they can resume eating on the evening of the surgery, get out of bed the next day, and be discharged within two to three days. Even in some large clinical medical centers, the cholecystectomy can be performed as a day surgery, where the patient may be admitted in the morning, undergo surgery in the afternoon, and handle discharge procedures after completing post-surgery intravenous fluid therapy in the evening.