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Gallstones

Diagnosis, symptoms, and treatment methods.

General Information About Gallstones

Gallstones (Cholelithiasis) occur when cholesterol or bilirubin in the bile fluid produced by the liver becomes overly concentrated, crystallizes, and turns into hard pebble-like stones in the gallbladder. By obstructing healthy digestion, they cause indigestion, gas, and cramps after meals. In our General Surgery outpatient clinics, they are detected by ultrasound and, when causing symptoms, treated laparoscopically.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What are Gallstones?

It occurs when bile fluid, used to digest fatty foods, becomes highly concentrated and sludgy while resting inside the gallbladder, eventually solidifying into hard yellow/black stones.

What Causes Them (Who is Most Affected)?

High cholesterol in the blood mixes into the bile and forms a precipitate. Known in medicine as the '4F Rule', the risk of stone formation is much higher in those who are: in their Forties, Female, Fair-skinned/blonde, and Fat (overweight).

Can They Be Passed Like Kidney Stones?

Absolutely not. The kidney connects to the urinary tract, so a stone can be passed. The duct of the gallbladder, however, is merely millimeters wide. If a stone drops there, it blocks the duct, causes the gallbladder to rupture, or leads to pancreatic inflammation (pancreatitis), creating a life-threatening situation.

What are the Symptoms?

Bloating, indigestion, nausea, and stomach cramps that radiate to the back/right shoulder, particularly starting half an hour after eating fatty foods like fried items, eggs, or chocolate.

Can They Be Broken Down with a Laser or Medication?

No. Gallstones cannot be shattered with sound waves, and dissolving them with medication (which takes months and they return immediately after stopping the drug) is not successful. The only standard and definitive medical treatment for gallstones is the surgical removal of the gallbladder itself.

How is the Surgery Performed, and What Happens When the Gallbladder is Gone?

The surgery is performed laparoscopically (with a camera) through 3-4 small holes without making a large incision on the abdomen, taking only about 20 minutes, and the gallbladder is removed from the body along with the stones inside. After the gallbladder is removed, bile fluid continues to flow directly from the liver into the intestine, and the patient continues their life without feeling any deficiency.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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