Is surgery necessary for cholecystitis with gallstones?

Written by Li Ying
Gastroenterology
Updated on September 09, 2024
00:00
00:00

Gallstone cholecystitis primarily has several treatment methods, targeted towards symptomatic and asymptomatic treatments. These include medical treatment and surgical treatment. Not all cases of cholecystitis require surgery. For some asymptomatic gallbladder stones, treatments can be managed through dietary therapy, symptomatic treatment, and preventive treatment for those at high risk, including dietary adjustments or treatments that promote bile flow. Preventive gallbladder removal may be considered for those at high risk of gallbladder cancer. For symptomatic cases, the main goal is to control symptoms and primarily reduce inflammation. For chronic cholecystitis and gallstones, if there is no significant improvement with medical treatment, then surgical treatment may be considered.

Other Voices

doctor image
home-news-image
Written by Zhao Xin Lan
Endocrinology
47sec home-news-image

Can cholecystitis be cured?

Can cholecystitis be cured? The answer is definitely yes. Cholecystitis can be cured through either medical or surgical means. Firstly, if it is chronic cholecystitis without obvious clinical symptoms, one can prevent acute attacks by paying attention to their daily life, avoiding high-fat and high-calorie diets, and keeping warm. If it is acute cholecystitis, then acute anti-infection treatment is needed. Moreover, if the inflammation is severe and the gallbladder is significantly enlarged, or there is even a risk of perforation, then emergency surgical treatment is necessary at this time.

doctor image
home-news-image
Written by Liu Wu Cai
Hepatobiliary Surgery
48sec home-news-image

Diet after relief of acute cholecystitis

After the relief of acute cholecystitis, he still needs to pay attention to his diet: First, he should avoid spicy and irritating foods, such as chili peppers, barbecue, garlic, etc., avoid hard-to-digest foods, and avoid foods high in fat to reduce the burden on the gallbladder, such as fatty animal organs. Second, although the symptoms of acute cholecystitis have recovered, it is still necessary to maintain a light diet, eat more fresh vegetables and fruits, which are rich in vitamins and trace elements, to keep the bowels open and prevent other complications. Third, after the symptoms of acute cholecystitis have recovered, it is also appropriate to supplement some foods high in protein, which can enhance the patient's resistance and facilitate the recovery of the condition.

doctor image
home-news-image
Written by Li Ying
Gastroenterology
52sec home-news-image

Is surgery necessary for cholecystitis with gallstones?

Gallstone cholecystitis primarily has several treatment methods, targeted towards symptomatic and asymptomatic treatments. These include medical treatment and surgical treatment. Not all cases of cholecystitis require surgery. For some asymptomatic gallbladder stones, treatments can be managed through dietary therapy, symptomatic treatment, and preventive treatment for those at high risk, including dietary adjustments or treatments that promote bile flow. Preventive gallbladder removal may be considered for those at high risk of gallbladder cancer. For symptomatic cases, the main goal is to control symptoms and primarily reduce inflammation. For chronic cholecystitis and gallstones, if there is no significant improvement with medical treatment, then surgical treatment may be considered.

doctor image
home-news-image
Written by Zhang Tao
Hepatobiliary Surgery
42sec home-news-image

Can you drink alcohol with acute cholecystitis?

Acute cholecystitis, clinically divided into calculous cholecystitis and acalculous cholecystitis, is closely related to diet regardless of the type. Therefore, patients with acute cholecystitis should not consume alcohol, as drinking can lead to another attack of acute cholecystitis. Most episodes of acute cholecystitis are directly related to diet and excessive drinking, so not only during an acute attack but also in everyday life, it is important to avoid greasy, fried foods, spicy and irritating foods, and excessive alcohol consumption, in order to prevent stimulating the swelling of the gallbladder mucosa and triggering an attack of acute cholecystitis.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
49sec home-news-image

Why is there nothing wrong with the B-ultrasound for cholecystitis?

As for why cholecystitis appears normal in an ultrasound, there are two possible reasons. One possibility is that the medical practitioner conducting the ultrasound may lack sufficient clinical experience to identify an inflamed gallbladder. Another reason could be limitations in the ultrasound equipment itself, which might fail to detect an inflamed gallbladder. There are very few cases where cholecystitis appears normal under ultrasound. The main ultrasound features of cholecystitis include gallbladder wall edema, roughness, and an enlarged gallbladder among other radiological changes. Once cholecystitis is diagnosed, it is crucial to undertake active treatment measures, such as aggressive anti-infection treatment, spasmodic pain relief, etc.