What is good to eat for gallstones?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 28, 2024
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Patients with gallbladder stones should primarily observe the following dietary guidelines:

First, it is particularly important for patients with gallbladder stones to avoid spicy and stimulating foods such as chili peppers, barbecues, and garlic. A diet primarily composed of mild foods, supplemented by fresh vegetables and fruits, can better control the onset of the condition.

Second, patients with gallbladder stones can also appropriately include protein-rich foods such as eggs, lean meats, and fish in their diet to enhance their immunity.

Third, patients with gallbladder stones should avoid foods high in cholesterol and fats, such as animal offal and fatty meats. These foods might cause the stones to increase in size and lead to recurrent right upper abdominal pain and discomfort, thus requiring attention.

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Written by Zhang Tao
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Clinical manifestations of gallstones

Clinical manifestations of gallbladder stones: 1. Patients often experience abdominal pain after a full meal or when eating greasy food. 2. Patients may experience upper abdominal pain, bloating, belching, and regurgitation after consuming a high-fat diet in excess, or during periods of stress or poor rest. These symptoms are often misdiagnosed as stomach disorders. When gallstones chronically press against and block the gallbladder ducts without causing an infection, the gallbladder mucosa absorbs bile pigments and secretes mucinous substances, leading to the accumulation of fluid in the gallbladder. This fluid is usually clear and colorless, commonly referred to as white bile.

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Gallbladder stones CT manifestations

Gallstones typically display characteristic features on a CT scan. Depending on the calcium content and the chemical composition of the stones, they can appear as high-density, isodense, or low-density stones. High-density stones present as multiple areas of increased density within the gallbladder, though they can also be solitary. A solitary high-density stone generally appears as a concentric circle with low central density surrounded by high density. Isodense stones have the same density as bile, which sometimes makes them difficult to distinguish. Low-density stones, which are primarily cholesterol stones, can sometimes contain gas, appearing as low-density shadows. CT is not the first choice for diagnosing gallstones; abdominal ultrasound is generally preferred.

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Written by Jiang Zhen Hui
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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.

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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.