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Sylvia
Sylvia Asked About 'Frequently Asked Questions on QueryCAT: Q4. Can gallstones come back after gallbladder removal?'

To remove or not remove the gallbladder

Is it worth having the gallbladder removed after just one exceptional "bile attack", following an exceptional fatty meal plus snacks, after which stones were discovered in the bladder, even if no pain has ever been felt before or after then? The doctor thinks I should have the gallbladder removed since, according to him, there are no negatives effect whatsoever and I can lead exactly the same life with or without the gallbladder. I am seeing the surgeon in a couple of days to see what he says and deciding on a date. Any comments from people with experience in a similar situation, and who had to decide whether or not to undergo the operation,  would be most appreciated. 


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brosen
brosen Answered:

Never agree to surgery without a second opinion.

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Sylvia
Sylvia Answered:

Thank you for your reply, Brosen.

 I quite agree. Certainly not rushing into this.

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Dr Rafael Abril - DOCS
Dr Rafael Abril - DOCS Answered:

Hi... I wonder what was the answer of the second opinion or if you decided for surgery. But, this is my opinion if you don't mind.

Even in surgery there is a debate on operating a painless gallstone diagnose. This is because complications are rare on this patients. But with the great advance on laparoscopic surgery (small incision video surgery) the results with an expert surgeon are great with less pain and fast recovery and it is true you can live without your gall bladder.

And, why expose a person to an invasive procedure when gallbladder complications are rare when there are no symptoms? Well, the risk of complication with gallstones are higher than the risk of complications of surgery on expert hands.

What are complications of a gallstone disease? Persistant inflammation that could lead to infection of the bile in the gall bladder or even rupture of the gall bladder wall causing peritonitis, very dangerous. Also, a stone can migrate off the gall bladder and cause pancreatitis, also dangerous. This are just some.

We said that in patients with gallstones and no symptoms the complications are not very expected, but they can be present on the first strike. And, in symptomatic patients the risks increases very importantly.

The laparoscopic procedure is the gold standard on the gallstone treatment. Other options are with medication where gallstones can be dissolved in 30% of patients by taking bile acids in tablet form. Dissolution by this method may take many months or years depending on the size. Unfortunately, though, recurrence of stones is common after cessation of the medication.but the results aren't even near surgery cure for gallstones.

So, my opinion is surgery is right for you. In your case you're surgeon can have time to make an extenden preoperational study of you to better the conditions of the procedure.

Thank you.

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Chris
Chris Answered:

I would check all your options.   There is a lot of information here at www.mcvitamins.com/gallbladder.htm  

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