Doss India - Gall Stones, Gall Bladder Treatment in Pune, Maharashtra


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Dr. Satish Pattanshetti and Dr. Neeraj V Rayate is best Gall Bladder Surgeon, Gall Stone, Diabetes & Obesity surgeon in pune


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Anatomy of gallbladder and extrahepatic biliary tree:

Anatomy of gallbladder and extrahepatic biliary tree Bile Helps the body digest fats Made in the liver Stored in the gallbladder until the body needs it Contains: Water Cholesterol Bile pigments Phospholipids Bicarbonate Anions of the bile acids Concentrations vary - different kinds of stones may be formed

What are gallstones?:

What are gallstones? Small, pebble-like substances Multiple or solitary May occur anywhere within the biliary tree Have different appearance - depending on their contents

Pigment stones:

Pigment stones Small Friable Irregular D ark M ade of bilirubin and calcium salts L ess than 20% of cholestero l Risk factors : Haemolysis L iver cirrhosis B iliary tract infections Ileal resection

Cholesterol stones:

Cholesterol stones Large Often solitary Yellow, white or green Made primarily of cholesterol (>70 % ) Risk factors: 4 “F” : F emale F orty F ertile F at F air (5 th “F” - more prevalent in Caucasians ) F amily history (6 th “F”)

Mixed stones:

Mixed stones Multiple Faceted Consist of: Calcium salts Pigment Cholesterol ( 30% - 70% ) 80% - associated with chronic cholecystitis

Complications of gallstones:

Complications of gallstones In the GB: Biliary colic Acute and chronic cholecystitis Empyema Mucocoele Carcinoma In the bile ducts: Obstructive jaundice Pancreatitis Cholangitis In the gut: Gallstone ileus


Symptoms Pain in the RUQ Most common and typical symptom M ay last for a few minutes to several hours Mostly felt after eating a heavy and high-fat meal Pain under right shoulder when lifting up arms F ever, nausea and vomiting Jaundice ( obstruct ion of the bile duct passage ) Acute pancreatitis ( gallstone enter s the duct leading to pancreas and block s i t )


Diagnosis Ultrasound M ost sensitive and specific test for gallstones Computerized tomography (CT) scan M ay show gallstones or complications, such as infection and rupture of GB or bile ducts Endoscopic retrograde cholangiopancreatography (ERCP ) U sed to locate and remove stones in bile ducts Blood tests P erformed to look for signs of infection, obstruction, pancreatitis, or jaundice Cholescintigraphy (HIDA scan) U sed to diagnose abnormal contraction of gallbladder or obstruction of bile ducts


Treatment Surgery : Cholecystectomy (gallbladder removal) 5 - 40% of patients develop postcholecystectomy syndrome ( gastrointestinal distress and persistent pain in the RUQ) 20% of patients develop chronic diarrhea T wo surgical options Open cholecystectomy Laparoscopic cholecystectomy


Nonsurgical treatment : Only in special situations W hen a patient has a serious medical condition preventing surgery Only for cholesterol stones Oral dissolution therapy Ursod eoxycholic acid - to dissolve cholesterol gallstones Months or years of treatment may be necessary before all stones dissolve Contact dissolution therapy E experimental procedure I involves injecting a drug directly into the gallbladder to dissolve cholesterol stones Treatment

Contact Us:

Contact Us Dr. Satish Pattanshetti M.S ( Gen. Surg ) , F M A S Fellowship in Bariatric and Metabolic Surgery (Taiwan) Consulting Laparoscopic & General Surgeon Bariatric & Metabolic Surgeon Specialist in Single port Laparoscopic Surgery Dr. Neeraj V Rayate Director and Principal Surgeon Dr Neeraj Rayate is a GI and General surgeon with expertise is laparoscopic and robotic surgery for gastro-intestinal diseases and bariatric surgery. After completing his medical education in India. He has also completed a fellowship in Gynecological Endoscopy from the Giessen School of Endoscopic Surgery in Germany. Dr. Rayate has special interest in Hepatopancreatobiliary surgery and gynecolological oncology.

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