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Medical Forum / General / General / August 2005

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Gall Bladder Surgury, Yes or No?

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Big Daddy - 10 Feb 2005 04:46 GMT
I've had 3 bouts of pain in my upper middle stomache area, each lasting
about 6 hours, all from about midnight to 6am in a span of about 4
months.  I haven't had an attack in over a month.
Doctor sent me for sonigram and upper GI (x-ray while drinking Barium).
Results show no reflux problems but do show gall stones.  I've never
had surgury of any kind and even though the doctor's talking about 95%
chance of doing laproscopic (in and out the same day), I'm beginning to
wonder if I should agree to the surgury or wait until the conditions
worsen.
Like I said, it's been almost 6 weeks since the last attack and I've
heard that the results of the surgury could cause problems for over a
year!  True?  What problems?  I don't want to sound like a baby, but
I'm trying to weigh the risks / benefits.  If I start on a low fat
diet, is it possible I'll never really need the operation or is it
inevitable?

Any thoughts?

One selfish thought is that it's February and if I had to choose a
season to get it done and over with, it would be now.

Thanks a lot.
Howard McCollister - 10 Feb 2005 12:57 GMT
> I've had 3 bouts of pain in my upper middle stomache area, each lasting
> about 6 hours, all from about midnight to 6am in a span of about 4
[quoted text clipped - 16 lines]
> One selfish thought is that it's February and if I had to choose a
> season to get it done and over with, it would be now.

Yes, now is the time to get your gallbladder out. The problem (gallstones)
won't go away, and those three attacks are signals to you that a serious
acute infection of your gallbladder is imminent. Should that occur, the pain
will be quite substantial, will land you in the hospital for at least a few
days, and result in an operation anyway. Having your gallbladder out when
it's acutely infected like that decreases the chances that the operation
could be done laparoscopically and increases the chances of significant
intraoperative or postoperative complications. Additionally, you are at risk
for other serious complications of gallbladder disease such as pancreatitis,
common duct obstruction, abscess, and extensive infections of the biliary
tract.

HMc
DP - 11 Feb 2005 01:00 GMT
May I (male, Caucasian, 62y/o) ask you and the other specialists for an
explanation/advice about this problem:
in 2002 I went through an acute cholecystitis,
in August 2004 I've survived an acute pancreatitis
US, CT  show 'microlithiasis' and MRCP: a 'mild dysfunction on the level of
papilla Vateri.'
I was recommended to get my GB out.
Otherwise, I have no subjective troubles having naturally a strict diet.
My blood tests are normal except this: 'EIA anti Hbs: reactive.' But I can't
remember any symptoms of  a hepatitis. What does 'reactive' actually mean?
Recommended vaccination...?!
Now, shall I accept surgery or could I still wait a while?
TIA for your support
DP

>> I've had 3 bouts of pain in my upper middle stomache area, each lasting
>> about 6 hours, all from about midnight to 6am in a span of about 4
[quoted text clipped - 30 lines]
>
> HMc
Howard McCollister - 11 Feb 2005 04:27 GMT
> May I (male, Caucasian, 62y/o) ask you and the other specialists for an
> explanation/advice about this problem:
[quoted text clipped - 11 lines]
> TIA for your support
> DP

You have gallstones, a history of acute gallbladder infection, and a history
of gallstone pancreatitis. You should have had your gallbladder taken out in
2002. You have a dangerous condition that can be fatal.

"Reactive" means you have antibodies to the hepatitis B surface antigen,
which in turn means you have either had hepatitis, have it now, or have been
vaccinated for hepatitis B. It has nothing to do with gallstones.

HMc
DP - 11 Feb 2005 12:24 GMT
thank you very much indeed for your prompt answer, precise explanation and
advice. it is helping me a lot to take the appropriate  steps and right
decision!
best regards
D.

>> May I (male, Caucasian, 62y/o) ask you and the other specialists for an
>> explanation/advice about this problem:
[quoted text clipped - 21 lines]
>
> HMc
(PeteCresswell) - 07 Aug 2005 01:13 GMT
Per DP:
>thank you very much indeed for your prompt answer, precise explanation and
>advice. it is helping me a lot to take the appropriate  steps and right
>decision!

Well, did you do it?
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PeteCresswell

 
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