Gallstones with chronic cholecystitis

[Outlined]
Gallstones with chronic cholecystitis is gallbladder stones with a chronic inflammatory changes in the gallbladder wall. Because of its more long-term stimulus stones in the gallbladder mucosa caused by inflammation, Some patients come from the aftermath of acute cholecystitis. Gallstones can be repeated obstruction cystic duct or gallbladder wall repeated stimulation caused recurrent acute cholecystitis. As time goes into chronic cholecystitis. Of course, the presence of gallstones does not mean that there must have cholecystitis. The disease common in Europe and the United States and other developed countries, a high incidence of women, female: male is 2-3:1. Its many complex causes, including age, gender, race, diet, obesity, genetic, biliary tract infection, bile stranded, pancreatic bile reflux, and many other factors, factors more comprehensive role for the outcome. With the improvement of people's living standards in China and the improvement of health conditions, over the past 10 years, chronic cholecystitis associated with the incidence of gallstone gradually increased, especially big cities increased more significantly, according to statistics the total number of gallstone disease about 70 percent. In recent years, with the advent of laparoscopic techniques for the treatment of the disease have made considerable satisfactory results
[Symptoms of the disease]
1. Symptoms not typical, often in the right upper quadrant discomfort, anorexia greasy, abdominal distension, diarrhea and indigestion symptoms, recurrent, the course can be as long as several decades. 2. Majority of patients with acute cholecystitis attack history. 3. Remission can be no signs or gallbladder district are deep tenderness, acute stage, the signs of acute cholecystitis.
[Diagnosis]
1. Ultrasound revealed thickening of the gallbladder wall, with the bright acoustic shadow Mission; 2. Abdominal X-ray positive gallbladder stones District Visibility video, oral gallbladder contrast, gallbladder contraction and poor concentration, we can see that positive or negative stone; 3. CT or MRI showed gallstones.
[Treatment principle]
1. Diagnosed after elective cholecystectomy trip, conditional Hospital Application laparoscopic cholecystectomy. 2. Suffer from serious illnesses unsuitable for surgery or refused surgery, the combination of Chinese and Western methods can be treated. Acute Stage results better, but often can not cure. 3. Gravel in vitro treatment, the effect imprecise, more controversial.
[Evaluation]
1. Cured: (1) cholecystectomy, the symptoms disappeared without complications. (2) the combination of traditional Chinese and western medicine treatment or discharge stone,inspection without gallbladder stones, clinical symptoms disappeared. 2. Turn for the better: The conservative treatment, symptoms improved. 3. Surprised me: After the treatment, symptoms and signs exist.
[The expert suggested that]
Gallstones more with chronic cholecystitis, chronic cholecystitis with gallstones may also, the two reinforce each other. Cholesterol gallstones with a higher proportion, from the perspective of prevention to avoid eating high-cholesterol foods, such as animal liver, kidney, meat, prawns, crabs, eat more vegetables and fish. Because cystic duct slender and curved> 0.5 cm from gallstones difficult, and because of the current Paishi, drug efficacy RONGSHI not ideal. Therefore, the symptoms of patients with gallstones should promptly be open cholecystectomy, or to specialist hospitals laparoscopic cholecystectomy.