Understanding Gallbladder Disease and Treatment Options

A Comprehensive Guide to Managing Gallbladder Conditions

Gastroenterology

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Last updated: Mar 24, 2025

Overview

Gallbladder disease encompasses several conditions affecting the gallbladder, including:

  • Cholelithiasis (gallstones)
  • Cholecystitis (inflammation)
  • Biliary dyskinesia
  • Gallbladder polyps

Treatment Options

1. Conservative Management

  • Dietary modifications
    • Low-fat diet
    • Regular meal timing
    • Weight management
  • Pain management
    • NSAIDs
    • Antispasmodics

2. Medical Management

  • Oral dissolution therapy
    • Ursodeoxycholic acid
    • Limited effectiveness
    • Only for select patients

3. Surgical Options

Laparoscopic Cholecystectomy

  • Gold standard treatment
  • Minimally invasive approach
  • 4 small incisions
  • Usually outpatient procedure
  • Recovery time: 1-2 weeks

Open Cholecystectomy

  • Larger single incision
  • Required in ~5% of cases
  • Longer recovery (4-6 weeks)

Post-Treatment Care

Recovery Guidelines

  1. Gradual return to normal diet
  2. Pain management as needed
  3. Activity restrictions for 1-2 weeks
  4. Follow-up appointment scheduling

When to Seek Medical Attention

  • Severe abdominal pain
  • Fever over 101°F
  • Yellowing of skin or eyes
  • Persistent nausea/vomiting

Long-term Outlook

Most patients experience complete resolution of symptoms following treatment, with minimal lifestyle adjustments needed.

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