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Cystic ductCommon bileBiliary colicCholecystitisCholelithiasisFormed within the gallbladderAcalculousAsymptomaticSmall intestineBilirubinOccurCholecystectomyCommonlyUltrasoundSymptomsOccursLiverAdultsLithogenicUnawareSeverePancreatitisSurgeryDevelopDiseaseBile saltsFormationTriglycerideFeverSecondaryRemovalsFormInfectionConditionPeopleProductionWomenLeadLargeInclude

Cystic duct5

• Biliary colic, also known as symptomatic cholelithiasis, a gallbladder attack or gallstone attack, is when a colic (sudden pain) occurs due to a gallstone temporarily blocking the cystic duct. (wikipedia.org)
• Biliary pain is most frequently caused by obstruction of the common bile duct or the cystic duct by a gallstone. (wikipedia.org)
• Gallstones may also block the cystic duct and inflame the gallbladder. (globalhealing.com)
• More than 90% of the time acute cholecystitis is caused from blockage of the cystic duct by a gallstone . (wikizero.com)
• [1] However, when a gallstone temporarily lodges in the cystic duct, they experience biliary colic . (wikizero.com)

Common bile5

• Choledocholithiasis refers to the presence of one or more gallstones in the common bile duct (CBD). (medscape.com)
• Magnetic resonance cholangiopancreatography (MRCP) showing 5 gallstones in the common bile duct (arrows). (medscape.com)
• The cells of the intestinal walls secrete a hormone called cholecystokinin which causes the gallbladder to contract and send bile into the common bile duct. (globalhealing.com)
• [1] Complications of acute cholecystitis include gallstone pancreatitis , common bile duct stones , or inflammation of the common bile duct . (wikizero.com)
• [5] Stones in the common bile duct can be removed before surgery by endoscopic retrograde cholangiopancreatography (ERCP) or during surgery. (wikizero.com)

Biliary colic6

• Of those with gallstones, biliary colic occurs in 1 to 4% each year. (wikipedia.org)
• About 15% of people with biliary colic eventually develop inflammation of the gallbladder if not treated. (wikipedia.org)
• Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. (wikipedia.org)
• Patients that have gallstones and biliary colic are at increased risk for complications, including cholecystitis. (wikipedia.org)
• [1] Often gallbladder attacks (biliary colic) precede acute cholecystitis. (wikizero.com)
• [4] Of all people with stones, 1-4% have biliary colic each year. (wikizero.com)

Cholecystitis5

• citation needed] The presence of gallstones can lead to inflammation of the gallbladder (cholecystitis) or the biliary tree (cholangitis) or acute inflammation of the pancreas (pancreatitis). (wikipedia.org)
• Gall stone disease presents a spectrum of pathology, ranging from asymptomatic gall stones, to acute cholecystitis and ascending cholangitis. (learnsurgeryonline.com)
• Isolated rebound tenderness in the RUQ reflects localised peritoneal irritation secondary to leakage of inflammatory fluid (acute cholecystitis) or gall bladder contents (gall bladder perforation contained locally within the omentum). (learnsurgeryonline.com)
• [1] The pain lasts longer in cholecystitis than in a typical gallbladder attack. (wikizero.com)
• [14] A gallbladder with cholecystitis is almost always tender to touch. (wikizero.com)

Cholelithiasis2

• Cholelithiasis involves the presence of gallstones (see the image below), which are concretions that form in the biliary tract, usually in the gallbladder. (medscape.com)
• Cholelithiasis refers to the presence of abnormal concretions ( gallstones ) in the gallbladder . (amboss.com)

Formed within the gallbladder1

• Gallstones are crystalline formations of cholesterol and calcium formed within the gallbladder and biliary tracts. (drjockers.com)

Acalculous1

• Furthermore, biliary pain may be associated with functional disorders of the biliary tract, so-called acalculous biliary pain (pain without stones), and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction of the biliary tree and the sphincter of Oddi. (wikipedia.org)

Asymptomatic3

• Patients with the lithogenic state or asymptomatic gallstones have no abnormal findings on physical examination. (medscape.com)
• 7 in 10 patients with gall stones are likely to be asymptomatic. (learnsurgeryonline.com)
• Surgery is not indicated in asymptomatic patients, except in some select groups (e.g. sickle cell disease). (learnsurgeryonline.com)

Small intestine3

• Another condition, called gallbladder ileus happens when a gallstone slips into the small intestine and blocks the entry of bile to the small intestine. (drjockers.com)
• Another concern, gallstone ileus, is caused by a gallstone slipping into the small intestine and blocking entry to the large intestine. (globalhealing.com)
• In response to a meal, the gallbladder releases bile released into the small intestine to aid in breaking down (digestion) of foods. (apsapedsurg.org)

Bilirubin2

• [ 6 ] Stones can also be formed by excessive bilirubin or calcium salt buildup in the gallbladder, but these are commonly referred to as pigment stones. (globalhealing.com)
• If the bile duct does become completely or partially obstructed, the patient will also develop pale stools and dark urine (since bilirubin can no longer pass into the gut in the normal way). (learnsurgeryonline.com)

Occur5

• Problems occur when the gallbladder doesn't effectively get the signal to squeeze out bile. (drjockers.com)
• Over 500,000 gallbladder removals or related operations occur in the United States each year, making it one of the most commonly performed surgical procedures. (globalhealing.com)
• It may occur as a complication of burns or multiple trauma, and patients are very ill on presentation. (learnsurgeryonline.com)
• White or mixed (pure or mainly cholesterol): 80% of UK gall stones occur when bile is super-saturated with cholesterol. (learnsurgeryonline.com)
• [5] Women more commonly have stones than men and they occur more commonly after age 40. (wikizero.com)

Cholecystectomy1

• Complications from gallstone disease is 0.3% per year and therefore prophylactic cholecystectomy are rarely indicated unless part of a special population that includes porcelain gallbladder, individuals eligible for organ transplant, diabetics and those with sickle cell anemia. (wikipedia.org)

Commonly2

• Gallbladder removals are one of the most commonly performed surgical procedures with over 500,000 being performed every year. (drjockers.com)
• Gallstones most commonly consist of cholesterol but may be pigmented (due to hemolysis or infection) or mixed. (amboss.com)

Ultrasound1

• The gold standard imaging modality for the presence of gallstones is ultrasound of the right upper quadrant. (wikipedia.org)

Symptoms3

• Symptoms and complications result from effects occurring within the gallbladder or from stones that escape the gallbladder to lodge in the CBD. (medscape.com)
• It's common to live with stones without apparent symptoms. (globalhealing.com)
• Most people with gallstones do not have symptoms. (wikizero.com)

Occurs1

• Gallstone formation occurs from the precipitation of crystals that aggregate to form stones. (wikipedia.org)

Liver10

• Gallstones are a sign of incomplete liver detoxification and pose a significant threat to the body ( 1 ). (drjockers.com)
• The gallbladder serves as a reservoir for the bile that is produced by the liver. (drjockers.com)
• When we have poor blood sugar regulation, it causes stress and inflammation in the liver increases the production of cholesterol which concentrates in the bile. (drjockers.com)
• Located in the upper right quadrant of the abdomen and situated beneath the liver, the gallbladder is a kidney bean-shaped organ connected to the liver by the hepatic duct. (globalhealing.com)
• The gallbladder works as a storage facility for the pint or so of bile the liver produces every day. (globalhealing.com)
• Although gallstone ileus can be corrected only by surgery, nutritional support can promote liver health . (globalhealing.com)
• The increased incidence in women is most likely caused by the effect of oestrogen, which promotes the transfer of cholesterol from the blood to the liver. (learnsurgeryonline.com)
• [1] Risk factors for gallstones include birth control pills , pregnancy , a family history of gallstones, obesity , diabetes , liver disease , or rapid weight loss . (wikizero.com)
• The gallbladder is an organ located underneath the liver in the upper right part of the belly just below the ribcage. (apsapedsurg.org)
• The liver makes bile and gallbladder normally stores bile. (apsapedsurg.org)

Adults3

• In the developed world, 10 to 15% of adults have gallstones. (wikipedia.org)
• About 10-20% of American adults have gallstones . (amboss.com)
• About 10-15% of adults in the developed world have gallstones. (wikizero.com)

Lithogenic1

• Increased estrogen levels cause increased secretion of bile rich in cholesterol , (lithogenic bile ), which can result in the formation of cholesterol gallstones . (amboss.com)

Unaware1

• Research shows that 42 million Americans suffer from gallstones but most are unaware of it. (drjockers.com)

Severe2

• [ 1 ] While it's possible to have gallstones and not know it, severe cases can lead to rupturing of the gallbladder and even death. (globalhealing.com)
• Recognizing patients with severe acute pancreatitis as soon as possible is critical for achieving optimal outcomes. (medscape.com)

Pancreatitis3

• gallstone disease is the major cause of pancreatitis. (wikipedia.org)
• They may have epigastric and/or RUQ tenderness, or diffuse abdominal tenderness (more likely to be gall stone pancreatitis). (learnsurgeryonline.com)
• Surgical treatment choices are based on the patient's clinical condition: less radical surgical procedures such as endoscopic retrograde cholangiopancreatography (ERCP) are done emergently in sick patients with ascending cholangitis or gall stone pancreatitis. (learnsurgeryonline.com)

Surgery6

• Treatment for gallbladder attacks is typically surgery to remove the gallbladder. (wikipedia.org)
• In those who are unable to have surgery, medication to try to dissolve the stones or shock wave lithotripsy may be tried. (wikipedia.org)
• A review study in the British Medical Journal found that 50% of patients who had a gallbladder surgery didn't see improvement in their digestive health complaints ( 5 ). (drjockers.com)
• There is lower immediate postoperative mortality, as well as long-term mortality, for patients who undergo surgery in high-volume pancreatic centers. (medscape.com)
• Surveillance should continue as long as the patient remains a good candidate for surgery. (medscape.com)
• [4] In people unable to have surgery, gallbladder drainage may be tried. (wikizero.com)

Develop3

• How do Gallstones Develop? (drjockers.com)
• Reports show that 25% of women and 20% of men develop problems with an overproduction of gallstones ( 4 ). (drjockers.com)
• 50% of NAFLD patients could develop were specified prior to the literature search with complications as steatohepatitis, cirrhosis, fibrosis, Prospero (CRD42016032764). (egyptianjournal.xyz)

Disease6

• Biliary pain in the absence of gallstones, known as postcholecystectomy syndrome, may severely affect the patient's quality of life, even in the absence of disease progression. (wikipedia.org)
• However, the presence of gallstones is a frequent incidental finding and does not always necessitate treatment, in the absence of identifiable disease. (wikipedia.org)
• This triad is not only a risk for heart disease, but also gallstones ( 6 ). (drjockers.com)
• Treatment of gallstones depends on the stage of disease. (medscape.com)
• Gall bladder disease (specifically gall stones) is the most common abdominal complaint causing hospital admission in the developed world. (learnsurgeryonline.com)
• The patient may be flushed, jaundiced, dehydrated, tachycardic and hypotensive, all depending on the stage of gall stone disease continuum. (learnsurgeryonline.com)

Bile salts1

• Additionally, if the gallbladder is filled with thick bile that has more cholesterol and less phospholipids and bile salts, it can become a supersaturated sludge. (drjockers.com)

Formation4

• Women who have used birth control pills, hormone replacement therapy (HRT) or have an IUD are at a higher risk for gallstone formation ( 7 ). (drjockers.com)
• [ 4 ] However, it can be argued that both heredity also plays role in the formation of gallstones as scientists at the University of Bonn in Germany discovered a gene that significantly affects gallstone production. (globalhealing.com)
• Biliary stasis is a key component in gallstone formation. (amboss.com)
• Increased progesterone levels cause smooth muscle relaxation, decreased gallbladder contraction, and subsequent bile stasis with formation of gallstones . (amboss.com)

Triglyceride1

• Poor blood sugar regulation will lead too higher LDL cholesterol, higher triglyceride levels and lower HDL cholesterol. (drjockers.com)

Fever1

• If the individual has the pain but is also experiencing fever, chills, nausea and vomiting than an infection has most likely begun. (drjockers.com)

Secondary1

• There may be a reduction in bowel sounds and distension due to a secondary ileus. (learnsurgeryonline.com)

Removals1

• The majority of gallbladder removals are related to the onset of stones. (globalhealing.com)

Form3

• The most common form is cholesterol gallstones. (wikipedia.org)
• Gallstones form when too much cholesterol is stored in the gallbladder. (globalhealing.com)
• Gall stones are precipitates of bile that form in the gall bladder. (learnsurgeryonline.com)

Infection1

• If gallstones block the bile duct, the risk of infection go up. (drjockers.com)

Condition1

• This is a condition known as stasis where bile sits in the gallbladder for long periods of time and moves slowly when it finally gets going. (drjockers.com)

People4

• Nearly 30% of people have further problems related to gallstones in the year following an attack. (wikipedia.org)
• In the United States, gallstones affect at least 20 million people per year. (globalhealing.com)
• Each year in the United States, approximately 1 million people are diagnosed with gallstones. (globalhealing.com)
• In the UK, 5.5 million people have gall stones and 50 000 cholecystectomies are performed each year. (learnsurgeryonline.com)

Production1

• There are many risk factors for the production of cholesterol gall stones, which points to why cholesterol gall stones are so common worldwide. (learnsurgeryonline.com)

Women2

• Women (especially if pregnant or elderly), Native Americans, and anyone that is overweight have a higher risk of developing gallstones. (globalhealing.com)
• Gall stones are 2-3 times more common in women than in men at post-mortem. (learnsurgeryonline.com)

Lead1

• Bile consists primarily of dissolved cholesterol, but an excess of cholesterol can lead to small, hard stones forming within the gallbladder. (globalhealing.com)

Large2

• If the stones become large enough, they may even lodge into the bile duct and cause a physical obstruction that would be extremely painful and possibly life threatening. (drjockers.com)
• On questioning, these patients denied any intake of food for at least 8 hours prior to the examination, but it was revealed that a large proportion of these patients had been preparing food for the family prior to their visit to the hospital. (docksci.com)

Include1

• Therefore, in conclusion, it is probably not unreasonable to include the advice of refraining from the cooking of food for optimal gallbladder distension prior to cholecystosonography. (docksci.com)