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A survey of epidemiological diseases show that the incidence of gallstones in Chinese people can reach 7%to 10%, and there is a trend of aging.

Why is the president "stone" in the gallbladder in the body? Which people are more likely to be stared at by gallstones? Director He Minggang, hepatobiliary surgery of Sichuan Stone Disease Hospital, explain the common cause of gallstones and teach you to prevent biliary through scientific diet plansstone.

Three places love long stones

Bile concentrated, concentrated, and re -concentrated in gallbladder or bile ducts forms stones.

According to the parts of the stones, gallstones can be divided into three categories: gallbladder stones, intrahepatic bile duct stones, and total bile duct stones.

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01 Olage stones -cholesterol stones are mainly

Women who are obese and over 40 are more likely to have gallstones. Most of them are mainly cholesterol stones. It is mainly related to adverse habits such as excessive diet, irregular diet, not eating breakfast, and high cholesterol diet.


Many patients only found gallstones during the physical examination. The clinical symptoms were not obvious. Occasionally, nausea, vomiting, biliary colic, biliary biliary bloating, and mild tenderness were occasionally appeared.Stomach disease to cure.

When the gallbladder stones are accompanied by acute infection or stuck in the gallbladder neck, the right upper abdominal pain and biliary colic will occur, which will usually be very painful, and it will also feel like radiation pain on the shoulder and back.The long -term stimulation of the gallbladder wall will also occur, and jaundice, cholanger pus, pancreatitis, and even cause cancer.

02 Bile duct stones in the liver -bilirubin stones are mainly

Internal bile duct stones are usually merged with external liver bile ducts, and most of them belong to bilirubin stones.Infection of bile ducts in the liver is mostly related to biliary tapeworms and biliary bacterial infections.


When there is no infection, patients will have symptoms of indigestion, abdominal distension, heating, etc.

When acute biliary infection, it is mainly manifested as abdominal pain, jaundice, and fever. In severe cases, acute severe cholecosculitis can occur; repeated attacks can combine liver function damage, atrophy and liver fibrosis in segments.

The long -term retention of intrahepatic bile duct stones may cause intrahepatic bile duct cancer. After discovering, he hepatobiliary specialist in regular hospitals should be discovered.

03 Biliary Tube Stone -Falling elsewhere

The chores of the gallbladder refer to the stones growing in the outside of the liver, which may occur alone, or it can be combined with gallbladder stones or stones with intrahepatic bile ducts at the same time.

Both gallbladder stones and intrahepatic gallbladder stones may fall to the gallbladder tube, so it can be cholesterol stones, bile pigmented stones or mixed stones.


When there is no infection and biliary obstruction, the patient has no special symptoms.

Once acute infections and biliary obstruction occur, severe abdominal pain, jaundice and fever can occur, and even endangers patient life.

7 causes of gallstones

1. Do not eat breakfast

Gallbladder will discharge bile after eating.If you do n’t eat breakfast often, the bile acid content will be reduced, the bile concentration, and the possibility of the formation of stones.

2. Lack of exercise

Decreasing sports and physical activity will reduce the contraction of gallbladder muscles, delayed bile emptiness, and it is easy to cause bile stagnation and create favorable conditions for the formation of gallstones.

3. Obesity

Obesity is a major factor formed by gallstones.If the weight is more than 15%of the normal standard, the incidence of gallstones is 5 times higher than that of ordinary people.

4. Love to eat greasy foods and sweets

Usually consume more fat and cholesterol, which is more likely to form cholesterol stones.Excessive intake of sweets can promote insulin secretion and accelerate the deposition of cholesterol.

5. Multiple pregnancy

70%of women in patients with gallstones, the more pregnancy, the higher the incidence of gallstones.

6. Long -term oral contraceptive pills

Women who have long -term oral contraceptives have the chance of suffering from gallstones than others. Women who are treated with estrogen drugs after menopause have increased significantly, which also increases significantly, which cannot be separated from sex hormones.

7. Family history of disease

People with gallstones in the family are more likely to suffer from gallstones than ordinary people.

5 dietary points to prevent stones

As an important digestive organs, the gallbladder’s "birth and death" and "eating" are inseparable. To prevent gallstones, we must first eat three meals. Then we see how to eat the bottom?

1. Limited intake of high cholesterol food

Eat less animal’s visceral, fat, egg yolk, caviar, crab yellow and other high cholesterol foods. It is best to control within 300 mg per day.

2. Crimize sugar every day <25 grams

Excessive ingestion of sugar will affect bile components and increase the risk of diseases of hepatobiliary stones.It is recommended that adults take sugar <25 grams per day.

3. Eat more coarse grains, fruits and vegetables

Rough grains, fruits and vegetables are good sources of dietary fiber.Dietary fiber can reduce the concentration of serum cholesterol, bile cholesterol saturation coefficient and cholesterol in bile.

4. Active intake of fat

Patients with gallstone can eat after surgery. After a period of time, they can appropriately increase the intake of fat, meat, soy products, and fish and shrimp.

5. Mineral material and vitamin balanced diet

Calcium, iron, zinc, and vitamin C are all conducive to reducing blood cholesterol content. Balanced diets are conducive to preventing gallstone. Try not to eat, picky eaters or vegan.

The key point is!Intersection! Do you want to treat gallbladder?

Although the clinical symptoms of gallstones are not obvious, you must not take it lightly. Once it falls to the bile duct and obstruction occurs, it may eventually cause secondary bile liver cirrhosis or pancreatitis.How big does the gall stones need to be treated?Let’s take a look.

1. Less than 0.5cm and asymptomatic: Under normal circumstances, gallbladder stones with no symptoms and less than 0.5cm can be reviewed every six months.

2. greater than 0.5cm: Gallstone is greater than 0.5cm. Regardless of whether there is any clinical symptoms, it is recommended to treat as soon as possible.

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3. Acute attack: The acute seizure of the gallstone can cause biliary colic, severe pain in the middle and upper abdomen or right upper abdomen, restlessness, sweating, pale complexion, nausea and vomiting, and even jaundice and high fever.How much should be treated in the hospital in time.

How to treat gallstones?Can’t you do surgical?

The gallbladder itself is a pear -shaped bag. There is no stones passage. If you do n’t have medicine and injections, you cannot discharge stones.

In particular, these 6 cases must be surgery as soon as possible:

1) Repeat acute cholecystitis;

2) Gallbladder atrophy and no shrinkage function;

3) Gallbladder stones greater than 2 cm;

4) Suspected of vulnerable gallbladder;

5) Small stones and acute pancreatitis;

6) Gallbladder stones with gallbladder polyps.

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Clinically, surgery is usually used to treat gallstones. There are two types of surgery here, which protects gallbladder and gallbladder surgery.As the name implies, the bile and stones are only stones and the gallbladder. The gallbladder surgery is to remove the gallbladder and stones. Both surgery belongs to minimally invasive surgery. You only need to cut 1-3 small holes in the abdomen. The trauma is very small.(It’s not the terrible surgery of the stomach ~), it is also very fast to recover.Many people are tangled again, should the gallbladder cut?

Who needs to be courageous?

As an important human organs, gallbladder is assumed to storage and concentrated bile. After removing the gallbladder, it will also face diarrhea and abdomen, bile reflux, secondary hepatobiliary duct stones and bile tube stones, and even cause colon cancer.Just "everything", who is it to cut? Who can’t cut it?

The gallbladder atrophy, no shrinkage function and suspicion of gallbladder, these two situations must be cut.The rest of the situation is likely to retain gallbladder. It is recommended that you go to a regular hospital for gallbladder function test to determine the diagnosis and treatment plan that is more suitable for you.

It is not terrible to get gallstone, and the terrible thing is that there is no correct understanding of it.The law of daily life and rest, persistence exercise, paying attention to hygiene, reasonable diet, etc., can effectively prevent and alleviate gallstones. Do not be too anxious if you get gallstones. Actively go to regular hospitals to avoid serious complications and cause adverse consequences.

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