Docstoc

Gall Stones, Causes and Prevention

Document Sample
Gall Stones, Causes and Prevention Powered By Docstoc
					Gall Stones, Causes and Prevention
Gall stone formation is the most common disorder of the biliary tree and it is unusual for the gall bladder.
PATHOLOGY:
They are classified into cholesterol or pigment stones, although the majority are mixed type. Cholesterol stones are most common type in
industrialised countries.
Gall stones contain varying degree of calcium salts including calcium bilirubinate, carbonate, phosphate and palmitate which are radio opaque .
Epidemiology:
Gall stones occur commonly in females aged 18-65 yrs .
In those under 40 yrs there is 3:1 female preponderance. Gallstones are common in north america , Europe, Australia and less frequent in India and
Africa .
Risk factors:
1.Increased cholesterol secretions :
•Elderly
•Female
•Pregnancy
•Obesity
•Rapid weight loss
2.Impaired gall bladder emptying :
•Pregnancy
•gallbladder stasis
•fasting
•spinalcord injuries
3. decreased bile salts secretion:
•Pregnancy
CLINICAL FEATURES:
The majority of the gall stones are asymptomatic and remain so ,only about 10% of those with gall stones develop clinical symptoms.
Symptomatic gall stones develop biliary pain or as a consequence of the cholecystitis.if the gall stone gets impacted in the cystic duct ,the patient will
experience pain. the pain is of sudden onset and it lasts for 2-6hours,if it lasts for more than 6hours it suggests that the complication such as
cholecystitis or pancreatitis has developed.
Pain is felt in the epigastrium or right upper quadrant and radiates to the inter sacapular region or to the tip of the right scapula
COMPLICATIONS:
•Empyema of the galladder
•Choledecholithiasis
•Pancreatitis
•Fistula between gall bladder and duodenum or colon
•Gall stone ileus
•Carcinoma of the gall bladder


MANAGEMENT:
•Cholesystectomy open or laproscopic
•Oral bile acids
•Lithotripsy
•Endoscopic sphincterotomy




About the Author
Dr Jayasree is associated with
medical coding services and faculty for the medical coding services


Source: http://www.articletrader.com

				
DOCUMENT INFO
Categories:
Stats:
views:88
posted:3/5/2010
language:English
pages:1
Description: Gall Stones, Causes and Prevention