Gallstones are stone-like objects that most commonly develop in the gallbladder, a small organ tucked up under the liver, on the right side of the body. The gallbladder’s job is to store and dispense bile- a fluid made by the liver that helps digest fats in the fats/food you eat. The gallbladder, even if removed, causes no observable problems in a healthy individual. However, sometimes diarrhoea and fat malabsorption are noticed in people who have their gallbladder removed by surgery. Gallstones’ size can vary from tiny grains of sand to a few centimetres sized stones. The gall bladder stones are made of bile contents like cholesterol or bile pigments. Dr Girish Juneja is renowned for performing the best gall bladder stones surgery in Dubai.
Below are the general factors that lead to the formation of gallstones:
There are several complications of a gallstone attack. Therefore, you should get proper treatment of gall stones at the earliest to avoid further complications, including:
Biliary colic (intermittent duct blockage)- In this condition, the patient experience a sudden and rapidly increasing pain accompanied by nausea & vomiting. The pain occurs in several body parts, such as the upper right side of the abdomen, between the shoulder blades, and under the right shoulder.
Pain is the most common symptom most people experience with gallstones. This pain can be mild to severe and can last from 15 minutes to several hours. Gallstones can cause acute cholecystitis, a more serious condition when the gallbladder is inflamed. It may require antibiotics, hospitalization and even urgent surgery. Sometimes stones can pass out of the gallbladder and into the common bile duct can cause a complete blockage of the duct with jaundice, infection and pancreatitis, which is a serious emergency.
Dr Girish’s treatment plan for gallstones treatment depends on how the symptoms affect the patient’s daily life.
If you don’t have any symptoms, active monitoring is often recommended. It means you won’t receive immediate treatment, but you should let your doctor know if you notice any symptoms.
Abdominal ultrasound
It is a quick & simple test done by a radiologist. It can be done in 6-8 hours of fasting state and is considered a perfect test for detecting gallstones.
Magnetic resonance cholangiopancreatography (MRCP)
This test uses an MRI scanner to produce high-resolution images of the bile ducts, pancreas, and gallbladder. These images are used for further tests and treatments.
Dr Girish offers gall stones treatment by latest techniques & he is one of the most experienced (30 yrs. of experience in surgery & laparoscopy) surgeons in Dubai. So it can be under your existing insurance.
Non-surgical treatments for gallstones
Medications
Some medicines can dissolve stones, especially the ones that are tiny & made of cholesterol. However, medications have high rates of failure & recurrences are also there. In addition, dissolving medications can take a long time, and they have side effects.
Surgical treatments for gallstones (Cholecystectomy)
Dr Girish offers surgery by latest techniques which include:
Surgical pearls
The various techniques practised for a Gall bladder stones surgery in Dubai are:
Laparoscopic Cholecystectomy/Keyhole surgery
Laparoscopic Cholecystectomy remains the safest procedure for removing the gallbladder to treat gallstone disease. The surgeon’s advanced skills and experience are the most important factor to prevent or reduce the chances of complications.
How is it performed?
The operation takes about one hour, and you can usually go home the same day or the next morning. Full recovery typically takes around 07 days.
Traditional (open) Cholecystectomy
Nowadays, it is performed only if the patient is:
Single Incision Laparoscopic Cholecystectomy (SILC)
A single-incision laparoscopic cholecystectomy (SILC) is a new technique used by surgeons. However, it is still an experimental technique for which we lack long-term studies and analysis regarding this technique.
SILS involves using one retractor with three holes instead of 3-4 trocars to minimize the trauma and reduce the number of scars. Unfortunately, this technique still hasn’t gained any popularity.
Natural Orifice Transluminal Endoscopy Surgery (NOTES)
The Natural Orifice Transluminal Endoscopy Surgery is a technique in which a surgeon uses a natural orifice, such as the stomach or vagina, to access the abdominal cavity without external incisions or scars. It is still an experimental technique & you will not have any external scar.
Endoscopic Retrograde Cholangio-pancreatography (ERCP)
Endoscopic retrograde cholangio-pancreatography (ERCP) is a procedure that can be used to remove gallstones from the bile duct.
People who are overweight or planning to lose weight –either through a planned diet program or surgery—have an increased risk of developing gallstones.
Rapid weight loss is also a concern. If you go on a diet plan that significantly reduces your calorie intake or you had a weight loss surgery, your liver secretes extra cholesterol into the bile. In addition, patients undergoing sleeve gastrectomy or gastric bypass or other weight-loss surgical procedures that will lead to rapid weight loss are at risk of gallstone formation.
SURGICAL PACKAGES AVAILABLE
Check what all is included and not included in the package.
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Insurance companies usually cover this procedure. Otherwise, the price ranges from 25,000- 35,000 AED depending upon the case.
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