Biliary Stones And Effective Treatment

Biliary stones are a common disease that greatly affects the health and life of patients. If biliary stones are not diagnosed and treated promptly, they can lead to fatal complications.
Cholangiolithiasis is what disease?
The appearance of stones (made up of bilirubin) in the bile ducts, gallbladder, left liver ducts or liver ducts is called biliary tract stones. Bacterial-borne infections from bacteria are considered the main causes of biliary tract stones.
Classification of biliary stones
Molasses stones are classified by location and by origin, specifically as follows:
Sort by location
Gallbladder stones (stones in the common bile duct, below the junction of the liver duct)
Liver stones (stones above the junction of the liver duct)
Combination stones (including hepatic and bile duct stones)
Classified by origin
Primary stones: Primary formation in the bile ducts, appearing in the hepatic or bile ducts and accounting for the majority of cases

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Secondary stones: Mainly due to the gravel from the gallbladder to the bile ducts.
Causes of biliary stones
The two main causes of biliary stones are caused by the presence of bacteria in bile fluid and accumulation in the bile. due to congenital caroli disease, sclerosing cholangitis, biliary tract cysts .



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Risk factors that can lead to biliary tract stones include:
Geography, racial factors: In Vietnam, most are primary stones
Diet
Gender: women have more primary stones than men
Manifestations of biliary tract stones
When patients with biliary tract stones will have the following clinical forms:
No symptoms
Biliary colic
Jaundice
Cholangitis
Acute pancreatitis
The combination of cholangitis - acute pancreatitis
Intermittent biliary obstruction is a symptom of gallstones, which occur when the occlusion occurs and regress when the biliary tract returns to normal. If the prolonged occlusion (or complete obstruction) leads to cholangitis.
Untreated biliary tract infection can lead to complications:
Cholangitis, biliary peritonitis
Biliary tract bleeding
Hepatic-kidney syndrome
Complications of biliary stones
If biliary stones are not treated promptly, they will lead to the following dangerous complications:
Cholangitis, gallbladder: the ability to turn into an abscess is difficult to treat. However, if detected and treated early with antibiotics, the inflammation will go away (about 75% of patients).
Pancreatitis caused by stones: The pancreatic duct is blocked by gallstones. These are dangerous complications and need timely treatment
Cancer of the bile ducts, gallbladder: very rare but also very dangerous.



Cancer often develops in silence until it is discovered to be late.
Primary sclerosing cholangitis: a rare disease with an unclear cause.
Liver damage: biliary tract stones in the liver are very likely to cause serious complications that impair liver function such as cirrhosis, hepatitis, liver abscess ... eventually leading to liver failure.
Complications of biliary tract inflammation
Treatment of biliary stones
Hepatic biliary stones
This condition will be indicated surgery is required because stones can clog Oddi sphincter, common bile duct, common liver. If complications do occur, emergency stones will be performed without complication, and uncomplicated stones will be scheduled.




Specific methods of application:
Treatment of gallstones with ERCP retrograde cholangioscopy
Surgery to open a bile duct with open stones (open or laparoscopic)
Biliary stones in the liver
Treatment is usually prescribed by the doctor when opening the bile duct and taking extra-gallbladder stones or when the patient has severe symptoms like severe pain or fever. The method of taking biliary stones through ERCP retrograde cholangioscopy is indicated in the following cases:
Molasses stones are not too much, not too big
Gallstones or not, have opened the gallbladder to take gravel
Gallstones with gallstones are indicated for laparoscopic cholecystectomy.
Measures to prevent gallstones disease
To prevent gallstones from the gallstones, attention should be paid to the following:
Limit saturated fats such as red meat such as beef, sausages and bacon, whole milk products, butter and fat, fried foods, etc.
Include good sources of good fats in your diet such as olive oil, avocado, nuts such as pumpkin, sunflower and sesame seeds, nuts, nuts like walnuts and some fish like salmon , tuna
Eat more fiber, limit carbohydrates, especially whole-grain fruits such as raspberries, strawberries, strawberries, greens, cereals ...
Drink plenty of water, limit alcohol, stimulating beverages
Exercise regularly
Avoid sudden weight loss
Avoid skipping meals, especially breakfast.

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