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Gall bladder is a small organ below liver in the right side of upper abdomen. It is a pouch that stores bile, a green-yellow liquid that helps with digestion of fat.
Gallbladder removal is commonly done surgical procedures in the world that are performed using minimally invasive techniques and high-end medical equipment that is called laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.
Dr. Atul Mishra has done more than 5000 laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal surgeries in India along with his team of trained physicians and has handled complex cases. He has vast experience in treating complicated cases of gallbladder stone and managing it’s complications.
Removal of gallbladder doesn’t bring digestion problems in most people; however, a good surgeon is always the best option to have a look at the medical history and perform the surgery after evaluating every aspect of the surgery to produce fruitful results.
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80% of gall stones are made of cholesterol and 20% are made of calcium salts and bilirubin.
Having excess cholesterol in bile can lead to yellow, hard cholesterol stones. It may develop when liver makes more cholesterol than bile can dissolve.
Bilirubin is a chemical produced when liver destroys old red blood cells. Some conditions causing liver damage and certain blood disorders cause liver to produce more bilirubin. Pigment gall stones form when gall bladder can’t breakdown the excess bilirubin. These stones are dark brown or black.
Healthy and properly functioning gall bladder should empty bile regularly. If it fails to empty, the bile becomes over concentrated causing stone formation.
Gall bladder stones can lead to pain in the upper right abdomen. Pain may start after intake of food high in fat, such as fried food. The pain usually lasts for a few hours.
It can also cause-
Dark Urine
Clay colored stool
Stomach pain
Acute Cholecystitis
When a gallstone blocks the duct where bile moves from the gall bladder, it can cause inflammation and infection in the gall bladder. 
Symptoms are: Intense pain in the upper stomach or mid-right back, fever, chills, appetite loss, nausea and vomiting.
Urgent medical consultation should be sought if symptoms last more than 1 to 2 hours.
Other complications:
Jaundice- Yellowish tint of skin or eyes
Cholangitis- Bile duct infection
Sepsis- blood infection
Pancreas inflammation
Gall bladder cancer
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• Overweight (Obese)
• Eating diet high in fat or cholesterol, low in fiber
• Having rapid weight loss in a short period of time
• Diabetes Mellitus
Uncontrollable risk factors
• Female sex
• Family history of gall stone
• Age more than 60 years
Medical risk factors
• Cirrhosis of liver
• Pregnancy
• Medication for lowering cholesterol
• Medication high in estrogen content
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Abdominal CT scan
Gall Bladder Radionuclide Scan
Endoscopic Retrograde Cholangio Pancreatography (ERCP)
It is a procedure that uses camera and X-rays to look at the problems in the bile and pancreatic duct. It helps to remove gallstones stuck in bile duct.
If gallstone is causing pain or other symptoms, surgery is recommended.
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Surgical removal of gall bladder by minimally invasive key hole technique.
After gall bladder removal one may experience loose or watery stools. Removing the gall bladder involves rerouting the bile from the liver to small intestine. Bile no longer goes through the gall bladder and it becomes less concentrated. The result is a laxative effect that causes diarrhea. To treat this, a diet low in fat and high in fiber should be taken.
Advantages of Laparoscopic Gallbladder Removal Surgery
> Only four small openings in the abdomen.
> Minimal post-operative pain.
> Faster recovery.
> Quicker return to the daily activities
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Life style changes in a patient having gallstone
• Maintain a healthy weight
• Avoid rapid weight loss
• Eat anti-inflammatory diet (Bell pepper, citrus fruits, green leafy vegetables, tomatoes, milk, fish, beans, nuts, lentils)
• Regular exercise
• Supplements – Vitamin C, Iron, Lecthin
Foods to avoid to reduce risk of gallstone
• Avoid high fat, greasy and fried foods
• Add fiber to your diet
• Avoid caffeinated drink, high-fat dairy produce and very sweet food
• Eat several small meals per day
• Drink sufficient amount of water (8-10 glasses /day)
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