{"id":6010,"date":"2022-08-12T12:33:00","date_gmt":"2022-08-12T09:33:00","guid":{"rendered":"https:\/\/www.elitenicosia.com\/?p=6010"},"modified":"2022-08-24T12:32:35","modified_gmt":"2022-08-24T09:32:35","slug":"safra-taslari","status":"publish","type":"post","link":"https:\/\/www.elitenicosia.com\/en\/safra-taslari\/","title":{"rendered":"Gallstones"},"content":{"rendered":"
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Bile and biliary tract rights<\/strong>I<\/strong>nda<\/strong><\/h2>\n

Bile is produced in the liver. Bile both helps excrete some substances produced in the liver and helps digestion. It plays an important role especially in the digestion of fatty foods. Bile produced in the liver is drained into small bile ducts within the liver. These channels combine within the liver to form larger channels. The bile ducts coming from both sides of the liver combine with the gallbladder duct to form the main bile duct (see picture). The gallbladder serves as a temporary storage for bile produced in the liver.<\/p>\n

The gallbladder also helps the bile to thicken. The main bile duct, together with the pancreatic duct, empties into the second part of the duodenum. Because of this close relationship between the common bile duct and the pancreatic duct, gallstones can block not only the bile duct but also the pancreatic duct.<\/p>\n<\/div>\n

About gallstones<\/strong><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Although there are different types of gallstones that form by different mechanisms, the problems caused by all gallstones are similar. Gallstones are most commonly seen in the gallbladder. However, gallstones can occur in any part of the bile ducts. Therefore, removing the gallbladder does not mean that that person will never have gallstones again.<\/p>\n

Although gallstones, as mentioned, are most commonly seen in the gallbladder, some people may also have stones in the main bile duct simultaneously. The treatment of the two conditions is different from each other. In addition, not all patients with stones in the gallbladder necessarily need to be treated, but individuals with stones in the main bile duct must be treated even if they have no complaints. Because the problems caused by stones in the main bile duct are much more frequent and serious.<\/p>\n

What does gallstone disease mean?<\/strong><\/h3>\n

It is important to understand the difference between the presence of gallstones and gallstone disease. Gallstone disease is mentioned when gallstones cause complaints or an obvious disease in the person (These diseases will be explained under the title of diseases related to gallstones). Therefore, not every individual with stones in the gallbladder has gallstone disease.<\/p>\n

What are the symptoms of gallstone disease?<\/strong><\/h3>\n

The most common complaints associated with gallstones are bloating, a feeling of fullness in the upper abdomen, and abdominal pain. The pain is often felt in the cavity and upper right part of the abdomen and may radiate below the right shoulder blade.<\/p>\n

Gallstone disease, which is not uncommon, may occur with a sudden onset. Complaints such as fever and jaundice may occur along with a severe, suffocating abdominal pain that suddenly prevents you from sleeping, especially at night.<\/p>\n

What are the diseases associated with gallstones?<\/strong><\/h3>\n

Stones in the gallbladder can temporarily or permanently block the gallbladder duct. In case of temporary obstruction, patients present with severe abdominal pain called "biliary colic". In case of permanent obstruction, sudden gallbladder inflammation called "acute calculous cholecystitis" occurs. In this case, in addition to severe abdominal pain, systemic symptoms such as fever also occur.<\/p>\n

Stones in the gallbladder can pass through the gallbladder duct and spill into the main bile duct. In this case, the common bile duct may be partially or completely blocked. A similar situation may occur in people whose gallbladder has been removed, due to gallstones formed in the main bile duct. As a result, latent or obvious jaundice occurs. If the obstruction persists, an inflammation of the bile duct (acute cholangitis) involving the entire bile duct may occur. Acute cholangitis is a very serious and potentially fatal disease.<\/p>\n

Stones spilled from the gallbladder into the main bile duct can temporarily or permanently block the pancreatic duct. In this case, a sudden inflammation of the pancreas called \u201cacute pancreatitis\u201d may occur. Acute pancreatitis is a very serious and potentially fatal disease.<\/p>\n

Less common diseases associated with gallstones include Mirizzi syndrome (a gallbladder stone blocks or erodes the main bile duct by pressing from the outside), gallstone ileus (gallbladder stones erode their way through the intestine and pass into the intestine, blocking it).<\/p>\n

What methods are used in the diagnosis and follow-up of gallstones?<\/strong><\/h3>\n

Gallstones are discovered as a result of tests requested due to related complaints or as a result of examinations for some other diseases. These can be generally classified as clinical (examination), biochemical (blood tests) and radiological (ultrasound, MRI, tomography).<\/p>\n

The most commonly used blood tests are liver tests (AST, ALT, ALP, GGT, bilirubins). These are tests that show gallstone disease rather than showing whether you have gallstones or not.<\/p>\n

Ultrasound is the easiest, cheapest and most effective method to detect gallstones. It does not cause serious discomfort to the person and does not pose a risk of radiation or allergy. Since it is widely available, it is also easy to reach. However, ultrasound cannot show stones in the common bile duct with the same accuracy. For this reason, MRI or tomography is preferred in people who are suspected of having stones in the main bile duct.<\/p>\n

What do incidentally detected gallstones mean?<\/strong><\/h3>\n

With the development and widespread use of diagnostic methods, it is frequently encountered that gallstones are detected incidentally during examinations performed for general health screening or for some other medical problems. For example, in people who require a kidney film due to urinary tract complaints, gallstones may be detected incidentally on the film. In short, gallstones that are detected during examinations performed for other reasons, even though they have no complaints about gallstones or have never had any problems with gallstones before, are called "incidentally detected gallstones". The treatment methods for incidentally detected gallbladder stones and gallstone disease are different from each other.<\/p>\n

Yap\u0131lan b\u00fcy\u00fck bilimsel \u00e7al\u0131\u015fmalarda, tesad\u00fcfen saptanan safra kesesi ta\u015flar\u0131 ile ilgili baz\u0131 bilgiler elde edilmi\u015ftir. Tesad\u00fcfen saptanan safra kesesi ta\u015flar\u0131n\u0131n bir ki\u015fide \u015fikayete veya yukar\u0131nda bahsi ge\u00e7en safra ta\u015flar\u0131 ile ili\u015fkili hastal\u0131klara yol a\u00e7ma olas\u0131l\u0131\u011f\u0131 y\u0131ll\u0131k %2\u2019nin alt\u0131ndad\u0131r. T\u00fcm ya\u015fam s\u00fcresi i\u00e7in bu oran %20 civar\u0131ndad\u0131r. Di\u011fer bir deyi\u015fle, tesad\u00fcfen saptanan safra kesesi ta\u015flar\u0131na sahip bireyler her seneyi %98\u2019in \u00fczerinde olas\u0131l\u0131kla ve t\u00fcm hayatlar\u0131n\u0131 %80 olas\u0131l\u0131kla safra ta\u015flar\u0131 ile ilgili hi\u00e7bir sorun ya\u015famayarak ge\u00e7irecektir. Bu oranlara dayanarak g\u00fcncel t\u0131bbi k\u0131lavuzlar, tesad\u00fcfen saptanan safra kesesi ta\u015flar\u0131nda herhangi bir tedavi uygulaman\u0131n gerekli olmad\u0131\u011f\u0131n\u0131 belirtmi\u015flerdir. Ancak, baz\u0131 durumlarda, tesad\u00fcfen saptanan safra kesesi ta\u015flar\u0131nda dahi tedavi gereksinimi do\u011far. A\u015fa\u011f\u0131da belirtilen ki\u015filerde bu tip bir gereksinim s\u00f6z konusu olabilir:<\/p>\n