HealthDiseases and Conditions

Symptoms and treatment of chronic calculous cholecystitis

Under chronic calculous cholecystitis in medicine is meant inflammation of the gallbladder directly with the presence of stones in it. This disease is currently relatively common. In this article, we will talk about what are its primary signs, and how the therapy of chronic calculous cholecystitis is carried out . According to experts, the formation of stones contributes to the violation of lipid and pigmental metabolism, as well as various inflammatory processes in the organ itself.

Case history: chronic calculous cholecystitis

It can be argued that the concept of this ailment is closely related to cholelithiasis. The latter is said in case if stones were found directly in the bubble itself. Their formation occurs, as already noted above, due to the disturbance of certain metabolic processes, as well as due to a change in the composition of the bile. As for the question of chronic calculous cholecystitis, it is mainly diagnosed against the background of the already transferred illness in an acute form. This situation is familiar to many who have not managed to undergo competent therapy from specialists.

Chronic calculous cholecystitis. Symptoms

First of all, it should be noted that the complaints of patients may depend on the severity of the inflammatory process itself. So, some people notice severe pain. On the other hand, in the absence of exacerbation, complaints are insignificant (bitterness in the mouth, regular feeling of heaviness in the zone of the right hypochondrium). It is noteworthy that pain sensations often irradiate into the lower back.

Diagnosis of chronic calculous cholecystitis

If a person is suspected of having this disease, the doctor must necessarily prescribe a complete examination, which, in addition to standard blood and urine tests, can contain such items as:

  • Ultrasound examination (allows to accurately identify the thickening of the gallbladder walls, increase its volume);
  • Endoscopic retrograde cholangiography (necessary for determining the state of the bile ducts and the presence of so-called concrements in them);
  • Computed tomography (allows to identify the existing expansion of the bile ducts, as well as enlargement of the lymph nodes).

Treatment of chronic calculous cholecystitis

To date, according to leading doctors of the world, the most effective method of treatment is recognized as surgical. It has been proven that attempts to dissolve stones in this disease by using certain groups of drugs are most often ineffective. In addition, crushing stones with the help of special ultrasonic remote lithotripsy with further removal of the formed fragments through the duodenum is possible only in some patients. The thing is that in the course of time new stones can form. Only a surgical method can completely solve this problem.

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