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Gallbladder Definition

The gallbladder is an organ adjacent to the bottom of the liver and filled with bile. The bile fluid is produced in the liver and stored in the gallbladder. The gallbladder does not produce bile. It serves as the storage area of the bile produced in the liver.

Gallstones

Gallstones are formed after the change in the balance of the bile contents. At the beginning, they manifest themselves in the form of mud and gradually emerge as a millimeter stone(s) and as a centimetric stone or stones.
As gallstones do not obstruct the channel that ensures the connection of the gallbladder with the main bile duct, they do not cause problems in the person.
Most of the patients with gallstones (about 85%) do not have any complaints. In the studies carried out, only 1 to 6% of people complain annually. Gallstones of such persons are detected incidentally during a general checkup. In such cases, we determine the priority of surgery according to the condition of stones (depending on their being millimeter and centimeter stones) or the presence of other diseases in the patient.
Closed gallbladder surgery with a laparoscopic camera (laparoscopic cholecystectomy) is the gold standard in gallstones. However, all closed surgeries may not be continued as closed. They may be turned into open gallbladder surgery at the rate of 3-10%.

How Are Stones Formed in the Gallbladder?

If we know the biochemical structure of bile, we can understand the formation of gallstones. The biochemistry of the bile fluid consists of cholesterol, bile salts, and lecithin. These substances must be in the certain balance in bile. Cholesterol is taken from animal food and is an essential ingredient in the body and is the building block of various hormones that are necessary for the continuation of life. Cholesterol imbalance, heredity, body fat, gender, and age were found to be related to the formation of gallstones.

Gallbladder Polyp

The scary side of gallbladder polyps is that they may be malign. By the simple definition, polyps can be described as the thickening of the inner layer of the gallbladder and its local growth. What is the gallbladder polyp? How does it occur? How to behave? Such growth in other parts of the body is called “mole” in society.

Diagnosis of Gallbladder and Bile Tract Diseases

Since the gallbladder is an organ filled with bile, the evaluation of its inner part is performed with ultrasonography. Gallstones do not transmit sound waves to lower tissues and cause the opaque structure to be observed there. However, the inside of the gallbladder must be filled so that it can show the structures inside it. If the gallbladder is contracted –that is after meals- we will not have the chance to see the structures inside it.

What Types of Gallstones Should Be Urgently Operated?

Microscopic stones smaller than half a centimeter (0.5 cm) should be primarily operated due to possible problems they may create. After meals, these stones can move and lead to the events-complications we have mentioned before. Due to this, saying “your gallstone is too small, you should undergo surgery when it becomes larger” is not correct.

The Function of the Gallbladder

In a healthy individual/normal liver, liver cells produce 0.41-0.43 ml of bile hourly at rest. The produced bile is transmitted to and stored in the gallbladder through the bile canaliculi. The bile duct (choledochus) provides the access of bile from the gallbladder to the duodenum.

The Function of the Bile Fluid

The bile produced in the liver is particularly involved in the absorption of fat and fatty foods from the intestines, an entrance to the body. It ensures the transformation of fats and fatty foods to smaller particles.

What Kinds of Symptoms Emerge in Individuals with Gallstones?

Gallstones cannot be perceived by a person as long as they do not block the flow to the bile duct of the gallbladder and duodenum. When the gallbladder is full of gallstones, it causes indigestion, i.e. dysfunction in the digestion of fatty foods, due to the insufficiency of bile and in this case, it leads to the complaint of indigestion due to excessive gas formation in the intestines.

Are Gallstones That Fall into the Bile Duct Dangerous?

The canal of our leaf-shaped pancreas organ is also connected to the final part of the bile duct and opens to the duodenum. When the place of connection is obstructed by a gallstone, it prevents the pancreas fluid from flowing into the intestines. The pancreas fluid cannot be drained. This leads to life-threatening pancreatitis.

The Definition of Acute Cholecystitis

It usually occurs when a gallstone is trapped between the gallbladder and the bile duct and the fluid in the gallbladder cannot flow to the bile duct, and the wall gets inflamed, which leads to infection in the person. It causes pain in the right upper part of the abdomen, fever, nausea and sometimes vomiting in the patient.