Hepato-Biliary Surgery Flashcards
Benign conditions of the gallbladder
Gallstones
Cholesterosis
GB polypls
Gallstone composition
Cholesterol
Pigment
Gallstone risk factors
Age (older gives more time to develop)
Female
Increased cholesterol or pigment (from obesity - cholesterol, or bile infection - pigment etc)
Presentation of gallstones
Can be asymptomatic Dyspeptic symptoms (flatulent dyspepsia) Biliary colic Acute cholecystitis – right upper quadrant pain (somatic rather than visceral pain) Empyema Perforation Jaundice (Mirrizi’s Syn.) – painful (unlike other malignant jaundice) Gallstone Ileus
Gallstone ileus
Small bowel obstruction caused by a gallstone within the lumen of the small intestine
Jaundice
As a result of high bilirubin levels
Bilirubin
A pigment formed in the liver by the breakdown of haemoglobin and excreted in bile
Cholecystectomy
Surgical removal of the gallbladder
Choledocholithiasis
Presence of gall stones in the common bile duct (incidental finding at cholecystectomy)
Signs of choledocholithiasis
Post cholecstectomy pain
Obstructive jaundice
Acute pancreatitis
Ascending cholangitis
Cholangitis
Inflammation of the bile duct
Treatment of gallstones
Dissolution
Lithotripsy
Cholecystectomy (surgery)
Lithotripsy
A treatment by which a kidney stone is broken into small particles that can be passed out by the body
