Gallbladder and Biliary Tract Disease

The Gallstone Elimination Report

The Gallstone Elimination Manual

Get Instant Access

Gallstones are the most common cause of biliary tract disease in the United States. Gallstones occur in 20 to 35 percent of the population by age 75 years but in the majority are asymptomatic. Acute colicky pain localizing to the right upper quadrant accompanied by nausea and vomiting, sometimes with a finding of a palpable and tender gallbladder, characterizes gallstone obstruction of the cholecystic duct. The acutely ill patient frequently will give a history of past episodes of postprandial pain, although less severe or prolonged. Typically, pain is of rapid onset and slow resolution with a pattern of radiation to the right lower scapula or right shoulder. Fever and toxicity suggest infection and cholecystitis. Gallstone obstruction of the common bile duct produces pain, frequently mild jaundice, and serologies suggesting biliary obstruction, hepatocellular injury, and pancreatitis. Fever and toxicity suggest infection and cholangitis. The diagnosis usually can be made by clinical presentation, serologies, and ultrasonography. There is an approximate 5 percent incidence of "acalculus cholecystitis" that is usually a late complication of concurrent severe illness or injury, prolonged fasting, or surgery or is related to hyperalimentation. Gallbladder disease is common in the elderly, who often present late in the course of their illness with a higher rate of infectious complications, perforation, and subsequent mortality. Symptoms in the elderly are often nonspecific and nonlocalizing, requiring greater vigilance on the part of the emergency practitioner. When infection is an apparent complication, initial antibiotic therapy should cover Enterobacteriaceae, enterococci, Bacteroides, and Clostridium species. See T.aMe,.ยง2:9 for specific antibiotic recommendations.3 35

Was this article helpful?

0 0
Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

Get My Free Ebook


Post a comment