What can form gall stones?
Bile contains cholesterol
- This can form stones
Bile pigments
- Hb products
Mixed stones
What are risk factors associated with gallstone formation?
Smoking
Age
Obesity
- High cholesterol
Symptoms?
Astmptomatic
Biliary colic
Cholecystitis and emypema
What can gall stones cause if they get stuck in the bile ducts?
Obstructive jaundice
Pancreatitis
Cholangitis
What can gallstones cause if they get stuck in the gut?
Gallstone ileus
- Small bowel obstruction (rare)
Tests?
Ultrasound
ERCP
LFT’s
Surgical treatment in chronic cholecystitis?
Cholecystectomy
- Laparoscopic
What else can be used to remove gallstones?
Dissolution
- Drugs
Lithotripsy
- Shockwave therapy