Xiong Zhaogang, Xi'an Chest Hospital

Before answering this question, we should first understand what the gallbladder does for our body so that we can better understand what kind of effects removing the gallbladder has on the body.

The function of the gallbladder is mainly to store and concentrate bile, and the function of bile is to emulsify fat. When the human body eats a large amount of high-fat food, the gallbladder continues to contract for 30-60 minutes, and the bile duct sphincter relaxes, discharging bile into the intestinal lumen. Therefore, when the gallbladder is removed, the first blow is to cause digestive disorders, followed by biliary abdominal pain.

After gallbladder removal, bile cannot be effectively concentrated and regularly discharged, which reduces the concentration of bile acids and bile salts in the intestinal lumen, and the pressure in the bile ducts is increased and bile emptying is slowed down, which leads to symptoms such as abdominal bloating, diarrhea and dyspepsia. This condition can be treated by promoting bile secretion and supplementing digestive enzymes. Commonly used medications include compounded azinmitic enteric-coated tablets, which can alleviate 70% of the symptoms of indigestion. If diarrhea is obvious, there may also be a combination of irritable bowel syndrome, which can be treated symptomatically with pivoxyl bromide.

After cholecystectomy, about 30% of patients will experience symptoms of biliary abdominal pain, which may be accompanied by nausea and vomiting, mainly due to sphincter of Oddi dysfunction. For patients with severe pain, surgical treatment is still needed; if the pain is mild to moderate, it can be treated with medication. Commonly used drugs include pivacurium bromide.

In addition to the two common side effects mentioned above, there is also the possibility of residual small gallbladder and residual gallbladder stones and residual stones in the common bile duct. Therefore, endoscopic minimally invasive biliary surgery is recommended for some benign gallbladder diseases when conditions permit.

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What are the health risks of having your gallbladder removed?

With the increased incidence of gallbladder lesions. The number of people having their gallbladder removed is also increasing.

What exactly is the role of the gallbladder as an organ in the body? What are the dangers of removing the gallbladder from the body?

The role of the gallbladder.

The role of the gallbladder is to store, concentrate, and empty bile, secrete mucus, and regulate biliary pressure. In other words. The gallbladder is for bile.

The role of bile.

Bile is secreted by liver cells and is secreted uninterruptedly. Its role is to promote the digestion and breakdown of fats. It promotes the absorption of vitamins. And to neutralize stomach acid in the duodenum. Normal bile secretion in adults is around 900ml per day. A high protein diet increases bile secretion.

What are the health risks of having your gallbladder removed?

In most patients, the gallbladder is non-functional prior to removal, or a lesion has developed that can cause other digestive discomfort. After surgical removal, some of these symptoms are relieved.

After the gallbladder is removed, the bile duct will gradually replace the function of the gallbladder. But it takes a process.

This process may involve a period of bloating, diarrhea, and upper abdominal discomfort (noticeable after meals).

What do I need to eat and drink after my gallbladder is removed?

Diet: Eat small, frequent meals, food choices: clean, less oil, high protein, high calorie, drink plenty of water. For high cholesterol content of food as little as possible or do not eat. For example: animal offal, peanut rice, egg yolk, fish roe, crab roe and so on.

Life: Stop smoking and drinking. Keep bowel movement smooth.

Feel free to correct and comment in the comments section.

Anatomically speaking, the gallbladder is located in the right side of the human body, the lower edge of the ribs, behind the liver, is a hollow bag-like organ, the role is mainly to concentrate and store bile, and in its neck connected to the gallbladder duct, bile can enter the intestine through the gallbladder duct to participate in the digestion of food. Therefore, the gallbladder is a very important digestive organ for the human body.

However, in the event of the following circumstances, and have to choose to remove the gallbladder, such as: acute cholecystitis aggravation, repeated episodes of chronic cholecystitis, symptomatic gallbladder stone patients, gallbladder duct obstruction, gallbladder trauma rupture and perforation, gallbladder polyps greater than 5mm and have a tendency to increase in size, gallbladder malignant tumors and so on. Such an important organ, once removed, will certainly bring some impact on our lives, come to understand:

1. Indigestion: once the gallbladder is removed, its role in helping to digest food will also be affected, especially for fat digestion of poor tolerance, which is the clinic many cholecystectomy patients after the first sentence is afraid to eat greasy things, a greasy stomach will be bloated, and sometimes nausea, and even diarrhea and other symptoms.

2. Reflux gastritis: As the role of storing and concentrating bile no longer exists after cholecystectomy, bile reflux is very likely to occur, which in turn causes bile reflux gastritis. However, the occurrence of bile reflux gastritis after cholecystectomy is not common.

3. Decreased immune function: indigestion, decreased appetite, which in turn leads to psycho-spiritual changes, and their own immune function will also decline.

Therefore, we should prevent diseases before they occur, live a rational diet, regulate emotions, and have regular medical checkups.

This article was written by Chang Xiao Chen M.S.

Welcome to Life Calling for more useful health knowledge.

While the bile in the gallbladder helps in the digestion and absorption of food, it is actually produced by the liver and not by the gallbladder, which is merely the body's place for storing and concentrating bile. Therefore, in the more than 100 years since the development of cholecystectomy, the vast majority of patients do not experience any significant adverse effects after the operation.

On the contrary, the gallbladder that has been dangerously diseased, its original physiological function is greatly damaged, the digestive function is obviously reduced, if not cut, further more likely to cause pancreatitis, biliary colic, gallbladder cancer and other adverse consequences. After the removal of this type of gallbladder, due to the elimination of the disease, on the contrary, the digestive function can be significantly restored, and to eliminate the consequences arising therefrom.

In addition, after cholecystectomy, bile will be discharged into the duodenum through the bile ducts, which has little effect on the digestion and absorption of fat, and postoperative patients do not have to avoid eating meat dishes too much. Of course, some patients will experience indigestion in the short term after the operation, and the symptoms will disappear gradually after a period of adaptation and adjustment.

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Everyone has a gallbladder. The function of the gallbladder is to store and concentrate bile. The bile secreted by the liver is first stored in the gallbladder, and when the body eats, especially fatty foods, bile is released from the gallbladder, while the liver continues to release bile, which aids in the digestion of food.

If a person has not yet begun to eat, then the bile produced by the liver goes to the gallbladder for storage. The gallbladder can absorb water and inorganic salts in the bile, thus concentrating the bile 4-10 times, so that the purpose is to increase the storage efficiency. When eating begins, bile can be discharged directly from the liver and gallbladder. High protein and high fat foods cause the most bile to be discharged.

However, when a person has gallbladder stones and has recurring attacks, the doctor usually advises the patient to cut out the gallbladder. Can the gallbladder be removed so casually? What happens to the patient after the gallbladder is removed?

I firmly believe that all human organs are useful, including the appendix. But when disease strikes, the trade-off we have to make at the moment is to weigh the pros and cons. For example, if a patient is in excruciating pain from recurrent appendicitis, it would be wise to just cut out the appendix because existing knowledge tells us that it will not significantly affect the body's physiology after the appendix is cut out.

What about the gallbladder? The job of the gallbladder is to store bile and concentrate it, not to secrete it. It is reasonable to say that it will not affect the digestive function too much, but surely, without the gallbladder, there is no more concentrated bile, but when we eat high protein, high fat food, we can only temporarily secrete bile through the liver to digest it, and no longer have the gallbladder to secrete that part of highly concentrated bile, because there is no more gallbladder, and this, more or less, affects the patient's effectiveness in digesting high-protein, high-fat food. Therefore, we suggest that people who have had their gallbladder removed should not eat high protein and high fat foods frequently, and should stop eating in moderation, because relying solely on the liver to discharge bile may place a heavy load on the liver. Let's take an analogy, a factory produces cotton jackets, few people buy cotton jackets in summer, so the cotton jackets produced by the factory will be temporarily placed in the warehouse, when the dynamic comes, the warehouse can be bought directly, while the workers are still continuing to produce cotton jackets, can also be bought directly, which can be sold a lot of cotton jackets, the effectiveness of a very high. But one day, the warehouse is gone, then the factory workers in the summer will not produce coats, wait until the dynamic comes, only to rush to produce rush to buy, although this can also cope with the winter, but the pressure of the workers must be increased than before ah, have to work day and night to do ah. In the long run, workers will be physically and mentally exhausted. Therefore, we need to limit the amount of cotton coats sold in winter, do not sell too much, do not produce too much, the workers will be a little easier. In the same way, we advise people who have had their gall bladder cut not to eat and drink too often, and not to eat excessive amounts of high-fat, high-protein foods.

But then again, after cutting the gallbladder, you can still live a good life, patients should not have too much psychological burden, when it is time to cut. Otherwise, repeated attacks of cholecystitis and bile duct stones will seriously affect the quality of life, and even the next attack may have a perforated gallbladder may not be possible, and then it will be much more troublesome to deal with.

　　Changes that occur in the body after removal of the gallbladder, the organ that stores bile. After eating, the gallbladder contracts, allowing the stored bile to be discharged into the duodenum to aid in the digestion and absorption of food. So, once the gallbladder is removed due to its pathology, will it affect the body's digestive function and health?

　　It is normal to have this concern, but there is no need to worry because the gallbladder is not an important organ of the body, and many higher animals, such as horses, deer, elephants and whales, are born without gallbladders, and there is no great difference between them and some of the animals that have gallbladders. There are a small number of people, due to abnormal development of the gallbladder in the embryonic stage, born without a gallbladder, but they live like normal people. After cholecystectomy, the patient's original disease disappears immediately, although the loss of the gallbladder's function of concentration and storage of bile, but the patient's digestive system and absorption function is not a big obstacle.

In fact, this question is one that mostgallbladder stonesorPatients with gallbladder polyps的question, which is also the reason why they are reluctant to undergo cholecystectomy treatment, as they believe that theThe removal of the gallbladder can have a significant impact on the bodyBut is that really the case? As a hepatobiliary surgeon I can responsibly say thatThere are really a variety of complications that occur in a portion of the population after gallbladder removalof the patient, and it does sometimes cause the patient toGreat psychological and physical damage. This actually has a medical name:Post-cholecystectomy syndrome.

What are the side effects of gallbladder removal on the body?

1. The first thing isComplications of the biliary system. For example, if the gallbladder was present before the removal of theStones in the common bile ductor gallbladder stones during cholecystectomy.Drainage into the common bile ductThis can be more problematic for the patient, as choledocholithiasis can causeBiliary obstruction, cholangitis or pancreatitisAlthough there are several types of surgery, for example, gastroenterology can remove the stone through endoscopy without incision, but the price is relatively expensive, and there is a possibility that the stone may not be removed cleanly; whereas our hepatobiliary surgery requires general anesthesia for the surgery, and a drain is left in the bile duct for 2 months, which adds a lot of pain to the patient and affects the normal quality of life. This will add a lot of pain to the patient and affect the normal quality of life.

2. In fact, inBile ducts and intestinesThe connection between theSewer valve-like organizationIt's calledSphincter of Oddi. This part hasFunctions that regulate bile dischargePatients with gallbladder stones are usually likely to have smaller stones to expel that trigger thesphincter spasms.Slowly the stimulus emergesStenosis, inflammatory, chronic pancreatitisand other manifestations, but because the pain produced by gallbladder stones in combination with inflammation masked the sphincter pain before cholecystectomy.When the gallbladder is removedThe pain, nausea, vomiting, etc. caused by this sphincter becomes apparent, and the gallbladder's role in regulating bile outflow and bile duct pressure is lost.

3, the complications of gallbladder removal can also have a considerable impact on the patient. For example, in fact, patients with gallbladder stones may also get bile duct stones, I'm talking about the postoperative period, because the review of the patients do have such patients, not before the cholecystectomy, such damage with the first article.

4. And then there's this.Damage to the bile ducts. Damage to the bile ducts is a disaster for the patient.Because it is so painful, the bile will flow down the bile duct damage, if the damage to the bile duct is found during the operation is not too bad, at least it can be remedied as appropriate, you know that the hepatobiliary surgeon's biggest fear is that the patient has a bile duct injury, especially if it is not detected during the operation, and then the patient is full of tummy ache after the operation and has a fever and so on. That's the biggest fear. I don't know if you've noticed, but cholecystectomized patients are also left with drains just to see if there's any bile or bleeding.

5, there are some intraoperative complications, such as in the separation of the neck of the gallbladder tube, left too long, or residual gallbladder neck tube inside the residual stones, which is also relatively unlucky, after all, to a large extent is the need to carry out surgical treatment again, to the patient to bring secondary injury.

6, what symptoms may occur after gallbladder removal, the common is the digestive symptoms, such as stomach pain, stomach bloating, nausea, vomiting, and diarrhea and so on.

7, the impact of psychological factors do not believe that about half of the post-cholecystectomy patients will haveemotional manifestations of depression or anxiety.And these negative emotions will cause the patient's endocrine function to be affected, the regulation of the gastrointestinal tract is impaired, and the secretion of digestive enzymes will be abnormal. It is easy to have gastrointestinal ulcers and gastrointestinal reflux lesions.

Some suggestions for treatment

• First of all, we generally recommend that patients eat a light diet for a period of time, and try not to always put their attention into this area of distraction.Reduce tension, excitement, regular routine, and medication, there are azimut, acid-suppressing drug omeprazoleThere are also medications to relieve spasms, etc.

• This article gives you an answer to the question of why we need to check both CT and MRI before cholecystectomy, which is not an excessive examination, it is for the safety of the patient and is very necessary, because an enhanced CT can better see the vascular alignment around the gallbladder before the operation, and vascular injuries can occur in a year; and also MRI is done in order to look at the bile ducts' alignment as well as whether there are ectopic bile ducts, so as to minimize the chances of bile duct injuries, and this is for the sake of safety. This is for safety.

I'm a gastrointestinal, liver and gallbladder surgeon, and removing the gallbladder is something we need to do on a regular basis, so let me give you a general overview.

The gallbladder is one of the main organs regulating digestion in the human body, and its removal is not advocated in general, but if you do not love your body and make it appear gallbladder stones combined with acute inflammatory reaction, gallbladder neck stone incarceration, combined with biliary origin pancreatitis, combined with common bile duct stone and obstruction, septic/necrotizing cholecystitis and other serious cases, you can only have your gallbladder removed in special cases in order to allow the disease to be regressed.

Speaking by big data, most people have no obvious harm after gallbladder removal because after gallbladder removal, the common bile duct will take over the function of storing and excreting bile from the gallbladder for 1-3 months after the operation to realize self-regulation, so there will not be any complication. Recovery is especially important during the 1-3 months after surgery, during which time you should avoid greasy food as much as possible.

Other than that, a small number of people did experience some complications.

(1) Sphincter of Oddi stenosis and constrictive duodenal papillitis:This condition is an important cause of the so-called post-cholecystectomy syndrome, which manifests itself as right upper abdominal pain after eating, class nausea, vomiting, and sometimes the pain radiates to the lower back, and some people even find it more uncomfortable than before they had the surgery. In this case, endoscopic incision of the sphincter of Oddi stenosis can be considered to allow bile to drain freely, and the symptoms will disappear naturally.

② Bile reflux gastritis:Most people with this condition have a mild to moderate hiatal hernia and are prone to gastroesophageal reflux. After removal of the gallbladder, bile is secreted and discharged into the duodenum after eating, and when food reflux occurs, the bile is compressed back into the stomach, resulting in symptoms such as stomach pain, bloating, and bitter taste in the mouth.

(iii) Intestinal-choledochal reflux:In some patients, the postoperative examination shows a buildup of gas in the common bile duct and intrahepatic bile ducts, which is actually caused by reflux. It is mainly caused by sphincter of Oddi dysfunction, which can increase the risk of cholangitis and choledocholithiasis and intrahepatic bile duct stones.

④ Distant stone recurrence:Because of the third point of complications, recurrent infections of the biliary tract tend to generate stones again within 3-5 years, and even cause obstruction and dilatation of the common bile duct, which results in recurrent abdominal pain and jaundice.

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This is a very good question! In fact, the earliest cholecystectomy was performed in 1882 by Dr. Langenbuch, a German doctor at the time, the first cholecystectomy in the world, 139 years ago.

In general, a procedure that has been developed and preserved through more than 100 years of continuous improvement has not only important clinical therapeutic value, but also an excellent safety profile as well as fewer side effects.

So what are the side effects of cholecystectomy on your body? Today I'm going to join you guys and gals and talk about it, just for reference.

What does the gallbladder do?

First of all, the gallbladder is a pouch structure with an external shape like a pear that is located under our right rib cage, behind the liver.

Secondly, our gallbladder is divided into four parts: the base of the capsule, the body of the capsule, the neck of the capsule, and the cystic duct, where the neck of the capsule is connected to the cystic duct.

Finally, our gallbladder has 4 major roles.

1. The role of bile storage:The liver secretes bile, which is stored in the gallbladder, and when we eat and need to digest food, the bile is discharged from the gallbladder, so the gallbladder is similar to a "bile warehouse".

2. Concentrate bile effect:The bile just produced by the liver is golden yellow, alkaline, and mostly water and electrolytes.

Our gallbladder mucosa is like a filter, to most of the water and electrolytes, filtered again, reabsorbed back to the blood, leaving concentrated bile, the color of the bile has become a brownish yellow or dark green, weakly acidic bile.

3. Secretion of mucus action:Because the mucosa of the gallbladder filters the initial bile and retains the concentrated bile every day; so in order to protect the biliary mucosa from the erosion and dissolution of the concentrated bile, it secretes a thick mucus of about 20 ml or so every day.

4. Emptying bile effect:When we eat 3-5 minutes later, the food passes through the duodenum, it stimulates the duodenal mucosa and produces a hormone called cholecystokinin, which causes the gallbladder to contract.

As soon as the gallbladder contracts, it empties the bile from the gallbladder, into the duodenum to help us digest and absorb fats, and usually, the gallbladder can be emptied as soon as half an hour after eating fat.

In summary, the gallbladder has 4 major physiologic roles, and once the gallbladder is removed, theThe bile secreted by the liver, then, has no way to be stored or concentrated, at least not for the digestion and absorption of the fats we eat.

How was the gallbladder removed?

As far as our country is concerned, before 1990, the vast majority of cholecystectomies were based on traditional open cholecystectomy, so the operation was more traumatic and the postoperative recovery was slower.

The majority of gallbladder removal surgeries nationwide, however, begin with a minimally invasive procedure, also known as laparoscopic cholecystectomy, which has the advantages of smaller incisions, shorter operative time, less postoperative trauma, and quicker recovery.

Minimally invasive laparoscopic surgery to remove the gallbladder usually begins with a 1-cm incision around the belly button for the entry hole for the lens branch, which acts like a flashlight to illuminate the entire abdominal cavity.

Then, 2 cm below the patient's xiphoid process, another primary operative hole is made, and finally, below the right costal margin, a 5-cm secondary operative hole is made.

These are the commonly used "three-hole" laparoscopic surgeries.

For more complex cholecystectomies, a fourth hole is required to facilitate the surgical maneuver.

What are the side effects of gallbladder removal on the body?

First of all, who needs cholecystectomy? Cholecystectomy is required for: 1. acute cholecystitis; 2. symptomatic chronic cholecystitis and gallbladder stones; 3. gallbladder polyps or gallbladder cancer; 4. internal or external gallbladder fistulae; and 5. traumatic rupture of the gallbladder.

Secondly, the side effects of cholecystectomy on the body need to be discussed separately for the immediate side effects of the surgery and the long term side effects of the surgery.

1. Recent Side Effects of Cholecystectomy.Postoperative hemorrhage, bile leakage cholestatic peritonitis, subhepatic effusion or subdiaphragmatic abscess, postoperative jaundice, postoperative pancreatitis, residual choledochal stones, gastrointestinal fistulae, and more may occur.

2.Long-term side effects of cholecystectomy/Bile duct stenosis, recurrent stones in the common bile duct, biliary bleeding, post-cholecystectomy syndrome, residual overgrowth of the cystic duct syndrome, and increased incidence of colon cancer may occur.

So, after your gallbladder is removed, be sure to.

1. For fat intake, do not exceed 30 grams per day;

2. Cholesterol intake should not be higher than 300 milligrams per day;

3. Daily energy intake should be 20-25 kcal/kg of body weight, or 1,000 kcal-1,250 kcal per day for a person weighing 50 kg.

4. Dietary structure should appropriately increase pectin, algal gum, soybean gum and other soluble fibers, and to ensure that a sufficient amount of water.

5. Cooking methods should be used more stewing, steaming and other methods, the production of less residue of soft rice, away from fat, sweet, spicy, stimulating, pickled, smoked, fried and grilled food.

In conclusion:Cholecystectomy has been performed for 139 years with acceptable safety and side effects.

However, after the removal of the gallbladder, the bile secreted by the liver cannot be stored and concentrated, thus, the ability to digest and absorb fat is reduced.

The specific side effects of cholecystectomy can be categorized into immediate and long-term side effects, especially after cholecystectomy, in terms of fat, cholesterol, and energy intake.

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The gallbladder is part of the biliary system and has the role of storing and concentrating bile and secreting mucus. Surgery to remove the gallbladder is usually performed because of some inflammatory and stone disease. Clinical symptoms such as abdominal pain, dyspepsia, bloating, diarrhea, biliary tract infection, and jaundice can occur or reoccur after cholecystectomy and are called cholecystectomy syndrome. Gastric reflux of duodenal fluid and esophageal reflux of gastric fluid, damage to the bile ducts and surrounding tissues can also occur. According to the biopsychosocial medical model of health, the patient's postoperative changes in psychology and mood can also increase the risk of the patient developing colon cancer.

If the removal of the gallbladder is unavoidable, there is no need to worry that the removal of the gallbladder will cause major harm to the body, and overall it is still not harmful. As long as you listen to your doctor's advice and take good care of your body, a healthy life is still not far away.

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