Chronic calculous cholecystitis

Description:

Chronic calculous cholecystitis is the cholecystitis which is followed by formation of stones in a gall bladder.

Symptoms of Chronic calculous cholecystitis:

On character of a current distinguish acute and chronic forms of calculous cholecystitis. While stones small in addition are not in a channel and quietly lie in a gall bladder, the person can not guess the disease even.
Can be the first symptoms: weight in right hypochondrium, bitterness in a mouth, nausea and an eructation. At this stage of a disease the diet and a diet improve a condition of the patient, however, these first symptoms of trouble in an organism – a reason for the address to the doctor,
The typical clinical picture of an aggravation is shown by so-called hepatic colic. Such attack is characterized by the megalgia which is suddenly arising acute and very in an upper half of a stomach, the hypochondrium is preferential in right. Pain can give to the right shoulder, a waist, a shovel, and arises often after reception of greasy, spicy or high-protein food, alcohol. Run, bystry walking, driving in transport and other exercise stresses can provoke pain. There can be nausea, repeated vomiting, weakness, dizziness. The stomach is blown up, it is intense also sharply painful. Pain can be various intensity and last from several minutes to several days.
The current in most cases long, is characterized by alternation of the periods of an aggravation and remission.

Reasons of Chronic calculous cholecystitis:

Two major factors are guilty of formation of stones: stagnation of bile in a gall bladder and increase in concentration of salts of bile because of disbolism.
Can lead to development:
- pregnancy
- irregular food (overeating, starvation)
- dyskinesia of bilious ways
- obesity
- reception of hormonal contraceptives
- pancreas diseases
- disturbance of the immune status
- slow-moving way of life
- genetic predisposition

Treatment of Chronic calculous cholecystitis:

During remission:
- Observance of a diet (an exception fat, fried, acute).
- Restriction of exercise stresses.

In the period of an aggravation:
- Hospitalization in surgical department
- Bed rest
- Hunger
- Disintoxication therapy
- The anesthetizing drugs, spasmolysants
- At inefficiency - operational treatment.

Self-healing at acute cholecystitis is observed seldom. The emergency hospitalization in surgical department is generally necessary. At the untimely address or refusal of the offered surgical treatment serious complications which lead further to extensive surgical interventions and long rehabilitation of the patient in the postoperative period often develop. Everything needs to be done in time. But sometimes the attack can independently pass, and patients wait for the following aggravation that finally leads to development of complications and an operative measure in the emergency order.
Considering inefficiency of conservative therapy at ZhKB by the main method of treatment now is surgical - removal of a gall bladder together with stones. Operation can be performed in two ways:

Laparotomny cholecystectomia.
During operation do quite big section. After operation there is a hem of long 20-25 cm. Now it is used more and more seldom, generally in the medical institutions which do not have the endoscopic equipment, or the doctors who are not owning other techniques.

Laparoscopic cholecystectomia.
It is carried out by means of a video equipment and special thin tools which enter into an abdominal cavity through small openings (to one centimeter).
After skin operation of traces practically does not remain. This method has a number of advantages in comparison with a classical cholecystectomia: smaller injury, short (up to 3-4 days) the hospitalization period, bystry return to a usual rhythm of life.