Gallbladder function
Gallbladder functions include: 1. Storage function; 2. Concentration function; 3. Contraction function; 4. Secretory function; 5. Immune function; 6. It has an important influence on digestive function; 7. It plays an important role in regulating bile duct fluid pressure.
What are the consequences after cholecystectomy?
1, the incidence of colon cancer may increase.
In recent years, many scholars have found a phenomenon and doubt that colon cancer patients account for a large proportion. After clinical investigation, European scholars concluded that the risk of colon cancer after cholecystectomy was 45 times higher than that without cholecystectomy.
2, causing liver damage and colon damage.
At present, it has been proved that lithocholic acid is toxic to hepatocytes. However, after cholecystectomy, the secondary cholic acid increases, and the lithocholic acid will enter the liver and colon through the intestinal-hepatic circulation, causing chronic liver injury and colon injury, and colon injury is likely to be an inducement of colon cancer.
3, lead to bile duct injury
Bile duct injury is a very difficult complication of biliary surgery and the biggest defect of cholecystectomy. Endoscopic gallbladder-preserving polyp removal is carried out in the gallbladder cavity, so it is impossible to damage the organs around the gallbladder, and this complication can be avoided.
4. Causing alkaline reflux gastritis
Normal people's gallbladder contracts after eating, so that bile is concentrated and enters the intestine in large quantities. This process is usually synchronized with the secretion and peristalsis of the stomach and duodenum. After cholecystectomy, bile continued to enter the intestine without food and gastric acid neutralization. Bile can accumulate in the duodenum and return to the stomach, which will increase the PH value in the stomach, cause a large number of bacteria to multiply, cause congestion, edema and brittleness of the gastric mucosa, atrophy of the gastric glands and form ulcers.
5. The incidence of choledocholithiasis increased after cholecystectomy.
Although gallstones and polyps are removed after cholecystectomy, it is likely to "attract" common bile duct stones, because before cholecystectomy, the gallbladder has the function of concentrating bile, and the concentrated bile has high solubility in cholesterol; However, after cholecystectomy, the bile concentration lost its position, and the bile acid concentration in the hepatobiliary duct decreased, which led to the decrease of cholesterol solubility. Over time, it is easy to accumulate cholesterol and form stones, that is, common bile duct stones, and the treatment of common bile duct stones is much more difficult than common bile duct stones.
What should I pay attention to when eating?
Need low fat and cholesterol.
After cholecystectomy, the human body lost the function of gallbladder to concentrate, store and excrete bile. After unconcentrated bile directly enters the intestine, the biggest influence is the absorption and digestion of fat. Eating too much fat at ordinary times will cause fat indigestion and absorb various fat-soluble vitamins.
Need to add protein.
Protein is an important substance for maintaining tissue growth, renewal and repair. Cholecystitis can cause damage to the liver, and surgery can also cause different degrees of damage to human internal organs. Supplementing protein in time plays an important role in the repair of human body.
Need to control calories and eat more fruits and vegetables.
Cholecystitis patients are mostly women, and most of them are obese women. After cholecystectomy, the body's ability to digest fat is reduced. We should control the further weight gain and eat more fruits and vegetables when eating, which can effectively provide vitamins and nutrients needed by the human body and reduce the occurrence of hyperlipidemia and hyperglycemia.
The best treatment of cholecystitis
1. drug treatment: ① acute cholecystitis: atropine and nitroglycerin can be used to relieve spasm and pain; ② Chronic cholecystitis: According to the etiology, cholagogic drugs, anthelmintic therapy or chenodeoxycholic acid's litholysis therapy can be adopted. Both types of cholecystitis can try to take Jindan tablets under the guidance of doctors, which can diminish inflammation and benefit gallbladder.
2. Surgical treatment: ① Acute cholecystitis: as the case may be, after 12 ~ 24 hours of active medical treatment, the patient will be treated by another operation after the symptoms are relieved; ② Chronic cholecystitis: No matter whether the patient has gallstones or not, if the gallbladder has been damaged and lost its function due to infection, it should be surgically removed.