Although cholecystitis is very stubborn, but this disease does not affect life expectancy.

(a) non-surgical therapy

can also be used as a preoperative preparation, including: a. bed rest, fasting, abdominal distension gastric tube decompression; b. rehydration, to correct the imbalance of water, electrolytes and acid-base balance; c. antispasmodic analgesic; d. intravenous conjugation of effective antibiotics, such as gentamicin, ampicillin, chloramphenicol , vancomycin, etc.; effective in 80%-85% of early cases.

(2) Surgical therapy

1. Acute cholecystitis: Acute cholecystitis is generally advocated for 12 to 24 hours of active medical treatment, to be relieved of the symptoms of acute cholecystitis and then elective 'surgery.

2. Chronic cholecystitis: regardless of the presence or absence of stones, because the gallbladder has lost its function and is an infected lesion, it should be elective surgical resection.

(C) dietary therapy

Cholecystitis, in addition to medication and surgical treatment, dietary therapy for cholecystitis has a certain auxiliary role, especially in the pain relief and post-surgical health recovery phase, dietary therapy for cholecystitis can not be ignored. The requirements of diet therapy for cholecystitis and the principles of diet therapy are as follows.

(1) The general purpose of nutritional therapy is to reduce or relieve the patient's pain and prevent the occurrence of stones by controlling the intake of fat. Acute attacks of severe patients should be fasting, can be intravenous supplementation of a variety of nutrients; when able to eat, should be prohibited from eating fat and stimulating food, short-term can be eaten with high carbohydrate fluid diet.

With the gradual alleviation of the condition can be given low-fat semi-fluid or low-fat less residue soft rice. The daily meals should be small and frequent, but still have to limit meat and fat-containing foods. Chronic cholecystitis should be given enough calories of high protein, high carbohydrate and moderate restriction of fat diet, at the same time to have rich vitamins.

(2) Sufficient calories should be given to ensure the patient's needs. If the patient is overweight, a low-calorie diet should be given to make the patient lose weight. Low-calorie diets should also contain less fat to fit the requirements of fat restriction for patients with gallbladder disease. The general daily supply of calories is 7531.2 to 8368 joules (1800 to 2000 kcal).

(3) For patients with chronic cholecystitis, the proportion of protein in the diet should be increased as much as possible in order to maintain good health, improve appetite, and promote gallbladder contraction to facilitate gallbladder emptying. Daily protein supply to each kilogram of body weight l ~ 1.2 grams is appropriate, but to avoid excessive cholesterol with protein intake.

(4) As fat can induce the contraction of the diseased gallbladder and cause severe pain, it should be strictly limited during the attack period. The daily fat supply should be less than 40 grams or fasting, after the condition improves, can eat in moderation.

(5) In the consumption of carbohydrate fluid diet, the main nutrient is sugar. Adequate carbohydrates can be given, with a daily supply of 300 to 350 grams, especially during seizures, which should be replenished intravenously.

(6) A rich supply of multivitamins should be given, with special attention to the supplementation of vitamins B and K.

(7) Avoid stimulating foods and alcohol.