Gallstones Treatments Without Surgery

A small organ below the liver on the upper right side of our abdomen is the gallbladder. The bile is stored in the Gallbladder, which is a greenish-yellow liquid for digestion. In the gallbladder, solid masses are called gallstones. Gallstones treatments without surgery can be done by medicine, Shock Waves, MTBE Injection, Endoscopic Drainage, Percutaneous & acute Cholecystostomy, Transmural Drainage.

The majority of gallstones are caused by increased bile cholesterol concentrations. Other reasons include increased bilirubin within the bile or failure to empty the bile from the gallbladder on a periodical basis.

Gallstones are not required for treatment unless symptoms are seen. If you get acute radiating pain on your right side of abdomen, your doctor will most probably propose that the gallbladder should be removed (cholecystectomy). However, is there an alternate non-surgical treatment for gallbladder stones?

These methods of therapy are only suggested if your body is not suited for surgery.

Non-surgical Treatments for Gallstones

1. Medication- Bile Acid Pills

In certain cases, gallstones can be treated with medicines.

Some gallstones have proved to dissolve with oral bile acid pills, which contains ursodiol or chenodiol. The thinning of the bile, which may dissolve the bile, happens by these .

Although these pills are useful and usually well tolerated by patients, they are confined to individuals with small cholesterol stones. These medicines have to be taken for two or more years, and gallstones can reappear once the treatment stops.

Also Read – Gallstone Treatment Patient Reviews

Bile cholesterol reduction can dissolve some gallstones, but it is not enough to prevent the surgery.

2. Shock Waves

The extracorporeal shock-wave lithotripsy (ECSWL) is a non-surgical treatment for Gallstones.  The therapy aims to break down gallstones by transmitting shock waves into the body’s soft tissue.

This technique is efficient only in the case of single gallstone of less than 2 centimetres, less than 15% of patients are ECSWL eligible. However, even if stones are broken, the fragment cannot be released out by a damaged gallbladder.

This treatment is the best Gallstones treatment without surgery for children.

3. MTBE Injection

This non-surgical therapy is done by injecting a solvent called MTBE into the gallbladder to dissolve gallstones. Although gallstones can quickly be dissolved by MTBE, it can have major side effects such as intense burning pain. The MTBE produces fumes, which might lead to severe burnings for patients and operators, or even cause electric fires, if not properly provided in a ventilated environment.

Check your doctor’s experience with this technique before you receive this kind of treatment.

4. Endoscopic Drainage Follows the Gallbladder’s Natural Path

The healthy path of the gallbladder to the small intestine is imitated by the endoscopic drainage. An endoscopic transpapillary process requires access via the mouth and down the neck of a cystic conduct by use of a camera. A wire is then inserted in the gallbladder through the duct. It is bent in order to imitate the path of the bile from the small intestine, which is the same as that of a healthy gallbladder. The gall bladder can restart regular bile removal by this kind of treatment.

5. Percutaneous Cholecystostomy 

This is a non-surgical alternative; however, the removal of gallbladder is most efficient after this procedure. Percutaneous cholecystostomy (PC) is usually kept for patients with severe conditions and who are unable to tolerate surgery immediately. It includes using a needle to remove fluid and then implant the catheter into the skin to drain the fluid. For several weeks, the catheter has been kept in place following which the gallbladder is removed in order to avoid recurrence.

6. Transmural Drainage

Transmural drainage establishes a new line directly into the gallbladder through the stomach. There is then an expandable metal stent, which can empty the gallbladder into the small intestine. It allows decompression of the gallbladder.

This technique led to significant success rates with just one out of 16 patients having complicating pain during stent insertion.

7. Acute Cholecystoenterostomy

An endoscopic stent can be inserted between the Gallbladder and alimentary tract in a procedure called acute cholecystoenterostomy (ACE) for individuals who have acute cholecystitis or gallbladder inflammation and cannot have surgery.  ACE can manage the pain and re-intervention rates of acute colecystitis equally as effectively as percutaneous cholecystostomy. 

Sometimes before surgery, surgeons choose to do this procedure if the gallbladder is inflamed. The doctor provides antibiotics to the patient and drain the gallbladder so that the gallbladder is not hot, sticky, swollen during the surgery.

Also Read – Gallstones Surgery in Delhi NCR

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