Can you eat normally after cholecystectomy for gallstones?

Patients with gallstones or postoperative gallstones must pay attention to a light diet and try to eat less greasy food. As for how light it should be, there is really no clear standard. I think it is enough to stick to a normal diet, eat as many vegetables as possible, eat less fat and animal oil, eat regularly, quit smoking and drinking, eat less snacks and exercise more. If you don't stick to a light diet, or eat a lot of greasy diet, smoking and drinking, it will easily lead to recurrence of stones. After cholelithiasis surgery, there is no need to take medicine to prevent it at ordinary times. It should be checked regularly, and can be rechecked once every 6 months to 1 year for early detection and early treatment.

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Treatment and prevention of gallstones

Lecithin capsules, the "digestive army" of gallstones, decompose and absorb cholesterol, liquefy cholesterol in bile, and prevent and dissolve gallstones.

The treatment and prevention of gallstones can be removed by drugs (dissolving stones), surgery (removing stones) or diet therapy (controlling the formation of gallstones) and the latest ultrasonic vibration method.

Basically, if there are no conscious symptoms and there is no serious harm to health, surgery should not be considered, but if there are complications or serious situations. The gallbladder should be removed so as not to endanger life.

People in China are eating better and better, which makes gallstones easily entangled without knowing it. People in China should pay attention to their daily diet, limit animal fat intake and maintain their weight. More importantly, regular health check-ups. Gallbladder X-ray photography is the most useful method to diagnose gallstones. At present, abdominal ultrasound examination is the most commonly used and painless method. Using the echo reflection of sound waves to judge whether there are stones, so as to achieve the purpose of early treatment.

Because gallstones are closely related to physical fitness and diet, if you are consciously a high-risk group or a lover of westernized diet. Once symptoms appear, you must be vigilant. Daily reaction of gallstones: self-examination of daily life style is the first step towards health.

Please pay attention to the following living standards:

1. Maintain ideal weight.

2. Keep the habit of exercise.

3. Pay attention to food safety, hygiene, timing and quantification.

4. Overeating is absolutely forbidden.

5. Avoid sitting and working for a long time.

6. avoid being too tired.

7. Don't wear tight clothes that tighten your chest and abdomen.

8. If you have constipation symptoms, you must actively treat them.

Dietary therapy for gallstones

1. Eat more high-fiber foods, such as vegetables, fruits and whole grains.

2. Limit cholesterol intake. Never eat foods rich in cholesterol such as viscera and egg yolk.

3. More vitamin K supplements, such as spinach and cauliflower, are rich in content.

4. Fasting foods that are easy to generate gas, such as potatoes, sweet potatoes, beans, onions, radishes, soft drinks, and acidic fruit juice, coffee, cocoa, etc.

5. Milk is limited to skim milk.

6. eat more yellow-green vegetables rich in vitamin a.

7. Use less frying and frying when cooking food, and use more boiling, stewing and steaming.

8. Fasting soup and mayonnaise with high fat content.

9. Try to be light in taste and moderate in seasoning.

10. Avoid eating processed foods and foods with high sugar content.

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Treatment of Gallbladder Calculi with Oral Medicine and Lithotripsy

1937, Newurdge successfully took mixed bile acids orally for the first time.

The treatment of 2 patients with gallstones pioneered the dissolution of oral drugs.

The real establishment of this therapy was in the 1970s. 197 1 year etc.

Studies have found that oral chenodeoxycholic acid (CDCA) can reduce the bile of patients with cholelithiasis.

The saturation of cholesterol. Later, Sugata discovered ursodeoxycholic acid (UD2

CA) has no less stone dissolving effect than CDCA, and has less side effects because

It was quickly applied all over the world. 1979, Bell and Dolan used mint.

The mixture of alcohol, menthone and other annular single ointment was used to treat CS patients and achieved good therapeutic effect.

Since then, many countries have done a lot of research on its stone dissolution mechanism and effect.

Research shows that the clinical effect of taking CDCA alone is not satisfactory.

The hepatobiliary acid produced by CA under the action of intestinal bacteria is hepatotoxic and should be taken for a long time.

3 %CDCA has potential lipid metabolism changes in atherosclerosis (3).

At present, oral litholysis is not ideal because of the long course of oral litholysis.

The cost is high, the curative effect is not good, and patients have various toxic reactions during the treatment.

The recurrence rate is high.

3. Inject drugs to dissolve stones for treatment.

As early as 189 1, Walker used ether to dissolve stones in the human body, but it was made by

When the boiling point of ether is lower than the body temperature, it vaporizes after entering the human body, generating high pressure to treat patients.

Patients with severe abdominal pain are not widely accepted. In recent years, due to the imaging technology in

With the rapid development of medical field, percutaneous cholangiopancreatography has become more feasible.

It is more accurate to identify and locate stones, which provides a necessary premise for injecting drugs to dissolve stones.

According to the different types of gallstones, the treatment methods of injecting drugs to dissolve gallstones can be divided into

Used for:

Treatment of (1) cholesterol gallstones with 1979 hoffmann group.

Monooctyl ester (Mo) is a good cholesterol dissolving agent, which can dissolve cholesterol.

The degree is 12g/ 100ml, which is a semi-synthetic vegetable oil.

It is broken down into glycerol and octanoic acid. Animal experiments show that the toxicity of the latter is local.

Stimulation can cause mild or severe inflammation of gallbladder, bile duct and gastrointestinal mucosa.

Mucosal ulcer, etc. (4). 1980 Mayo et al. applied Mo to human body dissolution for the first time.

After the successful treatment of gallstones, many gallstone researchers went deep into it.

The clinical results show that Mo's treatment experience is: it must be CS, but not.

Calcification, bile in bile duct should be exhausted as much as possible, and drug circulation and perfusion should be stirred; But what about the curative effect

This is common and has complications.

(2) Litholysis Treatment of Bile Pigment Stones Because Bile Pigment Stones have poly

The structural characteristics of bulk are complicated, and there is no good dissolving agent, which is used in clinic and

Most experimental studies are calcium ion complexing agents, among which sodium ethylenediamine tetraacetate (Na

Sodium hexametaphosphate (Na-HM P) and D- sodium citrate.

-L, there is no new report on the treatment of cholelithiasis in recent years, and the prospect remains to be seen.

In the discovery of new solvents, it is necessary to be able to dissolve stones of various properties without major side effects.

Function.

4. Treating gallstones with traditional Chinese medicine

In recent years, Chinese medicine has made gratifying achievements in treating gallstones. Traditional Chinese medicine treatment

Gallstones are mainly composed of soothing the liver and benefiting gallbladder, dissolving stones, promoting qi circulation and relieving pain. Wang Ling (5) adopted.

Cholecystitis and cholelithiasis are treated both internally and externally, and the prescriptions are Bupleurum, Polygonum cuspidatum and Ling Wei.

Fairy, Fructus Aurantii, Endothelium Corneum Gigeriae Galli each 15g, Radix Curcumae, Radix et Rhizoma Rhei, Cortex Magnolia Officinalis each 9g, Herba Lysimachiae Christinae and Rhizoma Phragmitis.

30g each, daily 1 dose, 2 doses per severe day. Results Among 98 cases, 28 cases were cured.

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Treatment of gallstones

Cholelithiasis with discomfort and pain in the right upper abdomen is a common disease in middle-aged and elderly people. With the increase of age, the incidence rate is also increasing. Because stones are formed and exist in different parts, they are often divided into gallbladder stones, bile duct stones and intrahepatic bile duct stones. Stones in these parts often coexist with biliary tract infections, which are mutually causal. How to choose the best treatment plan, it is important to fully understand the condition through clinical diagnosis and physical examination, make an accurate diagnosis, determine the location, size and quantity of gallstones, and then choose different treatment plans according to different situations.

There are two methods to treat cholelithiasis in clinic. One is surgical treatment, that is, removing the diseased gallbladder and taking out the stones. The other is non-surgical treatment, that is, symptomatic treatment of traditional Chinese and western medicine, extracorporeal shock wave lithotripsy and litholysis. These two treatments have their own advantages and disadvantages.

Surgical treatment is an important method to treat cholelithiasis, but the surgical indications must be strictly controlled. When patients with cholelithiasis have severe obstruction, infection with jaundice, toxic shock and liver complications, or bile duct obstruction and infection recur for a long time, and non-surgical treatment is ineffective, surgical treatment can be considered. In addition, some patients have large gallstones and frequent symptoms, or when liver damage is suspected due to repeated infection of bile duct by stones, the treatment principle is to remove the stones as soon as possible and remove the diseased gallbladder.

There are many non-surgical treatments, such as traditional Chinese medicine, acupuncture, oral litholytic drugs, extracorporeal shock wave lithotripsy and so on. Lithotripsy soup composed of Herba Lysimachiae Christinae, Herba Artemisiae Scopariae, Radix et Rhizoma Rhei and auricular acupuncture can stimulate bile secretion and regulate the contraction and contraction of biliary tract, which has achieved the effect of removing stones in some patients, but this method can not make most patients get rid of removing stones. If the amount of stone discharge is large and hard, it is difficult to discharge it. Stones in gallbladder are caused by slender cystic duct. The effect of stone removal is not ideal, so clinicians think that the diameter of bile duct stones is greater than 1.5 cm, and the diameter of gallbladder stones is greater than 0.5 cm, which is generally not suitable for non-surgical treatment.

Many scholars at home and abroad are deeply studying the treatment methods of taking medicine to dissolve stones. Some patients abroad take ursodeoxycholic acid orally to achieve the effect of dissolving cholesterol gallstones. So this medicine was once famous. However, from the clinical observation of its effect, it takes a long time, has obvious side effects, diarrhea, impaired liver function and other adverse reactions, and the effective rate of clinical treatment is only about 20%. Therefore, there is still a lack of ideal drugs to dissolve gallstones.