Many patient's lives
are disrupted by the dysfunction of the gallbladder. This can result
from the presence or absence of gallstones. Common symptoms include
right upper quadrant pain, nausea, vomiting, substernal chest
discomfort, fatty or greasy food intolerance and pancreatitis. The
diagnosis is usually made by the finding of gallstones on ultrasound.
However, the gallbladder can be dysfunctional without gallstones. This
is usually diagnosed by a test called HIDA scan with CCK injection. A
decreased ejection fraction or reproduction of the symptoms is
suggestive of a dysfunctional gallbladder.
The gallbladder can be
removed minimally invasive or laparoscopically. This is done with 4
small incisions as an outpatient procedure. This is done in an
ambulatory surgery center with minimal discomfort and limitations. Most
patients can eat a regular diet the evening of surgery and return to
work with no restrictions in about a week. There is minimal discomfort
and scarring associated with the procedure. Most patients can be
scheduled for their procedure shortly after the office visit.
