Cholelithiasis

WHAT YOU SHOULD KNOW:

Cholelithiasis is the formation of stones in your gallbladder, also called gallstones. Your gallbladder is located on the right side of abdomen, near your liver. Your gallbladder stores bile, which helps break down the fat that you eat. Your gallbladder also helps remove certain chemicals from your body


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CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

Cholelithiasis may block the bile duct and lead to cholecystitis (inflammation of the gallbladder). Small gallstones may also cause a blockage in the small intestines. Infection of the gallbladder and swelling of the pancreas may also occur. Surgery to remove your gallbladder may cause infection and injury to the bile duct.

WHILE YOU ARE HERE:

Informed consent:

This is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

Clear liquid diet:

You may not be able to eat solid food for a period of time. You are allowed to drink water, broth, apple juice, or lemon-lime soda pop. You may also suck on ice chips or eat gelatin.

Nasogastric (NG) tube:

An NG tube is put into your nose, and passes down your throat until it reaches your stomach. Food and medicine may be given through an NG tube if you cannot take anything by mouth. The tube may instead be attached to suction if caregivers need to keep your stomach empty.

Medicines:

  • Antinausea medicine may be given to calm your stomach and to help prevent vomiting.

  • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

Tests:

  • Blood tests may show signs of infection or inflammation.

  • An ERCP is also called an endoscopic retrograde cholangiopancreatography. This test is done during an endoscopy to find stones, tumors, or other problems. Dye is put into the endoscopy tube. The dye helps your pancreas and bile ducts show up better on x-rays. Tell the caregiver if you have ever had an allergic reaction to contrast dye. If you have stones, they may be removed during ERCP.

  • Oral cholecystography is a test to look at your gallbladder and its ducts (passages). You will take pills that have a special dye in them. Then x-rays are taken over time. The dye makes your gallbladder and its ducts show up on the x-rays. This may make it easier for your caregiver to see any stones or swelling in your gallbladder. Tell the caregiver if you have ever had an allergic reaction to contrast dye. It is also very important to tell your caregiver if there is any chance you could be pregnant. Your caregiver will tell you what you can and cannot eat before the test. It is important to follow your caregiver's instructions or the test may not work.

Treatment:

A cholecystectomy is surgery to remove your gallbladder. During a laparoscopic cholecystectomy, small incisions are made in your abdomen. A small scope and special tools are inserted through these incisions. A scope is a flexible tube with a light and camera on the end. You may need an open cholecystectomy. This is when a single, larger incision is made to remove your gallbladder and clean out your abdomen.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Cholelithiasis (Inpatient Care)

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