Should gallbladder be removed for gallstones?

Gallstones do not necessarily require gallbladder removal. Whether surgery is needed depends on the severity of symptoms, the size and location of the stones, and the impact on your life. Some people with gallstones may not need immediate surgery even if they do not have obvious symptoms. However, when complications such as acute cholecystitis and cholelithiasis pancreatitis occur, surgical removal of the gallbladder is often necessary to prevent more serious health problems.

The causes of gallstones mainly include genetic factors, environmental factors and physiological factors. Genetic factors increase the incidence of gallstones in the family. Environmental factors such as a high-fat diet can promote the oversaturation of cholesterol in bile, thereby forming stones. Physiological factors such as obesity, cirrhosis or diabetes can easily lead to abnormal bile metabolism and are also common causes of gallstones. Certain medications and changes in progesterone may also increase the risk of gallstones. Gallstones may cause a series of symptoms, such as right upper abdominal pain, nausea and vomiting, indigestion, and even jaundice and infection in severe cases.

There are various methods for treating gallstones, and different options can be selected according to the severity of the disease. For small asymptomatic stones, regular monitoring and dietary adjustment may be an effective method. In cases where symptoms are more obvious, common treatment options include drug lithotripsy, extracorporeal shock wave lithotripsy, and laparoscopic cholecystectomy. Drug lithotripsy is suitable for solving cholesterol stones, and the stones are gradually dissolved through oral medication. Extracorporeal shock wave lithotripsy uses high-energy shock waves to break up the stones and is suitable for larger stones. Laparoscopic cholecystectomy is a commonly recommended solution with the advantages of less trauma and faster recovery.

To prevent gallstones and reduce complications, it is important to maintain a healthy lifestyle. Eat more fiber-rich foods such as fruits and vegetables, reduce the intake of high-fat and high-sugar foods, and control your weight. Moderate exercise can also help maintain good bile flow and reduce stone formation. Regular health checks can help detect gallstones and related problems early. When uncomfortable symptoms such as persistent right upper abdominal pain or indigestion occur, it is key to seek medical attention in time to avoid delaying the condition. Helping readers understand these preventive measures and treatments can not only effectively reduce the harm of gallstones, but also improve their overall health in daily life.