Gallbladder surgery

I thought I’d answer one of the questions hoiling asked regarding my previous post as a new post so as to highlight it to the readers :-)

Hi Bernard, If you cut out the whole gall bladder, will it affect certain functions? Or its just another appendix or wisdom tooth that didn?t add value to the body system? Bile = waste?

My reply, plus other comments:

Hi hoiling,

You?ve asked a question that most people will ask .

It?s like this: this gallbladder grows gallstones because it is not functioning properly. The bile flow from the GB is slow, so it forms stones. If we leave the GB, stones will form again.

Bile is some waste but not all waste. It?s function includes emulsifying fats and oils?(so that they can mix?with?water) to enable digestion and absorbtion. It?s produced by the liver. The function of the GB is to store bile and pump it out to the intestines when we take a meal.

Initially, after cholecystectomy (chole~=bile/gall, cyst~=bladder, ~ectomy=cut out), some patients may have diarrhoea for a while because of rapid bile flow (because there is no reservoir of bile now).

However, the body adapts and digestion and absorbtion can take place normally even without the presence of a GB. Besides, the adaptation has probably already taken place in most patients with GB disease because they have probably malfunctioned in the first place.

As for the appendix, it has a role: it’s “lymphoid tissue”, that is, part of the body’s defense mechanism to fight infections. Just as tonsils are. But when it’s inflammed it needs to be removed ‘cos it’s a danger rather than a help to the body.

Anyone would like to comment about the wisdom teeth? Me dunno ’bout that one.

6 comments so far

  1. eve August 19, 2006 10:21 am

    ohhhhhhhhhhhhhhhhh….liddat one ar?….but but..tat means..all the while i’ve been telling my pts wat ar?…errr….nothing….i didn’t say anything…kekkeekkee….

  2. cheslea August 19, 2006 11:36 pm

    Man….I salute you…the sloater…again…if you ask me to hold….I’ll faint…=P

  3. SK August 20, 2006 6:50 pm

    Wisdom teeth if erupted upright are functional just like our other molars. Only when it’s impacted (blocked by the molar in front, thus not coming out properly) will cause problems and needs to be removed. Not everyone has wisdom teeth. When u do ur yearly check-up, ask ur dentist lor…

  4. hoiling August 20, 2006 10:24 pm

    Hrmm .. so the GB is acting like an enhancement agent in the digestive system where the body can do without. Interesting!

    From the human anatomy chart, it looks like a small sag. Can bits and pieces of food travelling along the intestines clog the appendix? Is that how it got inflammed in the first place?

    Everyone said that wisdom teeth is useless. You don’t use them for chewing and give the person constant pain during its slow ‘growing’ process.

  5. Bernard August 21, 2006 8:38 am

    SK, thanks for that info… i dunno whether i’ve got wisdom or not, :-) didn’t feel the eruption 4 times. Better check with my dentist.

    hoiling, the appendix sometimes can get blocked by material, e.g. the “stone” next to one of the appendices i showed. and once i’ve seen a fish-bone in an appendix before. however, generally, we don’t know why some people get appendicitis.

    and it’s not because of jumping up and down after meals… :-)

  6. hoiling August 21, 2006 9:28 pm

    :)

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