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.

Gallbladder stones

Stones in the gallbladder is one of the causes of pain or discomfort in the upper part of the abdomen, particularly after a meal. These stones may actually be completely quiet, i.e. symptomless. Or, at the other extreme, they may cause a lot of damage to the surrounding organs. Usually, the gallbladder is removed via a laparoscope if it causes problems.

Laparoscopic view of the gallbladder

The gallbladder after removal of the stones

Stones from the gallbladder

An array of appendices

Full name: vermiform appendix
Short name: appy

Some of the?different faces of the appendix… to?give you an idea what?it?looks?like.

Partners in crime

Here’s a mugshot of Joseph and the Hamburgler at the Juru McDonald’s outlet.