..:: Sooriya Gall Stone Clinic ::..

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OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH HEPATICOJEJUNOSTOMY

OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH HEPATICOJEJUNOSTOMY

- DONE IN PATIENTS WITH GALL STONE AND BILE DUCT STONES
- ERCP IS DONE TO REMOVE VILE DUCT STONES
- OPEN CHOLECYSTECTOMY IS DONE TO REMOVE GALL STONES
- USEFUL IF THE PATIENT IS NOT FIT FOR GENERAL ANAESTHESIA
- DONE FOR PATIENTS WITH RESPIRATORY OR CARDIAC FAILURE
- BETTER IN PATIENT WITH CHRONIC LIVER DISEASE

LAPAROSCOPIC PANCREATIC NECROSECTOMY

LAPAROSCOPIC PANCREATIC NECROSECTOMY

- USUALLY DONE FOR INFECTED PANCREATIC NECROSIS
- DONE IF THERE IS SYSTEMIC INFECTION
- LAPAROSCOPY PREFERRED IN STABLE PATIENTS
- NON VIABLE PANCREATIC TISSUE WILL BE REMOVED
- WASH WITH DRAINAGE OF THE NECROTIC AREA WILL BE DONE

OPEN PANCREATIC NECROSECTOMY

OPEN PANCREATIC NECROSECTOMY

- DONE IN PANCRETIC NECROSIS WITH INFECTION
- DONE WITH MIDLINE LAPAROTOMY
- NON-VIABLE INFECTED PANCREATIC TISSUE WILL BE REMOVED
- OPEN TECHNIQUE IS PREFERRED IN CASES OF POOR GENERAL CONDITION OF THE PATIENT
- SOFT AND BLACKISH COLOUR WITHOUT BLEED IS NOTED IN NECROTIC PANCREAS
- GOOD WASH WITH DRAINAGE OF NECROSECTOMY AREA IS MANDATORY

POSTPARTUM AND GALL STONE DISEASE

POSTPARTUM AND GALL STONE DISEASE

- GALL STONE DISEASE DURIND AND AFTER DELIVERY
- SYMPTOMS OF GALL STONES ARE MORE AFTER DELIVERY
- MORE INCIDENCE OF CBD STONES
- SEVERE UPPER ABDOMINAL PAIN WITH VOMITING AFTER DELIVERY IS SUSPECIOUSNESS OF GALL STONE DISEASE
- UPPER ABDOMINAL PAIN DURING POST PARTUM PERIOD NEEDS ULTRASONOGRAPHY EVALUATION
- GALL STONE AND CBD STONE NECESSITATE EARIEST TREATMENT

FOOD HABITS AFTER GALL BLADDER SURGERY.

FOOD HABITS AFTER GALL BLADDER SURGERY.

- AFTER GALL BLADDER REMOVAL INDIVIDUAL CAN TAKE NORMAL DIET
- GALL BLADDER IS REMOVED FOR DISEASED BLADDER
- THERE WILL NOT BE ANY REDUCTION IN BILE SYNTHESIS
- POST OPERATIVE BILE DUCT DILATATION IS THE COMPENSATORY MECHANISM
- FATTY FOOD DIGESTIVE CAPACITY WILL BE MAINTAINED
- FOOD ADJUSTMENT IS RECOMMENDED FOR CO-EXISTING DISEASE LIKE DIABETES

ACALCULUS CHOLECYSTITIS

ACALCULUS CHOLECYSTITIS

- GALL BLADDER INFLAMMATION WITHOUT GALL STONE
- USUSALLY COMES IN OLDER AGE GROUP
- PATIENT ADMITTED IN ICU ARE MORE PRONE TO DEVELOP THIS DISEASE
- LONG STANDING DIABETES IS AN IMPORTANT PRECIPITATING FACTOR
- CT ABDOMEN WITH IV CONTRAST IS THE DIAGNOSTIC INVESTIGATION
- SURGICAL REMOVAL OF GALL BLADDER IS REQUIRED IF NOT RESPONDING TO IV ANTIBIOTICS