Clipping of news on Brazilian Culture, Law and Citizenship
06/16/2016
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The gastroenterologist, Dr. Daniela Gotthard in an exclusive interview to iSaúde Bahia, comments on the formation of gallstones.
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iSaúde Bahia - How come the gallstones?
Dr. Daniela Gott -. Arise generally when there is a change between the liquid fraction of bile with respect to their "solid" fraction becoming less fluid bile and generating small clusters of crystals that are grouped increasingly coming to form small "rocks".
ISB - What is biliary sludge?
Dr. Daniela Gotthard -. It would be the beginning of this process, described above, but still without the formation of the calculation itself. Patients with biliary sludge has a higher risk of presenting fact calculations.
ISB - What is cholelithiasis? What types of gallstones?
Dr. Daniela Gotthard -. It is the presence of gallstones. The most frequent calculations are cholesterol, followed by bilirubinate calculations.
ISB - What are the symptoms of gallstones?
. Dr. Daniela Gotthard - Most cases are asymptomatic. The classic symptoms, when present, include colic pain in the upper abdomen, especially right upper quadrant of the abdomen. During a "crisis" can also be nausea, vomiting and excessive sweating. less typical symptoms include nonspecific discomfort, chest pain, abdominal distension, burning. Symptoms of gallstones generally are triggered by eating foods with higher fat content.
ISB - What examination should be performed in suspected calculation gall?
. Dr. Daniela Gotthard - The initial examination, and good accuracy in calculations, is ultrasound of the abdomen. Diagnostic situations more difficult and when it needs to investigate complications, we can use computed tomography and MRI of the biliary tract, endoscopic ultrasound or even more invasive imaging of the biliary tract (endoscopic retrograde cholangiopancreatography).
ISB - What is the treatment of cholelithiasis?
. Dr. Daniela Gotthard - The definitive treatment of cholelithiasis is surgical with removal of the gallbladder, along with the calculations. Non-surgical treatment for which disposal is via a medicament. The latter treatment is accompanied by high rates of recurrence of calculations.
ISB - What is the gallbladder?
Dr. Daniela Gott -. To store the bile produced by the liver and release to the duodenum at the time when a meal with fat to reach it. Bile will emulsify the fat in order to allow their absorption from the gut (which can only be done if the fat is in small particles).
ISB - What are the risk factors to have gallstones?
. Dr. Daniela Gotthard - Family history, obesity, age over 40 years, female gender, pregnancy, use of contraceptives or hormone replacement therapy. Other minor impact factors are diabetes mellitus, dyslipidemia, Crohn's disease, accelerated weight loss, physical inactivity, liver cirrhosis, hemolysis (situation where there is premature destruction of red blood cells) and some antibiotics.
ISB - What are the complications of gallstones?
Dr. Daniela Gotthard -. Complications are acute cholecystitis, choledocholithiasis, acute pancreatitis, and other less frequent.
Source: iSaúde Bahia
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This article was translated by an automatic translation system, and was therefore not reviewed by people.