Gallbladder Disease Treatment in Northern New Jersey
The gallbladder is a small, 位于肝脏下方的梨状器官，通过储存胆汁并将其通过胆管输送到小肠来帮助分解食物. At Bergen Medical Associates in northern New Jersey, the gastroenterology 团队致力于确定胆囊问题的潜在原因，并提供个性化治疗.
What Is Gallbladder Disease?
胆囊或胆管的任何感染或堵塞都可能导致胆囊疾病. 胆管是连接胆囊、肝脏、胰腺和小肠的狭窄管道. 许多胆囊疾病都是由胆结石引起的.
There are several types of gallbladder disease, including:
Cholecystitis
Inflammation of the gallbladder, known as acute cholecystitis, 是由梗阻如胆结石或感染引起的吗. 主要症状通常是右上腹持续剧烈疼痛. Other symptoms can include nausea, fever, and vomiting.
Gallstones
胆结石是胆囊内形成的微小、坚硬的胆固醇或胆红素沉积物. Most patients with gallstones don’t have any symptoms. 然而，大的结石会引起胆绞痛，一种胸腔下的疼痛，来来去去.
Chronic Acalculous Gallbladder Disease
Also known as biliary dyskinesia, 当身体无法将胆汁输送到胆管时，就会出现这种情况, causing it to back up in the gallbladder. This results in abdominal pain, bloating, and nausea. 如果不及时治疗，它会导致体重减轻或肠易激综合征(IBS)。.
Gangrene and Abscesses
如果不及时治疗，胆囊炎会导致胆囊组织死亡 gangrene. Dead tissue may burst or tear, creating abscesses. 这些需要立即治疗，因为它们会影响其他器官. Symptoms can include pain, fever, and nausea.
Congenital Defects
胆囊或胆管的一些异常在出生时就存在. 这些先天性缺陷包括囊肿阻塞胆汁的运动, or structural defects such as malformed ducts. 先天性胆囊缺陷的症状包括黄疸, discolored stools or urine, or abdominal pain. 这些异常通常可以通过内窥镜手术来重建或绕过有缺陷的胆管.
What Are the Risk Factors for Gallbladder Disease?
胆结石患者最有可能发展为胆囊疾病. Risk factors for gallstones include:
- Age: Gallstones are more common in patients over the age of 60.
- Diet: A high-cholesterol diet can increase the risk of gallstones.
- Ethnicity: 印第安人和墨西哥人的后裔患胆结石的几率更高.
- Obesity: 身体质量指数(BMI)高的患者可能会产生过多的胆固醇，从而导致胆结石.
- Other medical conditions: Patients with diabetes, Crohn’s disease, 肝硬化患者患胆结石的风险更大.
- Sex: Women are more likely than men to have gallstones.
胆结石可能与现代西方饮食有关, which is high in fat and cholesterol and low in fiber. 高危患者可以通过均衡饮食和保持积极的生活方式来改善胆囊健康.
What Tests Are Used to Diagnose Gallbladder Disease?
To diagnose gallstones or related conditions, 医生会检查病人的病史和目前的症状. 他们将检查腹部区域以检查是否有炎症并进行检查，其中可能包括:
- 抽血检查肝脏和胰腺功能，检查炎症迹象
- 超声成像检查胆囊的堵塞或生长
- 内镜逆行胰胆管造影(ERCP)试验, 使用透视技术生成胆管的x射线图像
可能需要额外的检查，如内窥镜超声检查或肝胆亚氨基二乙酸(HIDA)扫描来缩小诊断范围.
How Is Gallbladder Disease Treated?
If a patient has occasional episodes of biliary colic, they may be able to manage symptoms with pain medication. 然而，更持久的问题将需要手术治疗. 因为病人没有胆囊也能有健康的消化功能, 胆囊切除术或胆囊切除是常见的治疗方法.
胆囊切除通常可以作为微创腹腔镜手术进行. If a patient has gallbladder cancer or other complications, they may need open surgery, which requires a larger incision.
Choose Bergen Medical Associates
As a patient-centered medical home (PCMH), 澳门娱乐赌城网站正规平台提供广泛的澳门娱乐赌城网站正规平台, such as interventional pain management, in addition to primary care. Serving patients throughout northern New Jersey, patients can see an experienced, 能诊断和治疗胆囊疾病和其他消化系统疾病的经委员会认证的胃肠病学家, such as acid reflux and inflammatory bowel disease. To learn more, request an appointment today.
