Cholesterosis gallbladder - causes, symptoms, diagnosis and treatment
Cholesterosis gallbladder - A pathological condition characterized by the deposition of lipids in the wall of the gallbladder associated with metabolic disorders of fat and cholesterol. It flows in many cases without any symptoms or minimal symptoms of aching pain in the right hypochondrium, the symptoms of dyspepsia. Main diagnostic study at Cholesterosis - ultrasound of the liver and gall bladder. Sometimes abnormalities detected incidentally during cholecystectomy. Treatment is mainly conservative, aimed at restoring the metabolism. Surgical treatment is used if the gallbladder cholesterosis accompanies cholelithiasis, acute inflammatory diseases.
Cholesterosis gallbladder
cholelithiasis. Cholesterosis first described in 1857 by Virchow. So far in the field of gastroenterology specialists have not formed a unified view on the treatment and prevention of this disease, although in recent decades it has received more attention since become more clear mechanism of occurrence of changes in the human body when Cholesterosis gallbladder. If the disease progresses without complications, its treatment involved gastroenterologists, if necessary surgery - surgeons.
dyspepsia, nausea, loss of appetite, heaviness in the stomach. Symptoms can be aggravated by abuse of diet, abuse of fatty foods, hot spices. In such situations, patients appear quite strong complaints by paroxysmal pain of colic type.
If cholesterosis gallbladder combined with cholelithiasis, he runs harder, and symptoms closely associated with the manifestations of calculous cholecystitis. Patients are observed bouts of biliary colic, which are accompanied by pain in the right hypochondrium varying intensity. When bile duct blockage may occur jaundice, bilirubin is increased in blood. Inflammation of the gallbladder (cholecystitis) manifests temperature rise, signs of intoxication on the background pain.
Ultrasonography of the abdomen. That is why the statistics on the prevalence of the disease is very controversial, and it is still considered rare.
The main method of diagnosis, by which detect cholesterosis - ultrasound of the gallbladder. Sonographic picture of the changes can only be observed in the anterolateral wall, because even on modern equipment to get the rear wall of the image is difficult. Cholesterosis gallbladder on ultrasound revealed a thickening of the walls, often uneven. When seen form the diffuse echo-positive individual plots as dotted lines. Polypoid lobular form and easily diagnosed, they are rendered as separate entities or local parietal thickening of the bladder wall.
To enhance the signal and improve the diagnostic method used and multipozitsionnogo intercostal scan. Also further enhance the reduction of the gall bladder using a cholagogue breakfast. This allows you to better visualize the walls of the changes and see the violation of the contractile ability.
Cholecystography gives little information, using this method can be diagnosed only polypous form with pronounced changes. But in this case, to differentiate them from tumors or concrements pristenochnymi difficult. Therefore, X-ray techniques for the diagnosis of gallbladder cholesterosis is now used very rarely. The biochemical changes in the liver samples are not defined, they remain in the normal range. The rise in bilirubin, alkaline phosphatase was observed only in those cases where cholesterosis gallbladder combined with calculous cholecystitis, bile duct obstruction, or with severe FH.
purulent cholecystitis with the threat of occurrence of peritonitis.
The prognosis for gallbladder cholesterosis
Since cholesterosis gallbladder does not cause too severe organ functioning changes are asymptomatic or with minimal symptoms, the prognosis of this disease is quite favorable. Sometimes with age changes are by themselves. Normalization of metabolic processes as a result of changes in diet also leads to an improvement in the patient's condition.
Problems can arise if cholesterosis gallbladder complicated acute cholecystitis, especially purulent. Also, the forecast is not too favorable in detecting stones. In that case, sooner or later have to resort to cholecystectomy. To prevent the disease need to follow the right diet, do not abuse the greasy and spicy food, stick to the optimal diet.