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The much larger series of 1,518 mentioned previously had only one death, four intestinal injuries and seven injuries to the ducts, all of which were successfully repaired. The 1991 government report concluded that "this has raised considerable concern about the rate of common bile duct and intestinal injury."

With this surgery, there is a greater risk that surrounding structures could be damaged. The risk appears to depend on the experience of the surgeon. A 1992 study at McGill University in Montreal and the Toronto Hospital compared the outcome of traditional cholecystectomies with laparoscopic ones. The study found that patients who had laparoscopic cholecystectomies fared much better. They returned to full diet earlier, needed less pain killers and went back to full activities sooner.

Cutting Out The Gallbladder, The New Way Give Us Feedback On This Subject Text Scroll This Chapter Check Out Doctor DeMarco's Recommended Health Products Dissolving The Stones Non-surgical Treatments

Nonsurgical treatment alternatives include the use of medicines that dissolve gallstones or lithotripsy (high intensity shock waves that break up the stones). With both types of treatments, there is a 50 percent chance that stones will reoccur in the following five years. However, the chance of reoccurrence would probably decrease a lot more if you significantly improved your diet after the stones were dissolved.

Non-surgical Treatments Give Us Feedback On This Subject Text Scroll This Chapter Check Out Doctor DeMarco's Recommended Health Products Shattering The Stones Dissolving The Stones

Medicines that dissolve the stones like ursodeoxycholic acid (UDCA) are taken by mouth either at bedtime or with meals for six months to two years. These medicines are especially suitable for persons who are too high risk to consider surgery, who are unwilling to consider surgery, or who have lost weight too quickly. The gallstones must also be less than 1.5 cm in size, made of cholesterol and the gallbladder must still be able to function. Only about 30 percent of people with symptomatic gallstones will meet these requirements, and of those only 30 to 50 percent will be successful at dissolving the stones. This therapy is continued until two ultrasounds of the gallbladder spaced three to six months apart show no evidence of stones.

Currently, these drugs require your doctor to get prior approval from the Health Protection Branch of the Canadian Government.

UDCA has one main side effect, which is diarrhea, which can be easily remedied by decreasing the dosage of the medication.

Dissolving The Stones Give Us Feedback On This Subject Text Scroll This Chapter Check Out Doctor DeMarco's Recommended Health Products Losing Weight Too Quickly ? Shattering The Stones

Lithotripsy for gallstones is not yet widely available and is currently undergoing evaluation. It can only be used when there are three or fewer cholesterol type stones with maximum stone size less than two cm. This amounts to about 15 to 20 percent of all symptomatic gallstone patients. Lithotripsy must also be followed by oral medicines for six weeks to dissolve the tiny fragments of stones that are left.

Patients undergoing this treatment must wear hearing protectors and receive an injection of a sedative, says Dr. Paul Whelan, Director of the Hamilton Stone Clinic in Ontario. In a September 1990 article in the Globe and Mail, he says that these precautions are necessary because of the aggravating sensation experienced during lithotripsy "like being slapped on your side 15,000 times." Notwithstanding, according to a 1991 government report on gallstone therapies, compared to both types of surgery, this is the least invasive and least painful procedure.

The Hamilton clinic is one of three centers in North America selected to study the value of lithotripsy. The study was started in September 1990 and was completed in March 1992. A study comparing lithotripsy to other methods of treatment is currently under way in Montreal.

Lithotripsy can be done on an outpatient basis and no anesthetic is required. The procedure lasts 45 minutes and requires only one to two sessions. The recovery time is one to two days.

Afterwards, about 20 percent develop biliary colic requiring pain killers but this usually clears up within hours. Many develop blood in the urine after the procedure, but this also clears up within 48 hours. One to three percent of all patients will develop pancreatic inflammation, and in the same percentage fragments of stones will block the gallbladder ducts requiring surgical removal.

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Lose weight – diet and exercise plans
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