Guangzhou, China

☎ + 86 136 2288 6224 (english)

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✉ info@nogallstones.com

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China, Guangzhou

☎ + 86 136 2288 6224 (english) 

✉ info@nogallstones.com

After surgery

Healthy Guide post discharge after gall bladder surgery

The gallbladder-preserving cholelithotomy/polypectomy using “CHIAO” biliary tract endoscope is an effective way for the systematic therapy of gallbladder stone or polyps. As an integration of clinical technique, equipment design and basic research, it is a superior, systematic, humanized method with lower relapse rate. The healthy guide post discharge is an important ingredient of the systematic treatment which will contribute to the postoperative recovery, protection of the gallbladder function and relapse prevention.

Details of the guide are as followed:

1. Keep a good living habit: regulating the daily life to ensure enough sleep; keeping a pleasant, optimistic and broad-minded mood; keeping on physical exercise and keeping a proper balance between work and rest.

2. Keep a reasonable and healthy diet. Low-fat diet, less fat meat, animal insides and sea food, more crude fiber food in order to move the bowels, eat regularly.

3. If BMI>25, these patients should take a healthy diet and keep an appropriate exercise to reduce weight rationally post operation. (BMI=weight/height2, overweight if BMI>25, obesity if BMI>30).

4. If the blood TG, CHO and LDL were higher than normal, these patients should take hypolipidemic medicine under the guidance of doctor besides the rational diet post operation.

5. Those patients should take 33% Adlerika and dephlogisticate cholagogue pill orally regularly if acute or chronic cholecystitis (the contractile function of gallbladder was not well, gallbladder wall was thickened, >5mm, less soft) was discovered during the operation through biliary tract endoscope or ultrasonic cholecystoscope. 

Usage of the 33% Adlerika: oral administration, 15ml each time, three times a day, taking before meals, 2 days as a course of treatment, taking one course every 2 weeks. If diarrhea, a common side effect of this medicine, was serious, please reduce the dosage (10ml each time) or stop intake.

Usage of the dephlogisticate cholagogue pill: oral administration, 6 pills each time, three times a day.

The treatment plan should be adjusted in time according to the results of color ultrasound and doctor's advice.

6. If the bile was turbid, besides taking the medicine prescribed by doctor to dilute bile, Taurolite for example, these patients should also ingest some food which can promote the bilifaction and loose the sphincter muscle of bile duct such as hawthorm, dark plum, stigmata maydis etc.

7.People in some Asian countries have the habit of eating raw fish and shrimps. In these areas and countries, Clonorchis sinensis (liver fluke) infection is one of the reasons that cause the high incidence of cholecystolithiasis. As a result, a post-operation diet of thoroughly cooked food is important to the prevention of clonorchiasis sinensis and the recurrence of cholecystolithiasis.

 Patients with Clonorchis sinensis adults or eggs discovered in their gallbladder stone, bile or stool examination, have to take drugs orally against Clonorchis sinensis following the doctor's instruction. Praziquantel is the preferred drug (should be taken under the instruction of the doctor). After the treatment, a stool test should be taken regularly (6-12 months) in order to monitor the pathogenetic condition.

8. Patients with simple cholesterol stone (analyzed by stone component analysis after the operation) or gallbladder cholesterosis (diagnosed during the operation) have to control the intake of high cholesterol diets (animal insides, sea food, egg yolk, etc) and receive a Taurolite (the third-generation bile acid drug) treatment.

9. The post-operative follow-up instructions

Patients will be followed up periodically by telephone or letter post operation. The follow-up contents include the post-operative symptoms (abdominal pain, abdominal distention, diarrhea, etc), the condition of post-operative diet, general health and drug taking, the ultrasonic inspection result and the evaluation of life quality (compared with the pre-operative investigation). Moreover, a telephone service and individual instructions are supplied to prevent the recurrence and improve patients' quality of life.

Followed-up time: three months, six months and 12 months post operation in the first year, six months a time in the second year, twelve months a time two years later post-operation. 

10. The incision of gallbladder-preserving cholelithotomy/polypectomy with CHiAO biliary tract endoscope is so small that it can be conglutinated by medical adhesive. The postoperative wound infection rarely occurred. Patients can take a shower on the 4th or 5th day post operation, dispensing with special nursing. Low-grade fat liquefaction may be found in a few obese patients, presenting exudation of a little oily liquid without infectious features such as flare, fever or pain around the incision. Changing the dressing regularly and keeping the incision dry and clean will help the incision healing up soon. Some patients may feel induration in the healed wound, which is a postoperative scar actually. There is no need to adopt any special treatment, for the scar can reconstitute and become soft by itself. Postoperative stretch pain and numbness around the incision often happens, which can be relieved in several weeks.

11. Patients with biliary sludge discovered by postoperative ultrasonic inspection, have to take 33% Adlerika orally under the instruction of the doctor. (The color Doppler ultrasonic imaging feature of biliary sludge shows the hyper-density echo within the gallbladder lumen, which can change the shape and move slowly with postural alteration. There is no obvious echo or acoustic shadow.)

12. If you have any postoperative indisposition or questions, please consult us at any time.