{"id":11150,"date":"2025-06-18T14:42:00","date_gmt":"2025-06-18T14:42:00","guid":{"rendered":"https:\/\/twojlekarz.net\/?p=11150"},"modified":"2026-02-12T18:34:57","modified_gmt":"2026-02-12T18:34:57","slug":"18-06-kamica-zolciowa","status":"publish","type":"post","link":"https:\/\/twojlekarz.net\/en\/18-06-kamica-zolciowa\/","title":{"rendered":"18\/06\/2025 | Gallstones"},"content":{"rendered":"

Dariusz Litera
<\/strong>Gallbladder diseases are an increasingly common health problem in Poland.
Gallstone disease, which involves the formation of deposits in the gallbladder, affects approximately 20%
population, with women being affected four times more often than men. The risk
the disease increases with age. You are over forty and you are afraid that you might have this
problem. Today your doctor is surgical specialist Dr. Adam Ku\u017ami\u0144ski. Good morning,
Mr. Doctor.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Good morning.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>What are the most common symptoms that indicate gallbladder problems such as gallstones?
or cholecystitis?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>The first thing patients come with is a pain attack. A pain attack that most often
It passes and only after some time does the patient come to the doctor. He treats it on his own.
Warm compresses, painkillers, antispasmodics\u2014everything he has at home. And
then comes the reflection what happened to me?<\/p>\n\n\n\n

Dariusz Litera
<\/strong>It's such a stabbing pain.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski<\/strong><\/p>\n\n\n\n

It varies greatly. From stabbing pains, through dull aches, girdling pains, and aches.
pain. This is one of the elements we talk about when it comes to the symptoms of gallstones.
gallbladder. These may be symptoms related to indigestion, they may be symptoms such as bloating,
belching. There are many, many symptoms. These are things that
which we do not pay attention to at all and do not realize that they can be
associated with gallstones. And sometimes it looks like the patient has an ultrasound of the gallbladder
abdominal for a completely different reason. He finds out that he has gallbladder deposits.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>Well, what diagnostic tests need to be performed to definitively state that
that something is wrong with the gallbladder?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>As I mentioned, the basic test is an ultrasound. This is a test that
is widely available these days. It is a very safe test that
can be safely repeated. The test, which is dedicated to this type of disease,
to this type of organs, to the parenchymal organs, i.e. to the liver and to everything that is
related to the biliary tract. In such a test it is possible to determine with almost one hundred percent certainty whether
Does the patient have stones or deposits? A deposit is a stone, that's obvious. Does it have
polyps in the gallbladder, which is also very important. Do these stones not move into the urinary tract?
bile ducts, do they not block these bile ducts?<\/p>\n\n\n\n

Dariusz Litera
<\/strong>If it turns out he is the owner, what happens then?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Here, the treatment is typically surgical, although attempts can be made to dissolve these stones.
The selection of these methods is very difficult and difficult and unfortunately you have to rely on medical help here.
Surgical treatment is essential. Nowadays, the gold standard is
laparoscopic cholecystectomy, i.e. removal of the gallbladder using a laparoscope.
If this cannot be done using laparoscopy, then an open procedure is performed.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>So we open the abdominal cavity.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>We open the abdominal cavity.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>We extract the follicle and get rid of it.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Exactly.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>Now I'll remind you about the methods from the "don't try it yourself at home" series. So I remember from
family stories that one of my father's brothers was diagnosed with some stones in his
the gallbladder received a recommendation from a healer to drink half a glass of oil.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>This is some idea for good diarrhea.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>It's unconfirmed that this had any positive effects, but such things have happened. It really has.
Please do not try such methods at home. It is better to ask a doctor before we go any further.
gallbladder removal. How severe do the symptoms have to be? What needs to happen?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>The ideal patient for cholecystectomy is one who has not had any inflammatory conditions,
and it already has symptoms. There was a time in the history of medicine when we operated on every stone that
was found in the gallbladder. Currently, the recommendations are slightly different. We do not operate on all
patients with deposits found in the gallbladder. Who do we operate on? Regarding the size
stones \u2013 small stones, i.e. up to 2-3 mm. We are very afraid of them because they are very easy to
pass into the bile ducts, blocking these bile ducts and may cause pancreatitis,
which may turn out to be a fatal condition for the patient. And we definitely operate on stones
large, above 2.5 - 3 centimeters. Here, in turn, there is an increased risk of cancer, because such
the stone causes pressure sores on this follicle, which may result in later years
the presence of bladder cancer, which we cannot really treat.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>So as soon as we detect something there, there is a surgical indication to get rid of it.
gallbladder?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Well, not necessarily. Specifically, if we have a patient who doesn't have any pain, who doesn't have any
symptoms and during some random ultrasound examination it turns out that you have mainly
a stone the size of one centimeter, half a centimeter. We don't operate on such a patient because
there are no indications for this. Such a patient is under observation.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>Because this stone will not block our bile ducts.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>It won't block the bile ducts. On the other hand, we wait for the first symptom to appear,
must be symptomatic. And this raises the question, what is a symptom of gallstones? Does it have to be
there may be a pain incident, and the pain is really severe. Is it enough that these are symptoms of indigestion,
bloating after eating, some kind of crushing sensation, as patients describe it, girdling pains that patients
are not at all related to the presence of stones in the gallbladder. Here we have to think carefully and
it is good to ask such a patient, because if he has these types of symptoms, no pain but discomfort
in the abdominal cavity, this is also an indication for surgery.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>What are the potential complications after bladder removal surgery?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Cholecystectomy, whether laparoscopic or open, is a procedure that is associated with
a very serious complication that can occur in surgery called respiratory disability
biliary, i.e. damage to the main bile duct. This is a complication that requires several
sometimes repair procedures. In most cases open. Very long stay
in the hospital is associated with a poor future prognosis for such a patient.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>But I understand that this is a small percentage.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>A very small percentage. We try to prepare very well for this type of procedure.
Therefore, each patient who signs consent for laparoscopic cholecystectomy has
there is always a clause that in certain situations he consents to the opening of the abdominal cavity. What
Are these certain situations? First, there are some major anatomical inaccuracies. They happen
patients who are built a little differently and we have trouble placing the tools. We have
problem with reaching this follicle.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>For example, they have dextrocardia.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>For example.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>Heart on the right side.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>This is not a contraindication, because the tools can be inserted in other ways. If we have
some uncontrolled bleeding during the procedure that we cannot, we cannot
closed using laparoscopic clips. If we have any doubts about
presence of a stone in the bile ducts, then we also open such a patient.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>So as not to leave any artifact that we could have removed.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Yes Sir.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>Doctor, what's the diet like after gallbladder removal?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Dieting is temporary. Dieting only serves to accustom our liver to the information
that there is no storage. That the production of bile that occurs must only be when we see,
We hear the clatter of plates, see the food, smell the dinner. Then my liver
produce this bile. Besides, probably not. There is no storage, so in such a case the patient
has for some time this liver training, may have diarrhea after cholecystectomy. This is
related to the movement of bile into the digestive tract itself.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>But can we stabilize it?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>A proper diet. There are two more things to remember when we get down to it.
diet. Patients should follow this diet very strictly before the procedure. Two foods,
which shrink the gallbladder the most are chocolate and eggs, so we should eat those
should be avoided in any form. When it comes to diet after the procedure, the basic rule is
Eating very small portions, quite often. It's like checking how I feel after eating.
something. The bile ducts after such a procedure remain the same width, and the amount of bile that must
to get through is two, three times, sometimes greater. Therefore, we can have
pain while eating is similar to that experienced before the procedure. This is not a reason to
anxiety. After some time, these bile ducts got used to this larger amount of bile,
which they need to transport to the digestive tract and the pain will disappear.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>And do we return to normal activity, including sports, relatively quickly after such a procedure?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>After laparoscopy, this happens very quickly. After 3-4 days, the patient is fully recovered.
strength. The procedure is not very burdensome for the patient in terms of his physical activity. Here
one thing that determines the stay in the hospital or the recovery period is the patient himself
anaesthesia process or general anaesthesia requiring a large amount of drugs and we have to
metabolize.<\/p>\n\n\n\n

Dariusz Litera<\/strong><\/p>\n\n\n\n

Finally, one more important question: Can we, as conscious people, apply such
methods that will effectively prevent the formation of stones in the gallbladder?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Yes. We need to remember a few things. We need to take care of our weight. Obesity is very conducive to
stones. On the other hand, sudden weight loss. Sudden diet, miracle diet also causes increased
risk of stone formation. We have a lot of patients who have started using, I won't use the name
commercial, because you are not allowed to use a certain slimming drug that causes the formation of stones
in the gallbladder. And there are many of these patients who have lost weight beautifully, but with the presence
deposits in the gallbladder.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>And this is the effect of this rapid weight loss. These deposits appear,
when the liver is\u2026<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Impaired bile flow. When do stones form? When does the flow become impaired?
this yellow and when we have, when we have some kind of fire that will arise. And on this fire
is deposited like a pearl, bile is deposited, bile salts are deposited and a deposit is formed which
then it calcifies.<\/p>\n\n\n\n

Dariusz Litera
<\/strong>So you also need to be smart about losing weight?<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Definitely!<\/p>\n\n\n\n

Dariusz Litera
<\/strong>This was said in the podcast CO DOCTOR SAYS by a surgical specialist, Dr. Adam Ku\u017ami\u0144ski.
Thank you very much.<\/p>\n\n\n\n

Dr. Adam Ku\u017ami\u0144ski
<\/strong>Thank you very much.<\/p>","protected":false},"excerpt":{"rendered":"

Gallbladder disease is an increasingly common health problem in Poland. Gallstones, which involve the formation of deposits in the gallbladder, affect approximately 20% of the population, with women being affected four times more often than men.<\/p>","protected":false},"author":9,"featured_media":11326,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_wp_rev_ctl_limit":""},"categories":[524],"tags":[526,540,538,536,543,534,535,541,539,542,537,529],"class_list":["post-11150","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-transkrypty-podcastow","tag-chirurgia-2","tag-conatotwojlekarz-2","tag-dieta-2","tag-dradamkuzminski","tag-kamicazolciowa","tag-pecherzykzolciowy","tag-podcastmedyczny","tag-profilaktyka-2","tag-promocjazdrowia-2","tag-twojlekarz","tag-zdroweodzywianie","tag-zdrowie"],"yoast_head":"\n18.06.2025 | Kamica \u017c\u00f3\u0142ciowa - Przychodnia NZOZ "Tw\u00f3j Lekarz" sp. z o.o.<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/twojlekarz.net\/en\/18-06-kamica-zolciowa\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"18.06.2025 | Kamica \u017c\u00f3\u0142ciowa - Przychodnia NZOZ "Tw\u00f3j Lekarz" sp. z o.o.\" \/>\n<meta property=\"og:description\" content=\"Schorzenia p\u0119cherzyka \u017c\u00f3\u0142ciowego to coraz powszechniejszy problem zdrowotny w Polsce. 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