Wednesday, July 21, 2010

Why Gallstones can cause obstruction?

Gallstones can sometimes block the intestines and cause intestinal obstruction, intestinal obstruction caused by a gallstone blocking medicine called gallstone ileus. Stones caused by gallstone ileus are large in diameter is generally greater than 2. 5cm, this stone is initially inside the gallbladder. Gallbladder in these large stones to cause intestinal obstruction, gastrointestinal fistula first occurrence of the gall bladder. Gastrointestinal fistula occurred after the gallbladder, gallbladder stones may enter the intestine by the fistula. Smaller stones into the intestine, will as in the gastrointestinal tract peristalsis and excreted and does not cause obstruction. Such as large stones, it will mechanically blocked intestine, caused by gallstone ileus. Gallstone blocking the site often occur in the terminal ileum, small intestine because of here.

Gallstone ileus and more older patients, when luminal gallstone obstruction, the obstruction will lead to a series of symptoms. The patient will feel pain in the abdomen feels bloated, and accompanied by nausea and vomiting. Intestinal obstruction can cause the intestine of product gas and fluid, so the patient's abdomen will gradually swell. The intestine because the gas can not function properly, the patient's anus to stop the defecation and exhaust. If you did not receive timely and effective treatment, the patient eventually died from shock. Therefore, gallstones gallstone ileus is a serious complication caused by another.

Abdominal X-ray examination in the diagnosis of gallstone ileus is very helpful. Abdominal X-ray, you can see a product gas, fluid and the expansion of intestinal loops, and sometimes you can see the shadow of gallstone obstruction of bowel, according to these doctors can make the correct diagnosis. Gallstone ileus on patients to active treatment, such as transfusion, blood transfusions, to correct shock and timely surgery, remove the stone block in the intestine to relieve the obstruction. After effective treatment, most patients can pull through.

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