Friday, December 30, 2011

What is the function of the gallbladder in our body? What is its size and location?

The function of the gallbladder is to store bile to help digest fats. It has approximate size of eight inches, like a small fig, located at the lower edge of the liver on the right side of the abdomen. There are several types of calculi (stones), but the two main ones are cholesterol and pigmented

The fact that removing the gallbladder does not affect the functioning of the liver or intestine?

It does not affect in any way. In evolutionary terms, man does not need today the gallbladder because it feeds several times a day which makes the body a vesicle under-utilized, since there is no need to store as much bile. Some patients, however, by removing the gallbladder may show an increase in the number of evacuations in the first month.

Sex after surgery

We receive many questions about when the post operative can have sex again .... friend, when you realize, sex will not affect the surgery, but it is clear that soon after the person is weak, in pain, then .. is good to give a team one time.

But know that the stones arise when there is an imbalance between the amount of water and substances in the bile, favoring the solidification of the same. Can occur from lack of water or excess of some components, particularly cholesterol and pigments.

The main risk factors are:

* Age: uncommon in young people, the risk of developing cholelithiasis (gallstones) is 4x higher after 40 years of age.
* Gender: gallstones is 3x more common in women than in men. From the 60 years this difference falls drastically, also by falling levels of estrogen.
* Pregnancy: by excess estrogen during pregnancy
* Hormone replacement therapy: estrogen also by
* Obesity: is the main factor in young people, especially women
* Positive family history: 1st degree relatives with a history of gallstones increases the risk by 2x.
* Rapid weight loss: large weight losses in a short time or with very low calorie diets are also risk factors
Diabetes
* Cirrhosis (read: Liver Cirrhosis - Causes and Symptoms)
* Prolonged Fasting: the longer the bile in the gallbladder, the more dehydrated she is and the greater the risk of stone formation

gallbladder pain

The gallbladder is a small pear-shaped body (pear shaped) lovalizado under the liver. The gallbladder stores bile, a greenish-yellow digestive fluid produced by the liver until the digestive system need it. Bile consists of bile salts, electrolytes, bilirubin, cholesterol and other fats (lipids). Bile increases the solubility of cholesterol, fats and vitamins in fatty foods, facilitating their absorption by the body. Bile salts stimulate the large intestine to secrete water and other salts, which assists in the mobilization of the intestinal contents along the intestine and out of the body.

Bilirubin, a metabolic breakdown product of red blood cells destroyed waste is excreted in the bile. The metabolic products of drugs and metabolic breakdown products processed by the liver are also excreted in bile. Bile duct flows of fine collectors exist within the liver to the left and right hepatic ducts, and then to the common hepatic duct and then into the common bile duct, the most caliber. Approximately 50% of bile secreted between meals flows directly through the common bile duct into the small intestine.

The other half of the secreted bile is diverted from the common bile duct through the cystic duct to the gallbladder, where it is stored. In the gallbladder, 90% of the water present in the bile is absorbed into the bloodstream. What remains in the gallbladder is a concentrated solution of bile salts, biliary lipids and sodium. When food enters the small intestine, a series of hormonal and nerve signals trigger the contraction of the gall bladder and a sphincter (sphincter of Oddi).

Next, the bile flows from the gallbladder to the small intestine, mixes with food content and makes your digestive functions. A large portion of the reserve of gallbladder bile is released into the small intestine and about 90% of bile salts are reabsorbed into the bloodstream through the wall of the distal small intestine. Next, the liver extracts bile salts in the blood and secretes bile to the back again. Bile salts of the body perform this cycle about ten to twelve times a day. In each cycle, small amounts of bile salts reach the large intestine, where they are degraded by bacteria. Part of bile salts is reabsorbed in the intestine and the remainder is excreted in the feces.The gallbladder is a small pear-shaped body (pear shaped) lovalizado under the liver. The gallbladder stores bile, a greenish-yellow digestive fluid produced by the liver until the digestive system need it. Bile consists of bile salts, electrolytes, bilirubin, cholesterol and other fats (lipids). Bile increases the solubility of cholesterol, fats and vitamins in fatty foods, facilitating their absorption by the body. Bile salts stimulate the large intestine to secrete water and other salts, which assists in the mobilization of the intestinal contents along the intestine and out of the body.

Bilirubin, a metabolic breakdown product of red blood cells destroyed waste is excreted in the bile. The metabolic products of drugs and metabolic breakdown products processed by the liver are also excreted in bile. Bile duct flows of fine collectors exist within the liver to the left and right hepatic ducts, and then to the common hepatic duct and then into the common bile duct, the most caliber. Approximately 50% of bile secreted between meals flows directly through the common bile duct into the small intestine.

The other half of the secreted bile is diverted from the common bile duct through the cystic duct to the gallbladder, where it is stored. In the gallbladder, 90% of the water present in the bile is absorbed into the bloodstream. What remains in the gallbladder is a concentrated solution of bile salts, biliary lipids and sodium. When food enters the small intestine, a series of hormonal and nerve signals trigger the contraction of the gall bladder and a sphincter (sphincter of Oddi).

Next, the bile flows from the gallbladder to the small intestine, mixes with food content and makes your digestive functions. A large portion of the reserve of gallbladder bile is released into the small intestine and about 90% of bile salts are reabsorbed into the bloodstream through the wall of the distal small intestine. Next, the liver extracts bile salts in the blood and secretes bile to the back again. Bile salts of the body perform this cycle about ten to twelve times a day. In each cycle, small amounts of bile salts reach the large intestine, where they are degraded by bacteria. Part of bile salts is reabsorbed in the intestine and the remainder is excreted in the feces.

Thursday, December 22, 2011

Elderly can operate Gallbladder after court ruling

There are more than a week and admitted to the Hospital Emergency Room Bar Herons, Mr. CVL, 79, had not even expected to take place when the doctor recommended surgery. With gallstones, and lack of equipment to perform the surgical procedure in that city, the old man was advised to be transferred to Cuiabá.
Given the urgency of the case and hopes which SVC was submitted, the son of the patient came to the Public Defender in Barra do Herons last 11 days, being served by the Public Defender Anthony Martini Milton Fernandes, the same day, sent the action to the appropriate forum.
In less than three hours, the request was granted by the court, determining that the municipality take the elderly to Cuiaba for the surgery prescribed by doctors. As legally required, under penalty of a daily fine of $ 10,000, the patient was immediately transported by ambulance to the Capital, accompanied by his son and a professional nursing.
The same night the elderly man was taken to Cuiabá, where the hospital is awaiting the results of recent tests and subjected to the surgical procedure.
Dr. Milton recalls that the proposed action, the Public Defender also includes the state of Mato Grosso to be responsible for effecting the right to health of the patient. "The state was ordered to adopt without delay take all necessary steps to perform the procedure medically indicated. This right is ensured even if it is necessary hiring particular vendor, "says the Advocate.
"Enforcing the law of assisted is our mission," said Dr. Milton, receiving the thanks of the son of patient care provided promptly.