Re: can gallstones return? Originally Posted by blackmore
...i had my gallbladder removed few years back...surgery was uneventful...minimal discomfort...and im doing fine till now... ...a fren of mine had the same surgery...but hers was an open surgery...she wrote to me telling me of a fren of hers that had died due to what she said as having stones in the liver... ...i started looking for articles on liver stones and was rather surprise to read that if u had gallstones, then chances is that u could as well have liver stones all along...the article also states that the stones actually originated in the intrahepatic duct and travelled down to the gallbladder where they continue to grow in size... ...treatment wise...they recommended doing liver cleansing which could remove the stones... ...question... ...have any of u guys heard of liver cleansing??... ...thank u....
Usually the internet is a bad place to get medical advice. From a scientific standpoint gallstones can originate after a cholecystectomy through two mechanisms. The first is described above, that the stones originate in the intrahepatic ducts. Usually these are small stones that pass through the sphincter. The other method involves the CBD (common bile duct). Once you have a cholecystectomy the CBD enlarges. This may leave an area or relative stasis. This can lead to CBD stones developing directly or an stones from the intrahepatic ducts may enlarge here.
As far as liver cleansing it is difficult to know what you mean. Sometimes Actigall is helpful in dissolving gallstones, but I haven't had much luck with this. Other "liver cleansing" products are worse than useless.
As far as post chole pain there are a couple of issues. One is that some RUQ pain is not gallbladder related. Some of this is sphincter of Odi dysfunction, some may be biliary stenosis from repeated stones, or bilary dyskenesia. All of these need to be worked up by GI.
David Carpenter, PA-C
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