Tuesday, January 25, 2011

Gallbladder diseases

Gallbladder diseases

Bile diseases

Nutrition in patients with bile diseases and gall stones

The patient, who suffers from gall stones must remove from the diet all meals, which lead to strong gallbladder emptying, and thus an attack of gall stones. These are primarily fat, bacon, eggs and fatty meats, and to a lesser extent, all abundant and difficult to eat food. At the same time, abundant and greasy food accelerates the formation of bile disease. Diet will vary in the "acute" period of sharp attacks from the diet in a quiet period.

In the period of major difficulty with the attacks the patient should first fast and only drink chamomile tea, and then we will add liquid food-which should include milk and soups to gradually add solid food. However, we will exclude any significant amount of fat, which will be given to the patient only in the form of cream, butter and oil. Eggs should be completely banned, and the food should be given in small quantities in several meals, and it should be composed primarily of starch and dairy foods, with moderate adding of meat and vegetables.

And after the difficulty ease up, the patient will permanently be given food with little fat, whose amount should not be limited below 50 grams per day. We cannot give fatty meat, particularly pork. Eggs will be permitted only as a necessary addition to a variety of cakes and meals of flour, not as an independent meal.

Basic guidelines for patients are the following: food should contain optimal amounts of protein (1g per kg. of weight), minimum amount of fat and carbohydrate intake to the nutritional status of patients, food should be easily digestible, so recommended are boiled and steamed prepared meals, vegetables cooked in salted water and poured over with fresh oil (preferably olive), pasta should be prepared without eggs or with egg white and yeast with a little oil or margarine, do not take any cold or too hot drinks and meals.

Permitted

Soups: lean meat soup, vegetable soup – you can put all kinds of pasta, rice, wheat grits.

Meat: veal, white meat of poultry, fish, bleak ham.

Vegetables: mashed potatoes boiled in salted water with butter, or in shell cooked, spinach, cauliflower, carrots, asparagus, pumpkins, squash, chard, tomatoes, all as a soup-and this is best cooked and mashed, soaked with butter or oil.
Pasta: toast, old bread rolls, biscuits, pretzels, pancakes, all the cooked pasta, which should be prepared with little eggs without yeast and with a little butter. In addition allowed is pasta with potatoes, or potato flour so-called potato dough.

Sweet dishes: grits or rice soufflé, no eggs and yeast, marmalade, preserves, jam, honey.

Other dishes: grits, rice, cottage cheese, corn flour, oat flakes.

Salads: green, swiss chard, tomatoes, cauliflower, beets (prepared with lemon juice).

Fruits: all kinds of fruit-boiled, no peel, fruit juices.

Beverages: tea, cocoa, coffee but not too strong, milk.


Not allowed

Eggs, pork and goose fat, butter, tallow, bacon, smoked meat, sausages, grilled and fried meat, pork, beef, venison, duck and goose fat, goose liver, salami, hot dogs, canned meat, caviar, sardines, garlic sauce, onions, cucumbers, dill and all gravy sauces.

All cheeses matured and of sharp taste, greasy, or dried, baked potatoes, or stewed, beans, lentils, radishes, cucumbers, kale, cabbage, turnips.

Quince, melon, watermelon, almonds, walnuts, hazelnuts.

Bread and yeast dough and a lot of butter and eggs.

Paprika, pepper, beans salad and cabbage salad, spices-pepper, paprika, cinnamon, clove, Muscat.

All alcoholic beverages.


Thursday, November 18, 2010

Gallbladder Removal

Gallbladder RemovalGallbladder Removal


The gall bladder is not a vital organ, so the body copes quite well without it. Cholecystectomy, or surgical removal of the gall bladder, is therefore recommended if gallstones (or other types of gall bladder disease) are causing problems.

Surgical techniques
Techniques to remove the gall bladder include:
  • Laparoscopic cholecystectomy - or ‘keyhole’ surgery. A number of small incisions are made through the skin, allowing access to a range of instruments. The gall bladder is removed through one of the incisions.
  • Open surgery (laparotomy) - the gall bladder is accessed through a wider abdominal incision. Some of the factors that may predispose a patient to open surgery include scarring from prior operations and bleeding disorders.
Laparoscopic cholecystectomy
The general procedure includes:
  • A number of small abdominal incisions are made, allowing slender instruments access to the abdominal cavity.
  • A tube blowing a gentle stream of carbon dioxide gas is inserted. This is to separate the abdominal wall from the underlying organs.
  • The gall bladder is viewed on a TV monitor by the surgeon using a tiny TV camera attached to the laparoscope.
  • Special x-rays (cholangiograms) during the operation can check for gallstones wedged within the bile ducts.
  • The ducts and artery which service the gall bladder are clipped shut. These clips are permanent.
  • The gall bladder is cut free using either laser or electrocautery.
  • The gall bladder, along with its load of gallstones, is pulled out of the body through one of the abdominal incisions.
  • The instruments and the carbon dioxide gas are removed from the abdominal cavity. The incisions are sutured and covered with dressings.
The general procedure is the same as for laparoscopic surgery, except the gall bladder is accessed via a large, single incision in the abdominal wall. Sometimes, an operation that starts out as a laparoscopic cholecystectomy turns into open surgery if the surgeon encounters unexpected difficulties, such as not being able to properly see the gall bladder.