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Old 12-24-2014, 06:59 AM
jfh jfh is offline
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Default To remove gallbladder or not?

OK y'all. What are preventive measures to ensure health of gallbladder or gall stones? This is not a test. I haven't researched this yet. I have no problem with mine. I just want to know something preventive. I have too many friends that have had theirs removed. See the following report from the Univ. of Texas.



==================================

Gallbladder removal is one of the most common operations performed in older adults. Yet, research from the University of Texas Medical Branch at Galveston shows many patients who would benefit most from the surgery don't get it.

A previous study by the UTMB researchers showed that a combination of factors -- age, sex, race, other associated illnesses and severity of gallbladder symptoms, for example -- put a patient in the most danger for acute gallbladder attack. This study resulted in the creation of a predictive model for determining patients at most risk -- and thus most likely to benefit from having their gallbladders removed. Then the researchers put their predictive model to the test.

Their new study looks at 11 years of billing records of more than 160,000 Texas Medicare patients, 66 and older, who had an initial episode of gallstone trouble. The researchers used their predictive model to determine which of these patients was most likely headed for a dangerous gallbladder attack over the course of two years. The patients in the highest risk category should be receiving gallbladder removal surgery most often. But the UTMB study, available online in the January edition of the Journal of the American College of Surgeons, showed the reverse to be true. Removal of the gallbladder did not seem to depend on risk and in the healthiest patients, those in the most danger had their gallbladders removed least often.

Dr. Taylor Riall, professor of surgery at UTMB and lead author of the study, said that even though gallbladder removal is recommended for patients with gallstone problems, "Less than a quarter of patients in this study had their gallbladders removed. We sought to determine whether the decision to have the gallbladder removed was actually based on their risk of having gallstone-related complications in the next two years."

Using their model, the researchers identified which patients were in low, moderate or high-risk categories for an acute gallbladder episode that required hospitalization. This new study validates the accuracy of their predictive model. Among those who did not have their gallbladder removed, less than 20 percent in the low-risk group ended up being hospitalized for gallbladder-related issues -- for the high-risk group, 65 percent were hospitalized within two years of first symptoms.

In looking at patients who had the surgery, the study showed risk was not related to removal of the gallbladder. Only 22 percent of people in the low-risk group, 21 percent in the moderate-risk group, and 23 percent in the high-risk group had their gallbladder removed. In the healthiest older patients, gallbladder removal was performed in 34 percent of low-risk patients but in only 27 percent of the highest-risk patients. Also, less than 10 percent of patients who did not have their gallbladder removed even saw a surgeon after the initial episode.

The risk of developing gallstones increases with age. While a person under 40 has about an 8 percent chance of developing gallstones, the risk jumps to more than 50 percent in people 70 years and older. Gallbladder disease is the most common cause of acute abdominal pain in older patients and removal of the gallbladder accounts for a third of abdominal operations in patients over 65.

The UTMB risk prediction model provides a starting point for individualized care and shared decision making in older patients with gallstones. Integrating this model into clinical practice, especially at the level of the primary care physician, may improve outcomes by increasing elective gallbladder removal rates in the patients at highest risk and prevent future complications in this vulnerable population. This information would also allow physicians to avoid gallbladder removal in patients who are a high surgical risk and at low risk for developing complications from their gallstones.

In patients with lower risk and the decision for gallbladder removal is based on preference, this information can help patients make decisions in the context of their symptoms and the impact on their quality of life.

###

The other authors of this paper include Deepak Adhikari, Abhishek Parmar, Suzanne Linder, Francesca Dimou, Winston Crowell, Nina Tamirisa, Courtney Townsend, Jr. and James Goodwin.
This paper was supported by the National Institutes of Health and the Agency for Healthcare Research and Quality. The study was presented at the 126th Annual Meeting of the Southern Surgical Association.
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Old 12-27-2014, 12:59 AM
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Gallbladder removal is one of the most common operations performed in older adults. Yet, research from the University of Texas Medical Branch at Galveston shows many patients who would benefit most from the surgery don't get it.

Wow
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Old 12-27-2014, 08:32 AM
d0ug d0ug is offline
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All this and nothing about the cause or prevention. Only should we cut or not. typical medical thinking. God did not make a mistake when he gave you a gallbladder doctor think he did. Can they put it back after they find they made a mistake? If they would spend the money on looking for the cause and preventing in stead of should we cut or not it would be a lot more helpful.
If you ask a carpenter to build a house it will be wood if you ask a brick layer to build a house it will be brick so if you ask a surgeon about anything you know the answer.
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Old 12-27-2014, 09:15 AM
greif greif is offline
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Looks like an ad to boost surgery rates, I suppose the doctors yachts are not cheap

Does a gallbladder flush actually work?

My wife had hers out and now has problems after eating fatty meats.. aka diarrhea
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Old 01-07-2015, 11:47 AM
larryz larryz is offline
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Originally Posted by d0ug View Post
All this and nothing about the cause or prevention. Only should we cut or not. typical medical thinking. God did not make a mistake when he gave you a gallbladder doctor think he did. Can they put it back after they find they made a mistake? If they would spend the money on looking for the cause and preventing in stead of should we cut or not it would be a lot more helpful.
If you ask a carpenter to build a house it will be wood if you ask a brick layer to build a house it will be brick so if you ask a surgeon about anything you know the answer.
You know that the conventional medical quack doctors motto is "when in doubt, rip it out.."

There is absolutely nothing that diet and nutrition and supplementation cannot solve. It takes time and work though. No "same day" results ... you must be committed. Trouble is that people's laziness is their worst enemy.
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Old 01-08-2015, 04:24 PM
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Trouble is that people's laziness is their worst enemy.

If you mean too lazy to think for themselves, I totally agree.
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Old 01-11-2015, 05:01 AM
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There is absolutely nothing that diet and nutrition and supplementation cannot solve.
Proper diet and nutrition can even solve supplementation

Quote:
Trouble is that people's laziness is their worst enemy.
Laziness, clinging to false beliefs, conforming to societal norms, lack of motivation...the list goes on and on.

Quote:
If you mean too lazy to think for themselves, I totally agree.
Ego is a huge issue here, because people don't want to think that they've been ignorant and doing things wrong for their whole life, so they throw up a barrier to prevent themselves from perceiving it. The information is out there, everything you could ever want to know is out there, but we all throw up barriers so that we don't even think about looking for it (this applies to everything in life, not just health). It's ok because that's how it works; when people are ready to know they will be lead to the knowledge. If people are not ready to know, you cannot convince them no matter how strongly the evidence points in your favor.

But we shouldn't be getting up on our high horses and looking down on people, because that shows pride and pride will sink you faster than anything. We're all ignorant and none of us know much about anything, and thinking otherwise is folly. It's only if you approach things with that viewpoint that you will be truly open to receiving new knowledge.
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Old 01-26-2015, 05:12 PM
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I have gall stones, I have been to a couple of regular MD's and one alternative MD, even the alternative MD said go have it cut out (if I want) and my issues (with the gallbladder) would be done....I don't know. At least the alternative MD prescribed me Actigal, it's Bear Bile Acid I believe, anyway between that, some herbs (chanca-piedra), stone free and a gallstone Artichoke formula, I am getting better, I believe if the body can create a state of dis-ease because of am imbalance or such, it can be put back into balance, I believe we have the gallbladder for a reason and I am going to keep mine.

Do the flushes work? Good question, I have meet a few people who have done them and each said it helped with what they did it for, once my stones get a little smaller, I will do a few myself, flushes should not recommended for people with large stones, I have read.

I never followed up on this, but is it our crappy diet that is responsible for gallstones? I thought I read an article that in parts of the world there was no gallbladder disease until western food was introduced and then in some period of time they basically had the same gallbladder problems as we have here in the US.
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Old 01-26-2015, 06:40 PM
greif greif is offline
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Though i don't know if flushes work I would encourage you to at least try if it is not an emergency. My wife had hers out and now has problems, diahrea etc.
Not all people have problems but if a natural cure can work go for it
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Old 01-26-2015, 08:49 PM
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Originally Posted by cyber-junkie View Post
I never followed up on this, but is it our crappy diet that is responsible for gallstones?

Yes.

Before I had a critical organ removed, I'd study up pretty hard on a natural solution.
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