Guide To Treating And Preventing Acute Cholecystitis

Fasting To Reduce Gallbladder Strain

The gallbladder holds bile produced by the liver, which is used to help the body to digest fats and break down the essential nutrients found in the fats. When individuals eat, especially fatty foods, the liver will produce more bile that goes into the gallbladder. If a blockage is present, it will result in too much bile in the gallbladder. Fasting to reduce gallbladder strain is highly recommended to help to reduce the amount of bile being held in the gallbladder. Patients will most likely be given IV fluids during this fasting to reduce the risk of dehydration.

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Cholecystectomy

Patients who have gallbladder damage or have regular flare-ups of acute cholecystitis may need to have their gallbladder removed through a cholecystectomy. This procedure may be done using an open or a laparoscopic approach. With the open approach, the surgeon will make a long incision to reach the gallbladder. However, this method is rarely necessary. The laparoscopic approach only requires several smaller incisions, allowing for prompter healing and recovery with less chance of complications.

Patients who are too ill for the described cholecystectomy may require a procedure called a percutaneous cholecystostomy. During this procedure, the surgeon will drain excess bile through a needle inserted through the abdomen and into the gallbladder. This is typically only a temporary measure until the patient can safely have their gallbladder removed.

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