Is chronic cholecystitis serious

If conservative treatment is poor or inadequate, gallbladder removal surgery is required, which consists of open surgery and laparoscopic minimally invasive surgery, the latter of which is less invasive and has a postoperative recovery block, which is accepted by most people.Chronic cholecystitis, which is generally not acute cholecystitis, is not very serious, and requires timely symptomatic treatment. If the gallbladder is irritated by infection or stones, the gallbladder may be chronic, and there may be pain in the right upper abdomen, back distension, jaundice and other symptoms. Chronic cholecystitis can usually be treated with anti-inflammatory therapy, and if anti-inflammatory therapy is ineffective, surgery is required.

Causes of chronic cholecystitis

Too much cholesterol produced by the liver is an important reason for gallstones, and the following people are more likely to get cholecystitis: middle-aged and elderly people, especially middle-aged and elderly women who are fat and exercise less, have a greasy diet and eat too much fat, and the cholesterol content in the bile of such people will increase; Patients with gallstones have the greatest chance of getting cholecystitis, and gallstones form a substance called cholesterol in the gallbladder, which is related to the imbalance of the content of other substances, and people with this disorder are prone to gallstones. What is going on with chronic cholecystitisThe most common cause of chronic cholecystitis is that there are stones in the gallbladder, that is, gallstones, the so-called gallstones are stones in the gallbladder, with the contraction of the gallbladder, gallstones can go to the cystic duct or bile duct, preventing the discharge of bile, and bile is concentrated in the gallbladder, which will cause inflammation of the gallbladder. In addition, people who often skip breakfast are prone to chronic cholecystitis due to long-term fasting time and bile stored in the cystic duct for a long time.

Diagnostic criteria for chronic cholecystitis

Diagnosis of chronic cholecystitis is based on:

(1) Persistent dull pain or discomfort in the right upper quadrant, or accompanied by pain in the right scapular area.

(2) Indigestion symptoms such as nausea, belching, acid reflux, bloating and heartburn, which are aggravated after eating greasy food.

(3) The course of the disease is long, and the disease is characterized by alternating acute onset and remission.

(4) There may be mild percussion pain in the gallbladder area.

(5) Mucus in bile increases, white blood cells are piled up, and bacterial culture is positive.

(6) B-ultrasound showed gallstones, thickening of the gallbladder wall, and shrinkage or deformation of the gallbladder.

(7) Cholecystography can show gallstones, shrinkage or deformation of the gallbladder, poor contractile function of the gallbladder or weak gallbladder development.