Gallbladder Inflammation Complications
Classification
- Cholangitis and cholestasis
- Postcholecystectomy Syndrome
- Recurrences
- Gallbladder hydrops and gallbladder hypema
- Perforation and peritonitis
- sepsis
- Inflammation of the pancreas
- Gallstone ileus
- Tumors
1. Cholangitis and cholestasis
Besides the Inflammation of the gallbladder in and of itself it is not uncommon for an inflammation of the biliary tract to occur synchronously, too Cholangitis called. In the case of chronic or recurrent inflammation, scarring and narrowing occur (Stenosis) the biliary tract, resulting in a Cholestasis (Backlog of the bile). Since the liver Producer of bile, it can be permanently damaged in the event of a backwater and in rare cases lead to liver failure.
On the subject Liver disease
2. Postcholecystectomy Syndrome
As Postcholescystectomy Syndrome are abdominal complaints that either recur after a gallbladder removal, recur or even existed before the operation. About 20 – 40% of patients complain postoperatively about such complaints. The cause is not necessarily due to the omission of the Gallbladder and to trace back their function. In some cases, the cause can be psychosomatic. Another reason may be that stones were left behind when the gallbladder was removed (Residual stones) or the stones have formed again despite the gallbladder no longer being present (relapse stones). The consequence of the operation can be biliary strictures, dysfunction of the sphincter or stenoses of the biliary system. Another cause of the complaints should always be clarified, e.g. Inflammation of the gastric mucosa (gastritis), Esophagitis by reflux of gastric juice (Reflux esophagitis), Stomach or intestinal ulcers (Ulcer), chronic Pancreatitis or malignancies (malignant tumor)
3. Recurrences
A high rate of recurrence is when smashed or through ERCP Expect removed gallstones. If the cause of the stone formation is not treated, a new formation can be expected after removal, which in turn can lead to repeated inflammation.
4thGallbladder hydrops, gallbladder hypema
To a Gallbladder hydrops it occurs when the bile drains into the Small intestine if the production of mucus continues due to inflammation of the gallbladder or biliary tract, stones, scarring, tumors or disorders of movement (Dyskinesia) the biliary system is prevented (Congestive gallbladder). Simultaneous bacterial colonization can lead to the formation of pus and thus to empyema. A dreaded complication is one perforation.
5. Perforation and peritonitis
A perforation is the rupture of the pus-filled gallbladder and emptying into the abdominal cavity. Such a rupture then leads to local peritonitis, which quickly expands. This is an inflammation of the peritoneum that can spread over several stages. In 5-30% of cases this can lead to death, depending on the localization or spread, immune status and pathogen. Bilious peritonitis describes an inflammation of the peritoneum in which only the bile passes into the abdominal cavity. This can occur with a perforation without simultaneous pus formation or after gallbladder operations.
6. pancreatitis
Another common complication of through Gallstones caused Inflammation of the gallbladder is the Inflammation of the pancreaswhat the professional also calls Pancreatitis designated. Since in most people the bile duct (Common bile duct) and the duct of the pancreas (Pancreatic duct) in a common papilla (Major duodenal papilla) open into the duodenum (part of the small intestine, duodenum), it is not uncommon for the stones set in motion to get stuck precisely in this papilla. This not only leads to a build-up of the bile, but also to a build-up of the pancreatic juice, which in turn leads to pancreatitis.
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7. Gallstone ileus
Of the Gallstone ileus refers to a blockage of the intestinal lumen by gallstones. The stones reach the small intestine via an inflammatory fistula from the gallbladder and can thus lead to a mechanical closure.
8. Sepsis
If pathogens get into the Bloodstream, this leads to a life threatening Blood poisoning (sepsis). The pathogens spread throughout the entire organism and lead to organ dysfunction and finally to shock with organ failure. Despite many advances in modern medicine and intensive research, 30-50% of those affected by sepsis still generally die.
9. Tumors
Inflammations, including gallbladder inflammation, especially recurring and chronic inflammations, always harbor the risk of malignant, i.e. malignant degeneration. Gallstones, especially large ones, also carry a certain risk of degeneration.
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