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【Stone 300 Q】Why do gallstones need to be analyzed for stone composition?

author:Medical Mirrors
【Stone 300 Q】Why do gallstones need to be analyzed for stone composition?

The prevalence of gallstones in people is about 10%. With the change of the dietary structure of domestic residents, the incidence of it is gradually increasing. Because gallstones are prone to recurrence, cholecystectomy has long been the main treatment, and everything is done cleanly. But the price is to sacrifice a standard organ of the human body, so this has become the main reason for the implementation of gallbladder preservation surgery in China today. However, the problem is that if the patient's genes, anatomy, and physiology and biochemistry are not changed, then the recurrence of stones after surgery may be inevitable. Therefore, how to control the high recurrence rate after surgery has become a problem faced by gallbladder-sparing surgery.

At present, there are nearly ten known components of gallstones, including: cholesterol, calcium bilirubin, calcium palmitate, calcium carbonate, apatite carbonate, hydroxyapatite, and some drug stones, such as ceftriaxone, etc. Due to the different components of stones, their causes are also different. Therefore, only individualized prevention and control of the components of stones and their corresponding causes can effectively prevent the recurrence of stones. Taking the more common cholesterol stones as an example, after the use of chole-conserving surgery, it is necessary to routinely continue to take deoxycholic acid litholytic drugs for more than half a year for sequential treatment. However, the premise is that on the basis of the analysis of stone components, the specific components should be accurately used, otherwise the rest of the patients with non-cholesterol stones will become ineffective and useless "blind companions".

【Stone 300 Q】Why do gallstones need to be analyzed for stone composition?

In conclusion, stone composition analysis is the "pathology" of stones. Just as the tumor specimen should not be thrown away without pathology after clinical surgery, in the same way, the stone specimen should not be thrown away after stone surgery, but the stone composition analysis should be routinely carried out, which is not only a scientific concept, but also a clinical need.

【Stone 300 Q】Why do gallstones need to be analyzed for stone composition?

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Stone composition analysis: Please contact Ms. Li Shaoying

13585101550