Liver Problems After Gallbladder Removal

Gallstone disease is diagnosed in roughly 20 percent of adults, and about 20-30 percent have stones that cause no symptoms. The majority of stones pass spontaneously within a few months. Laparoscopic cholecystectomy (removal of the gallbladder) is the most popular procedure for those who choose treatment. However, some people develop cirrhosis and liver failure after undergoing laparoscopic cholecystectomy.

What is Laparoscopic Cholecystectomy?

Laparoscopic cholecystectomy is a surgical procedure in which the gallbladder is removed through several small incisions (cuts) made in the abdomen. Laparoscopic cholecystectomy is less invasive than open surgery, so it has become the treatment of choice for gallstones.

Laparoscopic cholecystectomy helps improve symptoms for people with gallstone disease experiencing pain or having an increased risk of complications from gallstones.

Although laparoscopic cholecystectomy has become an established and commonly performed procedure, the surgery may lead to complications, including liver problems after gallbladder removal. In some cases, these problems can lead to cirrhosis of the liver. This condition is a leading cause of death in those diagnosed with liver failure or cirrhosis.

Liver Problems after Gallbladder Removal

In some cases, complications from laparoscopic cholecystectomy may appear a few weeks or months after surgery. In other cases, the symptoms of liver problems after gallbladder removal don’t appear until several years later. It also important to stick with a Low Fat Diet After Gallbladder Removal..

Symptoms of liver problems after gallbladder removal can include:

• Liver failure also called postcholecystectomy syndrome or PCS
• Cirrhosis of the liver. Symptoms of liver problems after gallbladder removal may include: Abdominal pain in the upper right part of the belly
• Abnormal liver function tests
• Dark urine
• Fatigue or lack of energy
• General weakness and loss of appetite
• Nausea or vomiting
• Itching, especially if related to bile salts

Other symptoms that may indicate complications from laparoscopic cholecystectomy include fever, chills, general feeling of illness, feeling the need to urinate frequently.

• Jaundice (yellow discoloration of skin or whites of eyes)

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Diagnosis Liver problems after gallbladder removal are done through medical history, physical exam, blood tests, ultrasound imaging, and in some cases, a liver biopsy.

An experienced doctor can often diagnose liver problems after gallbladder removal based on a person’s medical history and symptoms.

A doctor may recommend blood tests such as liver function tests to check Bilirubin Gamma-glutamyl transpeptidase Ammonia levels, Alanine aminotransferase (ALT or SGPT) Aspartate aminotransferase (AST or SGOT).

Ultrasound also referred to as sonography, is a medical imaging technique that uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs.

A biopsy of the liver is the removal of a sample of tissue for examination with a microscope. A pathologist views the tissue under a microscope to look for abnormal cells.

Management of Liver Problems after Gallbladder Removal

In most cases, liver problems after gallbladder removal aren’t permanent and don’t require lifelong treatment. Initial management of the condition usually involves addressing any symptoms a person may have with medications or other therapies.

If cirrhosis is present, a doctor may recommend specific treatments to manage complications from liver failure or cirrhosis. Medications for cirrhosis may include:

• Diuretics (water pills) to help the body remove excess fluid buildup.
• Antibiotics to prevent infections.
• Fluid replacement therapy for those with severe bleeding or dehydration.
• Iron supplements for people who have anemia. A person can manage symptoms of liver problems after gallbladder removal by taking measures to reduce the risk of complications. These may include: Eating a healthy diet.
• Limiting or avoiding alcohol
• Limiting or avoiding Tylenol (acetaminophen) and other non-steroidal anti-inflammatory drugs (NSAIDs)
• Maintaining proper nutrition. If you experience any of the above symptoms, you should make an appointment with your doctor as soon as possible to determine the cause and what steps you can do to improve your condition.

Conclusion

Liver problems after gallbladder removal may appear a few weeks or months after surgery. Taking in probiotics after your surgery is great to recover gut health.. In other cases, the symptoms of liver problems after gallbladder removal don’t appear until several years later. Symptoms of liver problems after gallbladder removal can include: abdominal pain in the upper right part of the belly, and abnormal liver function tests. When any of the above symptoms occur, you should make an appointment with your doctor as soon as possible. The good news is that the liver problems can be solved.