Gallbladders and Bile

You should be able to return to a normal diet after gallbladder surgery. However, you may want to avoid greasy and spciy foods for awhile.

The gallbladder is attached to the bile duct by a small tube called the cystic duct

One-third of all patients with gallstones never experience a second attack. For this reason many doctors advise watchful waiting after the first episode. Reducing the amount of fat in the diet or following a sensible plan of gradual weight loss

Bile is an important player in the digestive system largely because it helps to digest fats. In the gut, fats exist as relatively large globs that cannot be absorbed. To prepare fats for absorption, they must first be broken down into their component parts. An enzyme called lipase ("lip-", fat; "-ase", break down) is capable of breaking down the large fat globs. However, lipase acting by itself would be very inefficient because these large fat globs have a very low surface area-to-volume ratio. This means that the globs have a lot of fat in them, but not much surface for lipase to work on. Lipase can only act efficiently on fat globs with high surface area-to-volume ratios.

This is where bile comes in. The major players in bile that help achieve a high surface area-to-volume ratio are called bile salts. Bile salts are amphipathic -- they have both water-soluble (hydrophilic) and water-insoluble (hydrophobic) regions. The water-soluble regions are repelled from fats, but the water-insoluble regions are strongly attracted to fats in the gut. This arrangement allows bile salts to associated with one part of the fat glob and then cause the region nearby to break off. Bile salts do this by forming a spherical structure around globs of fat in the gut; this spherical structure (in combination with a few other proteins that get added to it) is called a micelle. By forming micelles, bile salts break up (or emulsify) large fat particles into smaller ones. The proteins associated with the micelle also attract the digestive enzyme lipase, which breaks down the fats inside the micelle into their component parts for absorption in the gut.

If you have normal anatomy you shouldn't have many side effects. This is one of the most common surgeries performed. Maybe a tad of swelling at the incision sites, maybe a bit of trapped air in the abdomen that your body will absorb in its own within a few days. There are a lot of "possible complications" but none are too common. If you are having an open gallbladder procedure, then disregard these comments, you don't have normal anatomy and the side effects/possible complications are far more. An open procedure has become a rare event nowadays. Even some very difficult ones can be done laparoscopically.

-not an MD but have 15+ years experience in assisting in surgery

Via the bile duct near the stomach end of the small intestine.

Better answer, it enters the first part of the sm. intestine the Duodenum

cystic duct

fats or lipids fats or lipids

In some cases, the operation can be delayed until after childbirth, however complications may develop as a result of the gallbladder disease and urgent surgery is needed. There is no direct harm to the fetus, however there is certainly an increased chance of preterm labor. Any operation should be done after the first trimester. Hopefully I helped you out a bit Stacey After five months of what was thought to be "morning sickness", I wound up in the hospital with gall stones after collapsing one night on the bathroom floor. The stones were aggravating the wall and the docs feared pancreatitis as well. I had the laproscopic surgery done three days later at 20 weeks of pregnancy and all went well. The day of surgery was hardly a cake walk, but within 24 hours I felt completely normal again. Our beautiful daughter was born 4 months later with no complications. However, as her teeth started to emerge, it became apparent something was not right. Initial dental visits speculated some sort of antibiotic interaction. After another two pediatric dentists reviewed the case, it's generally believed that the antibiotics administered to me during and after surgery may have affected the baby teeth (she had never had a massive dose or continual doses of antibiotics for herself). She is now almost four years old and we're faced with oral surgery in two weeks to cap 8 molars and cosmetically cap the four front top teeth. She was born with approximately 1/3 of her tooth enamel. We won't know if there was any damage to her adult teeth until they come in, but it's likely they're fine.

They are made by the liver and are stored in the gall bladder. They help breakdown fats into smaller lipids.

The gallbladder is found in the abdominal cavity, also called the peritoneal cavity.
its found in the abdominal cavity, in the rigth hypocondriach region.

Women who are pregnant or breastfeeding should tell their doctors before a scan is performed. Some medications or even eating a high fat meal before the procedure can interfere with the results of the scan.

Growths or lesiions on the wall of the gallblader. Small ones are usually benign but larger ones can become cancerous.

That just means that your stomach is empty but your body is still vomiting.

A bile acid is any of the steroid acids produced by the liver, such as cholic acid, which occur as bile in sodium salts and serve to neutralize the contents of the stomach as they enter the duodenum and to aid the emulsification and absorption of fats.

A rat doesn't have a gallbladder!

^ wrong answer...

salt

Gallstones are formed by the precipitation of cholesterol and bile salts from the bile. Once formed in gall bladder, they can range in sizes from a grain of sand, to 1-2 inches.

Cholecystokinin

The gallbladder acts as storage for bile, which is produced by the liver, and also serves to allow it to settle and become concentrated, which increases its effectiveness. Without the gall bladder, the bile constantly drips into the intestinal tract, but will still do its job, helping to digest fatty foods. Therefore the loss is quite easily tolerated, but diet will have to be controlled a little more strictly.

In most cases, gallbladder surgery can be done as an outpatient procedure, called a laparoscopic cholecystectomy or "lap collie" for short. The laparoscope allows the surgeon to remove the gallbladder with only three small incisions instead of having to open the lower abdomen wide.

The gallbladder is made of mucosa somewhat similar to the urinary bladder.The main function is to store and secrete bile which contains bile pigments and bile salts.

cystic duct and the hepatic duct

Bile salts do not digest fats. They cause the fats to become smaller and that increases the surface area so that enzymes in the digestive tract can act quickly.