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Treatment for distended gallbladder, chronic liver parenchymal and mild degree of splenomegaly?

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General Surgeon
Practicing since : 2008
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yes sir,
My father in law has been diagnosis with below,
1.Distended Gall bladder having sludge and few small calculi
2. Chronic liver parenchymal disease
3.Mild degree of plenomalogaly
4. CBD is borderline dialeted

What is the treatmen. His age is 72 yrs. Dr has recommended some blood test and further they say on positive result only it can be operated. What to do if negative result...
Posted Fri, 29 Mar 2013 in Liver and Gall Bladder
Answered by Dr. Grzegorz Stanko 17 minutes later

Thank you for the query.

1. Gallbladder with small calculi should be removed by laparoscopy as small stones bring risk of bile ducts obstruction and acute pancreatitis.
2. Chronic liver parenchymal disease most likely means that you have fatty liver. You should avoid alcohol, fatty foods, spicy foods, medicines involving liver to reverse fatty liver process.
3. Mild degree of splenomegaly should be consulted with hematologist as this can be a symptom of many many diseases including leukemia, liver hypertension, infectious diseases.
4. CBD borderline dilated can be caused by sludge or small stones inside. I suggest you to have liver tests (AST,ALT,GGTP,AP), lipase, amylase, bilirubin checked.

He should be operated anyways as small stones are more prone to move to bile ducts and cause acute pancreas disease.

Hope this will help. Feel free to ask further questions.
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