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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Remove Gallstone Without Surgery?

Hi My Name is Mrs Pooja Dutta, my mother has a 15.5mm gall stone which is non-moving. I wanted to know if it is possible to remover this gall stone without any surgery. If it's possible, what are the ways we need to follow and till how long. My mother's age is 53 yrs. Your help will be highly appreciated. Kind Regards Pooja Dutta                              
Thu, 8 Dec 2016
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General & Family Physician 's  Response
hi and pleased toanswer you
Cholecystectomy is the standard and definitive treatment for symptomatic gallbladder stones and can be performed regardless of the type, number, and size of the stones.
If your gallstones are small and don't contain calcium, it may be possible to take ursodeoxycholic acid tablets to dissolve them. Effects of ursodeoxycholic acid (UDCA) or Oral litholysis induces cholesterol desaturation of bile and may lead to gallstone dissolution in patients with small, radiolucent, cholesterol-enriched stones in a functioning gallbladder with a patent cystic duct.

Based on a simple correlation with the gallstone dissolution rate, small size, radiolucency of gallstone, and preserved gallbladder function have been listed as indication criteria for UDCA therapy. Size rather than number of stones is the primary determinant of the dissolution rate.
Gallstones smaller than 5 mm show a better dissolution rate than those exceeding 5 mm. Stones of less than 5 mm diameter can be dissolved in almost 79% of cases, whereas the success rates drop to roughly one-third with stones larger than 10 mm in diameter. With stones, more than 15–20 mm diameter, the dissolution time is extremely long. Calcified gallstones are not subject to Oral litholysis.
UDCA treatment should be preferred for patients with small multiple gallstones higher dissolution rates in patients with multiple stones compared to these with solitary stones.
best wishes
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How To Remove Gallstone Without Surgery?

hi and pleased toanswer you Cholecystectomy is the standard and definitive treatment for symptomatic gallbladder stones and can be performed regardless of the type, number, and size of the stones. If your gallstones are small and don t contain calcium, it may be possible to take ursodeoxycholic acid tablets to dissolve them. Effects of ursodeoxycholic acid (UDCA) or Oral litholysis induces cholesterol desaturation of bile and may lead to gallstone dissolution in patients with small, radiolucent, cholesterol-enriched stones in a functioning gallbladder with a patent cystic duct. Based on a simple correlation with the gallstone dissolution rate, small size, radiolucency of gallstone, and preserved gallbladder function have been listed as indication criteria for UDCA therapy. Size rather than number of stones is the primary determinant of the dissolution rate. Gallstones smaller than 5 mm show a better dissolution rate than those exceeding 5 mm. Stones of less than 5 mm diameter can be dissolved in almost 79% of cases, whereas the success rates drop to roughly one-third with stones larger than 10 mm in diameter. With stones, more than 15–20 mm diameter, the dissolution time is extremely long. Calcified gallstones are not subject to Oral litholysis. UDCA treatment should be preferred for patients with small multiple gallstones higher dissolution rates in patients with multiple stones compared to these with solitary stones. best wishes