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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Fatty Liver And Gallstones. Found Liver Cirrhosis And Gall Bladder Embedded In Liver. Advice?

Dear dr
My sgpt is 103 and alkaline phosphotase is 113 and pt 16 sec. I was diagnosed with fatty liver grade 3 and gallstones. Was admitted in hospital for laproscopic removal of gall stones. When surgeon made ports and inserted camera he found liver cirrhosis and gall blader embeded in liver thus he declined to remove gall bladder. He advised for treatment of liver. My dr advised heptral 400 tds udiliv 300 bd. My fibroscan results iqr was 1.7 kp and377. I had slight jaundice in 1998 where my bilerubin remained slightly elavated to 1.5 for a long period(6months).
Fri, 26 Apr 2013
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Gastroenterologist, Surgical 's  Response
Hi,
Thanks for writing in.
Fatty liver with gall stones and cirrhosis needs intense medical treatment for at least 6 months prior to contemplating surgery. If the stones are silent or asymptomatic then all the more one does not require surgery. Now I would advise you a course of liver tonics for at least 6 months and consider surgery only if you have symptoms.
Regards
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Diagnosed With Fatty Liver And Gallstones. Found Liver Cirrhosis And Gall Bladder Embedded In Liver. Advice?

Hi, Thanks for writing in. Fatty liver with gall stones and cirrhosis needs intense medical treatment for at least 6 months prior to contemplating surgery. If the stones are silent or asymptomatic then all the more one does not require surgery. Now I would advise you a course of liver tonics for at least 6 months and consider surgery only if you have symptoms. Regards