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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

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how are gallstones treated

How are gallstones treated?

Laparoscopic gallbladder surgery is the best choice of treatment for gallstones with severe signs and symptoms, disrupting one’s life style. It is time-saving and minimally invasive.

What are gall stones?

Gallstones are some stone like hard depositions in the gallbladder made out of Cholesterol, salt and Bilirubin (made out of destructed blood cells). Being a very common condition, gallstones vary a lot in size whereas some can be as small as a particle of sand where others can be as large as apples.

Obesity, high consumption of cholesterol rich food, a rapid weight loss within a short period of time, Diabetes mellitus and long term intake of a high-fiber diet are the major risk factors for this condition to occur. Moreover, owing to a significant female predominance, Gallstones are most likely to affect people over 65 years of age, pregnant mothers and individuals with a positive family history.

Treatment options

Gallstones are usually treated depending on the severity and how they could disrupt the quality of life.

Patients without symptoms yet diagnosed with gallstones, coincidentally in ultra-sound scans, the concept of ‘active monitoring’ is recommended. This method doesn’t involve any immediate treatment, but prompt medical advice should be sought as soon as you notice unusual presentations like yellowish discoloration of the skin or mucosal membranes (obstruction by gallstones)

As a rule of thumb, the more you go without getting any sign or symptom, related to gallstones, the less likely it is to get the condition worsened. But there are occasions where you may need to get medical treatment even if you don’t get any presentation mentioned above, which include underlying Diabetes, portal hypertension or scarring of the liver-Cirrhosis

Treatment is also indicated if a scan reveals a high level of calcium inside the gallbladder which can lead to gallbladder cancer in future or if there are frequent episodes of abdominal pain. If they are mild and infrequent, conservative management is alright with painkillers to relieve discomfort and healthy diet which might help in reducing further episodes.

Some doctors prescribe medications to dissolve gallstones which are small in size and do not contain cholesterol e.g. Ursodeoxycholic acid

Surgical interventions are considered if the signs and symptoms of the gallstones become severe such and disrupt a person’s quality of life to avoid complications due to stones.

The main surgical treatments available for Gallbladder removal

  • Gall bladder laparoscopic surgery – A keyhole surgery performed under general anesthesia, which will only take 60-90 minutes.
  • Patients will be fully recovered after about 10 days.
  • Single-incision keyhole surgery – Latest type of keyhole surgery where the gallbladder will be removed by making only one hole on the abdomen.
  • Open surgery – A cut-open type surgery indicated in pregnant mothers in their third trimester, extremely overweight and unusual anatomical structure of gallbladder or surrounding structures which might make the surgery difficult.
  • Endoscopic retrograde cholangio-pancreatography (ERCP) – Removes only the stones from the gallbladder without removing the entire organ.

Because of all these latest and advanced laparoscopic surgical options available nowadays, you won’t have to suffer from gallstones anymore.


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience