Gall Bladder Removal Post Op??
RNY on 09/18/12
I have heard a lot about people having to have their gall bladder removed post WLS. Is there anything that can be done during weight loss to prevent this from happening?
you can take a prescription called actigall or uridisol for the first year during your rapid weight loss stage and it prevents gallstones from being formed. If you have any gallstone problems - make sure you get a sonogram before you have the surgery - it is best to have it out during your RNY then you dont have to worry about getting it out later on.
I had mine out in 2004 - it was after I had lost about 80 pounds on my own and never knew you could do damage to you gallbladder from rapid weight loss or Iwould have asked for the drug. I had had some trouble before but just some sludge that I was told didnt mean anything other than a precursor to stones and could take years. Well within the next 4months, I went for another sonogram because the was getting and the nausea was out of control and I had 1 stone . 3 months later, I went again after repeated ER visits - the nausea and pain were bad - at that point, I had 9 stones. I went back to my Gastro doctor and he said he agreed with me that it was time for it to come out - it was only going to keep getting worse and before it became an emergency surgery with a stone lodged in a duct and that can cause pancreatitis - we needed to avoid that,. So I made the appointment with the surgeon a week later and scheduled the surgery - it was going to be 10 days later because I had to have preop testing and medical clearance from my primary and have a pulmonary function test since my asthma was very bad back then. So, I finally got into surgery and in the 3 weeks since my last sonogram where I had 9 stones - well, at the time of my surgery - I had 25 stones - they couldn't believe it - they had never seen anything like it - it was full of stones and partially diseased. IT was a good thing it came out when it did or I would have been reallly sick. I felt alot better afterwards.
My only complaint is they made me go home about 3 hours after my surgery - I was still half out of it, in pain and I didnt want to go home - I live alone = I asked to stay over night to be watched and the surgeon said no. I couldnt believe it. Any other surgery I have had, even minor ones, they have always kept me if I ask them too. It isnt a good thing to be alone right after major surgery - it was a bad night but it was better the next day.
so, if you can have it done at the same time as your surgery -it would be so much easier = they are already inside, the recovery is the same and you dont have to be operated on a second time. Some surgeons dont understand that and would rather cut twice but I wonder if that is a $$$$ thing
I had mine out in 2004 - it was after I had lost about 80 pounds on my own and never knew you could do damage to you gallbladder from rapid weight loss or Iwould have asked for the drug. I had had some trouble before but just some sludge that I was told didnt mean anything other than a precursor to stones and could take years. Well within the next 4months, I went for another sonogram because the was getting and the nausea was out of control and I had 1 stone . 3 months later, I went again after repeated ER visits - the nausea and pain were bad - at that point, I had 9 stones. I went back to my Gastro doctor and he said he agreed with me that it was time for it to come out - it was only going to keep getting worse and before it became an emergency surgery with a stone lodged in a duct and that can cause pancreatitis - we needed to avoid that,. So I made the appointment with the surgeon a week later and scheduled the surgery - it was going to be 10 days later because I had to have preop testing and medical clearance from my primary and have a pulmonary function test since my asthma was very bad back then. So, I finally got into surgery and in the 3 weeks since my last sonogram where I had 9 stones - well, at the time of my surgery - I had 25 stones - they couldn't believe it - they had never seen anything like it - it was full of stones and partially diseased. IT was a good thing it came out when it did or I would have been reallly sick. I felt alot better afterwards.
My only complaint is they made me go home about 3 hours after my surgery - I was still half out of it, in pain and I didnt want to go home - I live alone = I asked to stay over night to be watched and the surgeon said no. I couldnt believe it. Any other surgery I have had, even minor ones, they have always kept me if I ask them too. It isnt a good thing to be alone right after major surgery - it was a bad night but it was better the next day.
so, if you can have it done at the same time as your surgery -it would be so much easier = they are already inside, the recovery is the same and you dont have to be operated on a second time. Some surgeons dont understand that and would rather cut twice but I wonder if that is a $$$$ thing
RNY on 09/18/12
WOW, you really suffered. I am glad that they removed yours in time before it became pancreatitis!!! Being alone after surgery would be very scary :( I am sorry you had to go through that. It might be a $$$ thing, and it could also be an insurance thing. Or, both.
Surgeon's typically do routine testing to make sure your galbladder is functioning fine. Any issues found in testing, and the galbladder removal is done during RNY or sleeve surgery. But, there are times when the galbladder appears fine, and then has issues post op, where removal some months or a year post op may be necessary. Of the 200 or so post ops I know from local meetings, there are 2-3 that I can think of that had galbladder surgery post op, so it's not typically an issue with most post ops. I know over a dozen post ops who had their galbladder removed during their RNY surgery. It just happens, and I seriously there is anything you can do to prevent it, just like hair loss is very likely to happen and you can't prevent that either. DAVE
Dave Chambers, 6'3" tall, 365 before RNY, 185 low, 200 currently. My profile page: product reviews, tips for your journey, hi protein snacks, hi potency delicious green tea, and personal web site.
there is something to prevent the gallstones and the need to have gallbladders out after surgery - the drug Uridisol or Actigall = taken daily for the first year post op while you are still in the rapid weight loss stage. My surgeon has patients that are Super Morbidly Obese = BMI greater than 50, take it longer since there rapid weight loss takes alot longer than a year. We even had to sign something saying that we would take it. I didnt have a gallbladder so I didnt have to take it.
Over the past month or 2, I must have responded to atleast 75 posts on people having there gallbladders out in the first 6 months and when I asked if they were giving either of the medications, they either never heard of it or there doctors didnt believe in it.
I just dont understand it. Granted no drug is 100% but if it give you any chance of not needed an additional surgery - I feel they are medically obligated to atleast tell the patients that the drug exists. Then let the patients decideif they want to take it. I also feel it is a way for many surgeons to have a way to get patients back into the operating room.
Over the past month or 2, I must have responded to atleast 75 posts on people having there gallbladders out in the first 6 months and when I asked if they were giving either of the medications, they either never heard of it or there doctors didnt believe in it.
I just dont understand it. Granted no drug is 100% but if it give you any chance of not needed an additional surgery - I feel they are medically obligated to atleast tell the patients that the drug exists. Then let the patients decideif they want to take it. I also feel it is a way for many surgeons to have a way to get patients back into the operating room.