Hello - thanks for asking your questions.
Our surgical colleague has addressed most of the surgical-related issues, so I won't repeat them here.
One point that I would concur with is that I would not recommend surgery if you are asymptommatic.
Regarding the association of cholecystectomy and colon cancer - there are several smaller studies that suggest an associate between cholecystectomy and proximal colon cancer. This is still a controversial area. An editorial from the American Journal of Gastroenterology regarding this topic can be found here:
I believe that the rest of the questions were addressed by the surgeon.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Hello John P.,
I'm no doctor, but you've come to the right place! Dr. Kevin and a surgeon who responds frequently to this page will definitely help you in addition to numerous others who have had GI problems.
Look through the posts on here and the pros and cons of laparoscopic cholesectomy have been debated quite a bit. What I've gathered is that most people are glad to have had it done rather than those who regreted it. Of course, no procedure is without risk. But by and large, the benefits far outweigh the risks!
Also, don't be alarmed about reports of this procedure putting you at risk for colon cancer. If that was true, then there would have been a sharp increase in the incidence of colon cancer since 1988, the year the procedure became available. Rely on evidence-based practice. I've gotten alarmed about alot of stuff on the Internet ranging from silver fillings giving people ALS to the dangers of Nutrasweet causing brain tumors.
About loose stools after the procedure, some have reported that, but changes in diet can help prevent that. If it is any consolation, I plan to have my gall bladder out this fall!
Hi John, I had mine out a few months ago....If I had been asymptomatic I probably would not have....Im not 100% sure but I think alot of Drs. don't recommend removal until you do become symptomatic....Alot of people have gallstones that don't bother them and never do....However, once symptoms start then it usually goes down hill from there....I have not experienced the post diarrhea problem that some people have, Im not sure there is any way anyone can say if you would develop that problem or not....I do know that when biliary colic starts, Im not sure you have much choice in the matter, as you cant go through that type vomiting forever without causing damage other places.....Good luck....Tessa
No one has a crystal ball: no one can say if you would have trouble in the future if you left the gallbladder alone. But I have almost never recommended surgery in an asymptomatic patient. It's unlikely to go from no symptoms to severe complications without having some symptoms first. So I consider it safe to wait. However, it is possible to have a serious problem as the first symptom. Lithotripsy doesn't work on sludge or tiny tiny stones. Pills might help to prevent formation of actual stones, but you'd have to take them forever. If you have surgery, you should see your cardiologist first, or at least be sure the surgeon is in touch with her/him beforehand. CO2 embolism is extremely rare. No surgery is absolutely safe. All sorts of horrible things have happened with any surgery; same is true with walking across the street, or down the aisle of the supermarket. Diarrhea occurs in a small percentage of patients. If it does, it's usually easy to control with diet or occasional medicine. Some people have a big problem; not many. But that's one reason why I like to wait until symtoms: it makes it a better choice. In the hands of experienced surgeons, bile duct injury is very rare, but not impossible. I personally prefer what I call "minicholecystectomy" which is done with one small (1 1/2 inch, usually) incision instead of several smaller ones. Studies (done on people with bigger incisions than I make, but still quite small) have shown no difference in pain, return to work, etc, but fewer complications and much less cost with mini surgery than with laparascopic surgery. However, it's harder to do, and you won't likely find anyone who does it. Laparoscopy has won the PR battle. And it's a fine procedure, don't get me wrong.
I wish to thank everyone who bothered to add their valuable input to my question.
Most of all I wish to thank the surgeon who provided his invaluable input to the issues I raised.
In my previous thank-you note I forgot to post this follow-up question to the surgeon.
The lap specialist I saw asserted that I may get pancreas problems if I wait and that this may be a life-threatening condition.
Would you please comment?