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Hanging noncalculous gallbladder

E Tzardinoglou1, J Prousalidis, S Apostolidis

  • 1Department of Medicine, Aristotles University of Thessaloniki, AHEPA Hospital, Greece.

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
|January 1, 1996
PubMed
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Cholecystectomy can effectively treat biliary pain caused by acalculous gallbladder disease. This study found complete symptom relief in all patients undergoing this procedure for symptomatic "hanging" gallbladders.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Acalculous gallbladder disease presents diagnostic challenges.
  • Surgical intervention for non-inflamed, acalculous gallbladders is debated.
  • Typical biliary pain warrants thorough investigation.

Purpose of the Study:

  • To evaluate the efficacy of cholecystectomy for symptomatic acalculous gallbladder disease.
  • To present clinical experience with a specific subset of gallbladder pathology.
  • To assess outcomes in patients with elongated, abnormally positioned gallbladders.

Main Methods:

  • Retrospective analysis of 1089 gallbladder disease cases (1982-1990).
  • 27 patients with symptomatic acalculous, non-inflamed gallbladders underwent cholecystectomy.

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  • Diagnosis confirmed by oral cholecystogram and ultrasonography; other pain causes excluded.

    • Main Results:

    • Patients experienced a mean of 5 years of biliary pain symptoms.
    • Gallbladders were often elongated, abnormally positioned (lumbar, pelvic, iliac), with poor function.
    • Pathology revealed mild chronic inflammation or minimal changes.
    • Complete symptom relief was achieved in all 27 patients post-cholecystectomy.

    Conclusions:

    • Cholecystectomy is a viable treatment for symptomatic acalculous gallbladder disease.
    • Symptomatic "hanging" gallbladders, even without acute inflammation, benefit from surgical removal.
    • This procedure offers complete symptom resolution in carefully selected patients.