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Gallbladder and bile ducts

Gallbladder and bile ducts

The gallbladder is a pear-shaped organ located beneath the liver at the right upper quadrant of the abdomen. It stores and concentrates bile, which is secreted from the liver throughout the day. It contracts and empties the concentrated bile only when we eat. It contains a lot of excretory materials like cholesterol and bilirubin (Hemoglobin degradation by-product).

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Gallbladder Stones

When the bile in the gallbladder is oversaturated with products like cholesterol or bilirubin, they get hardened and form gallstones. Other than this, if the contraction of the gallbladder is not proper, it can also lead to stasis and stone formation.

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Common bile duct stones

When stones are found inside the common bile duct, the condition is called choledocholithiasis. Usually, these stones are the one which slipped from the gallbladder. Rarely stones form in the common bile duct itself. This may block the bile flow and cause jaundice, pain, and fever. Liver function tests will show abnormally elevated bilirubin and enzymes level.

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Gallbladder cancer

Cancer that starts in the inner lining of the gallbladder is called as gallbladder cancer. Gallbladder cancer is difficult to diagnose at their early stages as they are often asymptomatic. When found early there is a good chance for it to be completely cured. When found at a later time, very often, the prognosis is very poor.

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Bile duct cancer

Cancer cells that develop and grow in the bile duct are termed as bile duct cancer. Also known as cholangiocarcinoma, cancer of the bile duct is very rare but is aggressive. Based on where cancer starts, bile duct cancers can be classified as intrahepatic, perihilar (also called hilar), and distal types. A patient suffering from bile duct cancer can experience itchy skin, yellowing of the skin and eyes, pale bowel movement, pain in the abdomen, easy fatiguability, loss of weight and appetite. Endoscopic stenting of bile duct used to reduce jaundice. Doctors may suggest surgical resection based on the stage and site of cancer. Liver transplantation is offered in selected centers.

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