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Gallstone Treatment

 

Conventional treatment of gallstones is dependant on the size, associated symptoms, and likelihood of developing complications.  If individuals are asymptomatic, then no treatment is recommended.  If the individual is experiencing symptoms, then surgery is the likely recommendation, especially if complications have the possibility of developing.  Laparoscopic cholecystectomy has become a very common and routine medical procedure. If one wishes to avoid surgery, bile acids can be prescribed.  Treatment with bile acids has been shown to reduce or dissolve the stones if administered for long periods of time, though side effects are present.  Past treatment option, such as shock wave lithotripsy and methyl-tert-butyl ether, are not utilized as often due to the use of laparoscopic surgery.[9]

 

Alternative treatment if focused on prevention rather than reduction or elimination of gallstones.  The focus of treatment is to correct the underlying dysfunction that allowed the formation of gallstones.  Because of the serious complications that can occur, any form of treatment should be under the supervision of a physician.

 

 

Supplements helpful for Gallstone

 

Lecithin

Lecithin is also known as phosphatidylcholine. Lecithin is the main phospholipid present in bile. If its levels are low, cholesterol may super concentrate and gallstones can potentially form.  Supplementation with lecithin can reduce the chance of gallstones forming.  Llecithin will not cause the immediate dissolution or reduction of all ready-formed stones. [10]

 

Lipotropic factors

Specific lipotropic factors are choline, methionine, carnitine, and Inositol.  Lipotropic factors are substances that increase the fat metabolism in the liver.  Lipotropic factors work to reduce the amount of fat deposited in the liver, which in turn decrease the amount of cholesterol in the bile (since bile is made in the liver).  Lipotropic factors can also affect the amplitude of contraction of the gallbladder, or act as cholegogues. [11]

 

One particular study found that patients with gallstones have a decreased amplitude of contraction in response to normal signaling from the pancreas.  Inositol was shown to improve gallbladder contraction in response to this signal. [12]

 

Vitamin C

Vitamin C is very useful for the prevention of gallstones. Patients with gallstones have a lower intake of Vitamin C .[13]  A deficiency in Vitamin C has been shown to result in a decreased breakdown of cholesterol into bile acids, which results in increased stone formation. [14]  Study has shown that high doses of Vitamin C was shown to reduce the tendency of bile to form stones. [15]  Another study found that the supplementation of Vitamin C, along with Vitamin E, may provide a far greater reduction in one's risk of developing gallstones. [16]

 

Cynara scolymus, Artichoke Leaf

Artichoke leaf is a cholegogue, meaning it stimulates the gallbladder to contract and empty its contents into the small intestine. [17]  Because biliary sludge is a contributing factor to the formation of gallstones, cholegogues are an effective treatment.  One must be cautious about stimulating the gallbladder.  If the gallstones are large enough to get stuck in the bile duct, then stimulation is contraindicated because of the risk of obstruction.  In a study using animal models, artichoke leaf extract was also shown to increase both bile acid concentration and bile secretion.[18]

 

 

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