Download - Is it my gallbladder or heartburn?
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Is it My Gallbladder or Heartburn? An Overview of How You Know, and What To Do.
By Jeffrey Eakin M.D.
Brought to you by
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Gallbladdder
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Anatomy
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Anatomy
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Ballbladder
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Bile
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Bile Helps Absorb Fats
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Bile
• Bitter-tasting
• Dark green to yellowish brown fluid
• Produced by the liver
• Aids the digestion of lipids in the small intestine.
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Bile
• Cholesterol
• Bile Acids
• Other Lipids
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Gallstones Risk Factors
• Obesity
• Female
• Multiple pregnancies
• Family History
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Gallstones
• They come in all shapes and sizes
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Gallstones
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Gallstones
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Gallstones
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Diagnosis
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Complications of Gallstones
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Gallbladder Pain
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Gallbladder Inflammation
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Liver Infection
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Medical Treatment
• Often hospital
• Pain Control
• IV Fluids
• Nothing to eat
• Sometimes antibiotics
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Surgical Treatments
• Gallbladder removal
• 4 Techniques
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4 Types of Surgeries
• Open Surgery
• Laparoscopic
• Traditional Robotic
• Single incision robotic surgery
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Open Gallbladder Surgery
• 3- 5 Days in Hospital
• Increase risk of hernia
• Sometimes absolutely necessary
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Laparoscopic Surgery
• Sometimes same day surgery
• 4 incisions
• Right shoulder pain common
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Laparoscopic Surgery
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Robotic Multiport Surgery
• Same as Laparoscopic gallbladder removal
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Robotic Multiport Surgery
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Single Incision Robotic Surgery
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Single Incision Robotic Surgery
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Recap Surgery Types
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After Surgery
• 6 weeks no heavy lifting - increased hernia risk
• Less than 8% difficulty eating fatty foods
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Gastroesophageal Reflux Disease
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Symptoms
• Burning in my chest
• Stomach burning
• I feel bitter acid taste in mouth after meals
• “I have heartburn”
• Food and liquid regurgitated
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Diagnosis
• Clinical (Most common in America)
• Endoscopy
• Specialized reflux studies - imaging and acid test
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Clinical Diagnosis
• Most people already on medications - self diagnosis
• Clinical symptoms usually tell tale
• If you have had it for three or more years need and EGD
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Endoscopic Diagnosis
• What is endoscopic?
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Endoscopic Diagnosis
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Endoscopic Diagnosis
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Special Diagnostic Studies
• Esophagram
• Bravo probe study
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Special Studies - Esophagram
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Special Studies - Acid Test
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Special Studies - Acid Test
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Special Studies - Acid Test
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Special Studies - Acid Test
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Complications
• Respiratory infections
• Chronic Cough
• Narrowing from chronic acid damage
• Ulcers
• “Pre-cancerous changes” - Barrett’s Esophagus
• Cancer
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Chronic Cough
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Esophageal narrowing - from scar
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“Pre Cancer”
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Esophageal Cancer
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Medical Treatment
• Acid Reducing Medications
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Acid Reducing Medications
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Which one should I use?
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Which one should I use?
• It is different for everyone
• Use whatever works best for you - even if it is the cheapest option
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Sometimes Medications Don’t Work
• Cannot control symptoms
• Chronic respiratory infections
• Narrowing of esophagus
• Barrett’s esophagus
• Esophagitis
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Surgical Treatment
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Laparoscopic Surgery
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Robotic Nissen Fundoplication
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Hiatal Hernias
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GERD and Gallstones
• Which one do I have?
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GERD and Gallstones
• The most common overlap is the following: “I have been having stomach issues for years. I get nauseated when I eat, and I often have pain after meals.”
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Conclusion
• Gallstones with Symptoms - Remove Gallbladder
• Many surgical options
• GERD - can be treated with medications or surgery
• GERD - some people absolutely need surgery
• The two diseases present the same way (somewhat)
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