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Hello Anonymous

Some people walk around with gallstones and never have a problem and don't have to have their gallbladder removed. Other people don't even have stones but end up with sludge or a poorly functioning gallbladder and need surgery. Gallstones can be like tiny grains of sand or they can be large.

What did your surgeon tell you about the situation and your odds? It can be difficult and sometimes dangerous to chase the stones through your bile duct or biliary tree. It can cause inflammation in the duct or your pancreas and other issues.

I'm guessing that the surgeon felt the danger of trying to grab all the stones was greater than the danger of leaving them. Stones can cause problems if they are lodged in your bile duct or biliary tree. It is hard to predict whether that would happen. I would discuss this with the surgeon at length and be honest about your concerns. But having seen patients in the hospital with pancreatitis and other biliary issues secondary to testing or trying to grab stones that were not in the gallbladder, I might be okay with leaving some small ones if there was a good reason for it.

I found a site with a nice diagram and good explanation of the whole gallstone issue that may help you understand this better: http://www.ddc.musc.edu/public/problems/diseases/pancreas/gallstones.cfm. I hope this helps you. Please let me know if you have further questions. Thank you for writing.

September 18, 2010 - 4:01pm

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