Can gallstones be crushed?
Feb 14, 2023
Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Gallstones generally cannot be treated with lithotripsy because they are located within the gallbladder. If laser lithotripsy is used to break the stones into smaller fragments, these smaller stones may become lodged during gallbladder contraction, preventing their expulsion. The presence of small stones in the gallbladder can lead to impaction, triggering acute cholangitis and resulting in complications.
Generally, gallstones cannot be treated with lithotripsy.
Gallstones are a common biliary tract disease, also known as cholecystolithiasis. The development of gallstones is closely related to bile and the gallbladder. Changes in the physical and chemical properties of bile, along with functional alterations in the gallbladder due to various factors, can lead to the deposition of cholesterol, bile salts, and bilirubin in the gallbladder. Over time, these deposits may form biliary sludge, eventually leading to stone formation.
Since gallstones are located within the gallbladder, using laser lithotripsy to break them into smaller fragments is not advisable. These smaller stones could be expelled when the gallbladder contracts, but they may become lodged (impacted) in the bile ducts, potentially causing acute cholangitis and other serious complications. Furthermore, laser lithotripsy for gallstones has not yet been clinically proven effective. Therefore, lithotripsy is generally not recommended for treating gallstones. Currently, laparoscopic cholecystectomy is considered the best treatment option—minimally invasive with rapid recovery.
Patients with gallstones should seek timely medical evaluation and follow professional doctors' recommendations for appropriate treatment. In daily life, maintaining a light diet, consuming more fresh vegetables and fruits, and avoiding spicy or irritating foods are advised.
