#cholelithiasis

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Cholelithiasis means gallstones. It happens when small, hard stones form inside the gallbladder. It affects many people across India and can lead to pain, digestive issues, or serious complications if left untreated. While some individuals may not show symptoms, others may require surgical treatment to avoid long-term problems. At the forefront of advanced gallbladder treatment is Dr. Srivatsan Gurumurthy, a leading Gallbladder Surgeon in Chennai with over 17 years of experience. He specializes in minimally invasive and robotic gallbladder surgeries, offering safer and faster recovery options for patients suffering from gallstone disease.

Get More Information:-https://www.drsrivatsan.com/a-simple-guide-to-cholelithiasis/

What is Cholelithiasis?

Cholelithiasis refers to the formation of gallstones within the gallbladder, which are hardened deposits of digestive fluid. The gallbladder is a small organ under the liver that stores bile, a fluid that helps in digestion. Sometimes, substances like cholesterol or bilirubin in the bile can form stones. These stones can block the normal flow of bile and lead to pain, infection, or even damage to nearby organs.

Common Causes of Cholelithiasis:

Several factors can cause gallstone formation. The most common include:

High cholesterol in bile

Obesity or rapid weight loss

Pregnancy

Liver disease

Family history of gallstones

Certain medical conditions like diabetes

Poor diet with high fat and low fibre

Women and individuals over the age of 40 are at a higher risk of developing gallstones due to hormonal changes, obesity, and genetic factors.

Symptoms of Cholelithiasis:

Not everyone with gallstones has symptoms. But when the stones block the bile duct, it can cause:

Sudden pain in the right upper abdomen or under the ribs

Pain that may spread to the back or right shoulder

Nausea or vomiting

Indigestion or bloating

Fever or chills (if infection is present)

Yellowing of the skin or eyes (jaundice)

If you experience these symptoms, especially repeated pain after meals, consult a specialist for further evaluation.

What Tests are Used to Diagnose Cholelithiasis?

To confirm the presence of gallstones, doctors usually recommend imaging tests such as:

Ultrasound: the most common test to detect stones in the gallbladder

CT scan or MRI: to get a detailed view if complications are suspected

Endoscopic ultrasound (EUS): to check for stones in the bile duct

Liver function tests: to evaluate bile flow and liver health

Accurate diagnosis helps in planning the best treatment.

Does Cholelithiasis Require Surgery?

Not always. If you do not have symptoms, your doctor may suggest watchful waiting. But if you have frequent pain or complications like infection or bile duct blockage, surgery is the safest option. The most common and effective treatment is laparoscopic or robotic gallbladder surgery. This involves removing the gallbladder to prevent further problems. Since the gallbladder is not essential for life, most people live a normal life after its removal.

Can Cholelithiasis Go Away Without Surgery?

Some people hope to avoid surgery, but the truth is — gallstones usually do not go away on their own. Home remedies or medicines may help in rare cases, but they often offer only temporary relief. Without treatment, gallstones can lead to serious issues like:

Gallbladder infection (cholecystitis)

Bile duct blockages

Pancreatitis

Jaundice

Hence, if you’re searching for bile duct disorder treatment in Chennai, it’s important to act early and consult a qualified specialist.

How is Cholelithiasis Diagnosed?

To find out if you have gallstones, the doctor will first ask about your symptoms. Then, they will do a physical check-up and suggest some tests to confirm the problem. Dr. Srivatsan Gurumurthy uses a thorough approach, including advanced imaging and blood tests, to identify the type and location of the stones. This helps him decide whether medication or surgery is required.

Treatment Options for Cholelithiasis:

The treatment for cholelithiasis (gallstones) depends on your symptoms, the size of the stones, and your overall health. Here are some commonly used options:

Laparoscopic Gallbladder Surgery: This is the most common and safest treatment for gallstones. In this method, the gallbladder is taken out by making small cuts on the stomach area. A thin camera (laparoscope) helps the surgeon see inside. It is a minimally invasive surgery, so recovery is faster, there is less pain, and hospital stay is short. Most people return to normal life within a few days.

Robotic Gallbladder Surgery: This is an advanced and more precise form of surgery. In robotic gallbladder surgery, the surgeon uses a robot-assisted system for better control and accuracy. It gives excellent results, especially for people who are overweight or have complex health conditions. The cuts are very small, the pain is less, and healing is quicker. Robotic surgery offers better precision and control, which significantly lowers the chances of surgical complications.

Why Choose Dr. Srivatsan Gurumurthy for Gallbladder Surgery in Chennai?

Dr. Srivatsan Gurumurthy is one of the most experienced surgeons for gallbladder stone treatment in Chennai. With over 17 years of surgical expertise, he is a pioneer in robotic and laparoscopic procedures. He practices at GEM Hospital, Perungudi, one of the leading centres for gastrointestinal surgery. Here’s why patients trust him:

Expert in both traditional and robotic gallbladder surgery

Extensive experience in treating bile duct disorders

High success rate and personalised care

Minimal access techniques that ensure faster healing

A compassionate approach and detailed explanation before surgery

The terms “choledocholithiasis” and “cholelithiasis” might seem complicated, but they refer to common medical conditions involving gallstones. Both conditions affect the biliary system, yet they differ in terms of where the stones are located and their impact on the body. This blog aims to clarify the distinction between these two conditions and highlight the importance of expert care, particularly in Chennai, where experienced gallbladder surgeons like Dr. Srivatsan Gurumurthy offer specialized treatment.

Get More Information:-https://www.drsrivatsan.com/choledocholithiasis-vs-cholelithiasis-understanding-the-difference/

What is Cholelithiasis?

Cholelithiasis is the medical term for gallstones in the gallbladder. Gallstones are hardened deposits of digestive fluids, primarily cholesterol or bile salts, that form in the gallbladder.

Symptoms: Many people with cholelithiasis may not experience symptoms. However, some may have pain in the upper abdomen (biliary colic), nausea, vomiting, or indigestion.

Complications: If left untreated, cholelithiasis can lead to inflammation of the gallbladder (cholecystitis), bile duct blockages, or even infections.

What is Choledocholithiasis?

Choledocholithiasis occurs when gallstones migrate from the gallbladder into the common bile duct. This can lead to blockages and complications, as the bile duct is responsible for transporting bile from the liver and gallbladder to the small intestine.

Symptoms: Common symptoms include severe pain in the upper abdomen, jaundice (yellowing of the skin and eyes), fever, and dark urine.

Complications: If not addressed, choledocholithiasis can cause serious issues like bile duct infection (cholangitis) or pancreatitis.

How Are They Diagnosed?

Both conditions require proper diagnosis using advanced imaging techniques such as:

Ultrasound: The first-line tool for detecting gallstones.

MRCP (Magnetic Resonance Cholangiopancreatography): A non-invasive imaging test for the bile ducts.

ERCP (Endoscopic Retrograde Cholangiopancreatography): A diagnostic and therapeutic tool for removing bile duct stones.

Treatment Options:

Treatment for cholelithiasis and choledocholithiasis depends on the severity and location of the stones.

For Cholelithiasis:

Lifestyle Changes: Mild cases can sometimes be managed with dietary adjustments.

Surgery: Laparoscopic cholecystectomy (removal of the gallbladder) is the gold standard for symptomatic gallstones.

For Choledocholithiasis:

Endoscopic Treatment: ERCP is commonly used to remove stones from the bile duct.

Surgical Intervention: In some cases, laparoscopic or robotic-assisted surgery may be required.

Srivatsan Gurumurthy: Your Trusted Gallbladder Surgeon in Chennai

Dr. S. Srivatsan Gurumurthy, MS, DNB (GI Surgery), FMAS, FMIAS, is a renowned gallbladder surgeon in Chennai and Senior Consultant Surgical Gastroenterologist & Clinical Lead at Apollo Super Speciality Hospital, Teynampet, Chennai. With over 17 years of experience in advanced gastrointestinal surgery, he also consults at SS Surgical Clinic, CIT Colony, Mylapore, Chennai.

Dr. Srivatsan Gurumurthy specializes in treating gallbladder-related conditions, including cholelithiasis and choledocholithiasis. He completed his M.B.B.S. from Chengalpattu Medical College (2005), M.S. in General Surgery from Stanley Medical College (2010), followed by DNB in GI Surgery (2015) and FMAS from the International Congress of Association of Minimal Access Surgeons of India (2017) — a robust academic foundation that underpins his surgical precision.

Trained in the da Vinci Si Surgical System, he is one of Chennai’s most trusted robotic surgery specialists, with expertise spanning robotic and laparoscopic surgeries of the stomach, colon, pancreas, liver, and esophagus. His extensive expertise in minimally invasive and robotic-assisted surgery ensures precise and effective treatment for his patients.

He has co-authored and published 34 research papers in various international and national journals, received the prestigious Travel Grant Award for the best Laparoscopic paper presentation at AHPBA 2019, Seoul, South Korea, and has been invited as faculty at multiple international surgical conferences, including AMASICON and the Sri Lankan Surgical Society Annual Conference.

Why Choose Us?

Experienced Specialist: Dr. Srivatsan Gurumurthy has years of expertise in gallbladder and bile duct surgeries.

Advanced Technology: State-of-the-art facilities at  Apollo Super Speciality Hospital, Nandanam, Chennai,, including robotic surgery and 4K imaging systems.

Comprehensive Care: Personalized treatment plans for every patient.

High Success Rates: Proven track record in managing gallstone-related complications.

Patient-Centered Approach: Focus on patient comfort, safety, and quick recovery.

Take the First Step Towards Recovery:

Gallstone-related conditions can be managed effectively with timely medical attention. Dr. Srivatsan Gurumurthy provides treatment at Apollo Super Speciality Hospital, Nandanam, Chennai, and SS Surgical Clinic. If you have any questions or need expert care for gallstones or bile duct conditions, consult us today.

Are you experiencing a sudden, sharp pain in your upper abdomen? It could be more than just indigestion. Many people in India suffer from Cholelithiasis, commonly known as gallstones. While the name sounds complex, understanding the condition is the first step toward effective relief.

In this guide, Dr. Srivatsan Gurumurthy, a leading Gastroenterologist in Chennai, explains everything you need to know about gallstones and the latest robotic and laparoscopic treatments available today.

Get more Information:- https://www.drsrivatsan.com/a-simple-guide-to-cholelithiasis/

What is Cholelithiasis?

Cholelithiasis is the medical term for the formation of stones inside the gallbladder. The gallbladder is a small, pear-shaped organ located just below your liver on the right side of your abdomen. Its primary job is to store bile, a digestive fluid produced by the liver that helps break down fats.

Sometimes, the chemical balance of bile gets disturbed. This causes substances like cholesterol or bilirubin to harden into small, pebble-like deposits. These stones can be as tiny as a grain of sand or as large as a golf ball.

Common Symptoms of Gallstones

Not everyone with gallstones feels pain immediately. These are often called "silent stones." However, when a stone blocks a bile duct, it can lead to a "gallbladder attack."

If you notice the following symptoms, you should consult a Gastroenterologist in Chennai promptly:

Sudden Pain: Intense pain in the upper right part of the abdomen.

Back Pain: Pain radiating between the shoulder blades.

Nausea and Vomiting: Frequent feeling of sickness after meals.

Digestive Issues: Bloating, gas, and indigestion, especially after eating oily or fatty foods.

Jaundice: Yellowing of the skin and eyes (this indicates a more serious blockage).

Why Do Gallstones Form?

While the exact cause can vary, several factors contribute to Cholelithiasis:

High Cholesterol: If your bile contains too much cholesterol, it can crystallise into stones.

Excess Bilirubin: Certain blood disorders or liver conditions cause the liver to make too much bilirubin.

Gallbladder Stasis: If the gallbladder does not empty completely or often enough, the bile becomes very concentrated.

Lifestyle Factors: Obesity, a high-fat diet, and rapid weight loss are common triggers in the Indian population.

When to See a Gallbladder Surgeon?

If your symptoms are recurring, it is time to seek professional help. Dr. Srivatsan Gurumurthy is a renowned Gallbladder Surgeon in Chennai with over 17+  years of experience. Consulting an expert early can prevent complications like gallbladder inflammation (cholecystitis) or pancreatitis.

As a specialist at GEM Hospital, Dr. Srivatsan uses advanced diagnostic tools to confirm the presence of stones and determine if surgery is necessary.

Diagnosis and Treatment Options

A Surgical Gastroenterologist in Chennai will typically recommend an ultrasound or a CT scan to locate the stones. Once diagnosed, the most effective treatment for symptomatic gallstones is the surgical removal of the gallbladder, a procedure known as a Cholecystectomy.

1. Laparoscopic Surgery

This is the "gold standard" for gallbladder removal. Instead of a large incision, the surgeon makes 3 or 4 tiny "keyhole" cuts. A camera and specialized tools are used to remove the organ.

Benefits: Less pain, faster recovery, and minimal scarring.

2. Robotic Surgery

For complex cases, Dr. Srivatsan Gurumurthy utilizes the Da Vinci Si Robotic System. As a leading Robotic GI Oncosurgeon in Chennai, he uses robotic precision to ensure the highest safety standards.

Benefits: Greater accuracy, 3D high-definition vision, and better outcomes for the patient.

Why Choose Dr. Srivatsan Gurumurthy?

Choosing the right surgeon is crucial for a successful recovery. Dr. Srivatsan Gurumurthy is highly qualified with degrees including MBBS, MS (General Surgery), and DNB (GI Surgery). He is a fellow of FMIAS and FMAS, specializing in minimal access surgery.

He has co-authored 34 research papers and has been invited as faculty at international conferences in Seoul, Geneva, and Sri Lanka. His expertise in Robotic and Laparoscopic Liver and Pancreas surgery makes him a trusted name for patients across Tamil Nadu.

Life After Gallbladder Removal

A common concern is: "Can I live without a gallbladder?" The answer is yes. Your liver will still produce bile; it will simply flow directly into your small intestine instead of being stored. Most patients return to their normal diet and activities within a week or two following laparoscopic surgery.

Patient-Centric Care in Chennai

Dr. Srivatsan practices at two convenient locations in Chennai, ensuring accessible healthcare for all:

GEM Hospital, Perungudi: A world-class facility for gastroenterology.

SS Surgical Clinic, Mylapore: Personalized care in the heart of the city.

Whether you are looking for a Gastroenterologist in Chennai for a second opinion or need an expert Gallbladder Surgeon in Chennai, Dr. Srivatsan offers compassionate and advanced surgical care.

Contact Information

If you are suffering from abdominal pain or have been diagnosed with gallstones, do not delay your treatment.

Phone: 96772 31111

Email: [email protected]

If you have ever felt a sharp pain in your upper abdomen, you might have wondered if it is gallstones. Many people use terms like "gallstones" generally, but in the medical world, the location of the stone changes everything. Two common conditions often confused are Choledocholithiasis and Cholelithiasis.

While they sound similar, their risks and treatments vary significantly. Understanding these differences is the first step toward getting the right care. For residents seeking expert advice, consulting a Surgical Gastroenterologist in Chennai is essential to prevent complications.

In this guide, we will break down these conditions, their symptoms, and the advanced treatment options available at the clinics of Dr. Srivatsan Gurumurthy.

Get More Information:- https://www.drsrivatsan.com/choledocholithiasis-vs-cholelithiasis-understanding-the-difference/

What is Cholelithiasis? (Gallstones in the Gallbladder)

Cholelithiasis is the medical term for stones located inside the gallbladder. The gallbladder is a small, pear-shaped organ under your liver that stores bile. Bile helps your body digest fats.

When the chemical balance of bile is upset, hard deposits form. These are gallstones. Most people with cholelithiasis may not even know they have it. However, if a stone blocks the exit of the gallbladder, it causes "biliary colic"—a steady, gripping pain.

Common Symptoms of Cholelithiasis:

Sudden pain in the upper right abdomen.

Pain radiating to the right shoulder or back.

Nausea or vomiting after a heavy meal.

Bloating and indigestion.

What is Choledocholithiasis? (Stones in the Bile Duct)

Choledocholithiasis occurs when at least one gallstone moves out of the gallbladder and gets stuck in the Common Bile Duct (CBD). This is the tube that carries bile from the liver to the small intestine.

This condition is much more serious than simple gallstones. A blockage in the duct can stop the flow of bile entirely. This leads to backup in the liver and can cause severe infections or organ damage. If you suspect this, you should immediately visit a Gastroenterologist in Chennai for a proper diagnosis.

Symptoms of Choledocholithiasis:

Jaundice: Yellowing of the eyes and skin.

Dark Urine: Tea-colored urine.

Pale Stools: Clay-colored stools.

Fever and Chills: This may indicate a dangerous infection called Cholangitis.

Persistent, severe abdominal pain.

Key Differences at a Glance

Feature

Cholelithiasis

Choledocholithiasis

Location

Inside the Gallbladder

Inside the Common Bile Duct

Primary Risk

Inflammation (Cholecystitis)

Jaundice and Pancreatitis

Urgency

Can be elective surgery

Often requires urgent intervention

Main Symptom

Intermittent abdominal pain

Yellowing of skin/eyes (Jaundice)

Why You Should Not Ignore the Symptoms

Ignoring gallbladder issues can lead to "Silent" stones turning into surgical emergencies. When a stone blocks the bile duct, it can also block the pancreatic duct. This causes Gallstone Pancreatitis, a life-threatening inflammation of the pancreas.

As a leading Gallbladder Surgeon in Chennai, Dr. Srivatsan Gurumurthy emphasizes that early diagnosis through ultrasound or MRCP (a special MRI for bile ducts) can save patients from complex emergency surgeries.

Advanced Treatment Options in Chennai

The approach to treating these two conditions is different. At GEM Hospital and SS Surgical Clinic, we use the latest technology to ensure quick recovery and minimal pain.

1. Laparoscopic Cholecystectomy (For Cholelithiasis)

For stones in the gallbladder, the gold standard is the surgical removal of the gallbladder. This is done via "Keyhole" surgery. Dr. Srivatsan Gurumurthy is an expert in laparoscopic techniques, allowing patients to return home within 24 to 48 hours.

2. ERCP and Robotic Surgery (For Choledocholithiasis)

If stones have migrated to the bile duct, the process involves two steps:

ERCP: An endoscopic procedure to remove the stone from the duct.

Surgery: Removing the gallbladder to prevent more stones from falling into the duct.

For complex cases, Robotic Surgery offers unmatched precision. As a specialized Robotic GI Oncosurgeon in Chennai, Dr. Srivatsan uses the Da Vinci Si system to perform intricate duct clearances with better visualization than traditional methods.

Why Choose Dr. Srivatsan Gurumurthy?

Choosing the right surgeon is vital for a successful outcome. Dr. Srivatsan Gurumurthy brings over 17 years of surgical excellence to the table. His background is extensive:

Education: M.B.B.S., M.S. (General Surgery), and DNB in GI Surgery.

Specialization: He holds fellowships in Minimal Access Surgery (FMIAS and FMAS).

Recognition: He has published 34 research papers and received the "Travel Grant" award at AHPBA 2019 in Seoul for his work in laparoscopic surgery.

Innovation: He was a faculty member who presented on Robotic surgery for the youngest patient in the world.

Whether you need a routine hernia repair or a complex liver resection, his expertise at GEM Hospital ensures you are in the safest hands.

Prevention Tips for Gallstones

While some factors like genetics cannot be changed, you can lower your risk through lifestyle choices:

Maintain a Healthy Weight: Obesity is a major risk factor for gallstones.

Eat High-Fiber Foods: Include whole grains, fruits, and vegetables in your diet.

Avoid Rapid Weight Loss: Losing weight too quickly can cause the liver to secrete extra cholesterol into bile.

Stay Hydrated: Water helps in maintaining the consistency of bile.

Conclusion

Cholelithiasis and choledocholithiasis are related but different conditions. One affects the gallbladder. The other affects the bile duct. Both require proper evaluation and timely treatment.

Many patients come to clinics with gallbladder pain and hear complicated medical words. Two of the most common are “cholelithiasis” and “choledocholithiasis.” To make things easier, Dr. Jayadatt Pawar, a leading GI and Laparoscopic Surgeon, explains the difference in simple, patient-friendly terms.

Cholelithiasis = Gallstones Inside the Gallbladder This is the most common gallbladder problem. Stones form and sit inside the gallbladder. Some people never feel symptoms, but others may experience:

Sharp pain on the right side

Nausea

Pain after oily food

Gas, acidity, or bloating

These stones can stay harmless or move out of the gallbladder and cause bigger issues.

Choledocholithiasis = Gallstones Block the Bile Duct This means the stone has left the gallbladder and reached the tube that carries bile to the intestine (common bile duct). This blockage is more dangerous and needs quick treatment. Symptoms include:

Strong abdominal pain

Yellow eyes or skin (jaundice)

Fever

Dark yellow urine

Risk of Complications Choledocholithiasis can lead to infection (cholangitis) or pancreatitis, both of which require urgent care.

How Are These Conditions Treated?

Gallbladder stones → Laparoscopic/Robotic gallbladder removal

Duct stones → ERCP to remove the stone + gallbladder removal later

Final Takeaway The main difference is location:

Cholelithiasis = stones in the gallbladder

Choledocholithiasis = stones in the bile duct

For accurate diagnosis and safe treatment, experts like Dr. Jayadatt Pawar play a crucial role

Consult Dr. Jayadatt Apwar at

Amrita Hospitals at Faridabad

Elysian Healthcare New Delhi.

पित्ताशयात खडे झाल्यानंतर फक्त खडे काढता येतात का? | Gallbladder Stone (Cholelithiasis) | Dr. Jyotsna Kulkarni