Gallstones and Biliary Colic

Definitions

Gallstones are small condensations of bile salts that appear in the gallbladder, which is the little purse like structure under your liver that is used to store bile. Bile aids in digestion of fatty foods. Gallstones are rare in children. Gall stones may run in families, and may not even cause any symptoms. 

There are situations that increase the risk of developing gallstones, such as certain medications, cyanotic heart disease, haemolytic disorders (such as Thalassaemia and Sickle Cell disease), and weight loss or weight gain. 

When gallstones stones cause pain it is called Biliary Colic. It is characterised by pain after eating, especially fatty food, that is felt in the upper abdomen and may radiate to the right shoulder or the back. 

If the gallbladder becomes obstructed, inflamed and eventually infected, this is called Cholecystitis and is an emergency problem. There will usually be constant pain, and a fever. 

If the gall stones block the bile duct, they can cause jaundice or a yellowing of the skin and eyes. 

Gall stones can also pass from the gall bladder to the intestines, and in doing so cause pancreatitis, which is a severely painful and dangerous condition. 

DR ROB’S APPROACH

Dr Rob is trained in minimal access surgery, and employs a key hole approach to remove the gallbladder and the gall stones. This procedure is done as an elective operation for biliary colic, and may be done as an emergency for cholecystitis or pancreatitis. 

There will be one incision below the belly button for the camera, and three 5mm incisions in the upper abdomen and on the right side. All the incisions will be closed with dissolving sutures and glue. Your child will be allowed to drink as soon as they wake up, and a few hours later will be offered food if they are feeling well. 

Your child will usually need just one night in hospital to recover from the surgery, and will need 1 week off of school, and 2 to 4 weeks off of sport. 

Dr Rob will see you every day in hospital until your child is ready to go home, and will see you again in his clinic 1 week after the operation to make sure your child is having the expected recovery. 

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Dr Rob McCusker Childrens Surgeon Paediatric Surgery Gold Coast Queensland

DR ROB McCUSKER

Gold Coast Children’s Surgeon

Dr Rob is dedicated to the highest quality of care and technical excellence for his patients.

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