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Chronic cholecystitis

Definition

Chronic cholecystitis is long-standing swelling and irritation of the gallbladder.

Alternative Names

Cholecystitis - chronic

Causes

Chronic cholecystitis is usually caused by repeated attacks of acute cholecystitis. This leads to thickening of the gallbladder walls. The gallbladder begins to shrink and eventually loses the ability to perform its function, which is concentrating, storing, and releasing bile.

The disease occurs more often in women than in men. The incidence increases after age 40. The main risk factors include the presence of gallstones (in which case, the symptoms are due to gallstones).

Symptoms

Attacks of upper abdominal pain, often with nausea or vomiting.

Exams and Tests

Tests that reveal gallstones or inflammation in the gallbladder:

Treatment

This version of the Encyclopedia has no treatment information. Please discuss any and all treatment options for your condition with your healthcare professional.

Outlook (Prognosis)

Cholecystectomy is a common procedure with a low risk.

Possible Complications

When to Contact a Medical Professional

Call for an appointment with your health care provider if you develop any symptoms of cholecystitis.

Prevention

The condition is not always preventable. Eating less fatty foods may relieve symptoms in people with acute cholecystitis who have not had their gallbladder removed. However, the benefit of a low-fat diet has not been proven.

References

Afdhal NH. Diseases of the gallbladder and bile ducts. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 159.

Review Date: 3/5/2009
Reviewed By: David C. Dugdale, III, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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