Cholecystectomy Informed Consent obtained through deception is medical fraud.
Examples from Surgeons telling key fundamental miss truths in order to make the Patient confortable with the option, can live a normal life, eat a normal healthy diet, do digestive and likely heath complications once the gallbaldder and its fuction is removed. Key points in infromed conset patient hand out
bile is stored in the bile duct instead of the gallbladder
No diegstive issues
Digest Fats normaily
When you have a meal the sight and smell of food causes a complex chain of events to start which control release of bile into the duodenum from the gallbladder and bile duct via the ampulla. Food, particularly fatty food, entering the gut is a further strong stimulus for release of bile, which continues to be released until food and digestive juices reach the next part of the bowel.
If you do not have a gallbladder (e.g. following surgery) it makes very little difference to this process since bile is stored in the bile duct instead of the gallbladder. A normal gallbladder holds only around 25-40ml of bile. An average person makes 500-800ml of bile per day.
The gallbladders main function is to store bile until it is needed to help digest fat in the diet. After the gallbladder is removed the bile ducts usually increase slightly in size and store some of the bile.”
Not all bile ducts expand in complicity. ( Should this be a major risk!?! surgeons need do advise patients as the function of the gallbladder is not replaced for some. No, lie in the first place)
Digestion is permanently disabled, weight gain commonly occurs ( 75%) found below
And, never disclosed: – Most patients suffer permanent impairments of the digestive system as a consequence of cholecystectomy, and develop various disorders as a result of poor digestion. The gall bladder is a vital organ with a crucial role in the absorption of fat and fat-soluble vitamins A, D, E and K and in essential fatty acids (omega-3 and omega-6), and poor cholesterol metabolism. In the long run, this may contribute to fatty liver. The absence of the gall bladder affects not only the process of food digestion but a wide range of other internal processes as well. In time, patients who have suffered cholecystectomy are also exposed to a high risk of developing heart disease, diabetes and disorders of the nervous system. This is due to inappropriate synthesis and assimilation of vital nutrients, vitamins and minerals.
Changes in bile duct diameter after cholecystectomy: a 5-year prospective study.
Hunt DR1, Scott AJ.
In this prospective study, we have measured with ultrasound the diameter of the common hepatic duct and the common bile duct in a series of 24 patients having elective cholecystectomy. Preoperative measurements by ultrasound were compared with measurements taken directly from operative cholangiograms and excellent correlation was observed (r = 0.938). Studies were repeated 1 mo, 12 mo, and 5 yr after operation. Of 21 patients returning for study at 5 yr, there were 4 patients with 1-mm ducts before surgery who showed an increase in the size of the common hepatic duct but in none was the final measurement greater than 4 mm. Mean common hepatic duct diameter (n = 21) increased from 3.95 mm before to 4.48 mm 5 yr after surgery (p = 0.24, paired t-test). Common bile duct was more easily seen after cholecystectomy and of 13 ducts satisfactorily measured 1 and 5 yr after surgery, 7 showed an increase in size (mean common hepatic duct 1 yr = 4.77 mm, 5 yr = 5.92 mm, p = 0.059, paired t-test). Significant dilatation of the common hepatic duct was seen in only 2 of 21 patients, but a strong trend to minor dilatation was observed in the common bile duct after cholecystectomy.