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The gallbladder is a large and expandable organ like a bag. Bile produced in the liver fills the gallbladder with very tiny ducts (Luschka ducts) that extend from the liver surface to the gallbladder. The sac drains its contents from a very narrow (1.5 – 2 mm) duct (cystic duct) to the main bile duct according to its volume and has no other option to empty it. If the stones formed in the gallbladder block the outlet at the junction of this small duct with the gallbladder, the contents of the gallbladder cannot be emptied. In the first stage, he will want to empty the contents of the gallbladder wall by contracting it at certain intervals. These contractions are reflected in the patient as cramp-like pains that get worse from time to time and then pass, and this situation is called biliary colic. If the stone blocking the outlet is dislodged (body movement, etc.) and the passageway is opened, the gallbladder is emptied and the problem disappears. To a large extent, this is how events unfold. Patients apply to the hospital with the pain described above, and then their complaints go away with the supportive treatment (serum, etc.) given in the hospital. At this stage, most likely ultrasonographic examination is also performed and the stone in the gallbladder is detected. Once the stone in the gallbladder is detected after such a complaint, it is not expected to regress and surgery is required. Biliary colic is the best scenario among the problems that may develop due to gallstones. The necessity of surgery has occurred, but emergency surgery is not necessary. After the patient's complaints have passed, he can adjust his own conditions and plan the surgery at the most appropriate time  -on the condition of not delaying it too long.

In the biliary colic scenario, the stone blocking the outlet displaces after a while, opening the outlet and the patient is relieved. In the absence of this, the process prolongs, the patient's complaint does not go away, and some changes begin to occur in the gallbladder due to the inability to empty the bile. Although the bile does not contain any bacteria while it is fluid under normal conditions, it tends to become inflamed with bacteria when it cannot be discharged and becomes stagnant. If the obstruction is prolonged, this inflammation occurs and this also affects the gallbladder. Just like in other inflamed organs, the wall swells and fluid accumulates around it. This is called gallbladder inflammation (acute cholecystitis). Once the inflammation has developed, it is very difficult to reverse it. Due to the presence of bacteria, antibiotic treatment is required in the hospital, but it is not sufficient. Since the gallbladder is the source of inflammation, it must be eliminated, that is, surgically removed. This surgery should preferably be performed as soon as gallbladder inflammation is detected. If it is delayed, surgery can be performed after a period of 4-6 weeks for the safety of the surgery, which makes the operation technically more difficult, and the risk of other problems that may develop in this 4-6 week period is taken unnecessarily._cc781905-5cde-3194- bb3b-136bad5cf58d_    _cc781905-5cde-131363b-bb3

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