Risk of gallbladder disease surgery increases with the oral therapy with estrogen in postmenopausal women

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By: | Women's Health Dr. Victor Marchione | Wednesday, September 7, 2016 - 14.00

allbladder increased risk for surgery with estrogen therapy in postmenopausal women A large study found that estrogen increases oral therapy for postmenopausal women, the gallbladder surgery risk of gallstones.

According to the study, published in the Canadian Medical Association Journal (CMAJ), postmenopausal women who took estrogen skin patches or gels through compared to oral therapy of estrogen seem a higher risk. Gallstone disease is common, but in France, where the study participants hormone treatment menopause usually administered topically rather than orally. Americans and those who live in the UK, tend though to take oral hormone treatments.

In this large study, 70,928 postmenopausal women studied in France 1992-2008 to see whether hormone therapy increases the risk of gallbladder surgery or cholecystectomy, as it is medically known. The results showed that women who were exposed to estrogen for the oral treatment of cholelithiasis, an increased risk of complications of cholecystectomy have. Other types of hormone therapy does not appear to increase the risk.

The research team found that nearly 46,000 of the 70, 928 women were reported to hormone therapy for menopause and 2819 cholecystectomies were. The team has other health factors were taken into account, including lifestyle and reproductive history. They point out that the risk is slightly higher in the case of oral estrogens "without resistance" in comparison to therapies that include a combination of estrogen and progestrogen.

The authors of the analysis suggest that gallstone disease should be added to the list of possible side effects, should be considered when the benefits and risks of hormone therapy in menopause to evaluate.

Gallstones are not pleasant. They can cause sudden pain in the abdomen. Gallstones are best described as hardened digestive fluid that can develop in the gallbladder, a small organ on the right side of his stomach deposits. Some Gallen cause no symptoms and require no treatment, while others may be very painful and require surgical removal of the gallbladder.

Other treatment options for gallstones

If the gallstone disease is a strike, there are a few different approaches to the same treatment. Some doctors keep an eye on Gallstones are small and do not show small signs and symptoms. Doctors show that about 50 percent of patients with gallstones never experience another attack. In some situations, the stone itself is dissolved or peeled off, which any serious medical procedure requires.

Gallstones may be removed using bile salts. This is usually a method for the stones formed from cholesterol compared to bile pigments. It is also a requirement for some patients with gallstones, but it can take months or even years to fully attack the stone and make it disappear. Another nonsurgical method of therapy of shock waves. This involves high frequency sound waves to break the stones. Bile salts are helping down to small pieces to solve given. Finally, a technique has been known by the name of contact solution, dissolve gallstones. In this case, the doctor inserts a catheter into the abdominal cavity and a drug is injected directly into the gallbladder, helps the stone to disappear. Since the resolution of the contact and the shock wave therapy is considered experimental.

Each year about 750,000 Americans will have your gallbladder removed. Surgery is really the only treatment that gallstones is guaranteed not grow back.

There are steps you can prevent gallstones take. For example, a regular schedule of meals is helpful to keep. Studies show that fasting can increase the risk of gallstones. Maintaining a healthy weight, lose weight slowly, and the reduction of foods that are rich in saturated fats, are also good ideas. Much research shows that cholesterol plays an important role in the formation of gallstones. Of course, is important for your gallbladder not only maintain a healthy lifestyle, but also for your health.

If symptoms such as sudden pain in the right upper abdomen, back pain between the shoulder blades and pain occur in his right shoulder, you should consult a doctor. You can or not because be faced gallstones with an attack of the gallbladder, although these symptoms should be treated appropriately.

Sources:
https://www.sciencedaily.com/releases/2013/03/130318132631.htm
http://www.cmaj.ca/content/185/7/555
http://www.medscape.com/viewarticle/780938
http://www.webmd.com/digestive-disorders/understanding-gallstones-treatment
http://www.webmd.com/digestive-disorders/understanding-gallstones-treatment?page=2
http://www.mayoclinic.org/diseases-conditions/gallstones/basics/prevention/con-20020461
http://www.nhs.uk/Conditions/Gallstones/Pages/Prevention.aspx
http://www.mayoclinic.org/diseases-conditions/gallstones/basics/definition/con-20020461


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