Gallstones are present in about 5% of the US population and approximately 20% of patients with gallstones develop biliary colic (gallbladder pain). Classic biliary colic symptoms include right upper abdominal pain (or band-like upper abdominal pain) that typically occurs after eating. The pain if often preceded by gassiness, bloating, flushing, and nausea and can move to the back, chest or shoulder. The symptoms typically occur 20 minutes to 3 hours after eating, most commonly after eating greasy/ fried foods or foods with high oil/ fat content (cream, whole milk, eggs, pastries, mayo, salad dressing, sauces, cheese, meat, etc.) The symptoms typically occur late at night and can last from 30 minutes to 6 hours or more. In some patients the pain is very severe. The pain is sometimes confused for heartburn, but is not completely relieved with antacid medications (Prilosec, Prevacid, Nexium, Pepcid, etc.). A family history of gallbladder disease may be present. Biliary colic occurs most commonly in young women, 20-40 years of age, but this problem can occur in men and women of any age. Most patients have symptoms that come and go and have been present often on and off for months if not years.
What we offer:
We offer minimally invasive laparoscopic cholecystectomy as well as single-incision robotic cholecystectomy. Gallbladder surgery is typically performed as a same day procedure (sometimes 1 night stay). Patient now have less pain than before with our routine use of Exparel (liposomal bupivacaine), a local anesthetic that lasts 72 hours instead of 6 hours. Most patients are back at work or school 5-10 days after surgery, and feel completely recovered at 1 month.