Q. Considering my cardiac health, should I get operated for gallbladder stones?

Answered by
Dr. Arvind Guru
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 21, 2017

Hello doctor,

I am a 60 year old female, who weighs 78 kg. I have multiple stones in the gallbladder. And my vomits are greenish or yellowish in color. Once, I threw up brownish vomit, which my doctor said is blood, due to repeated vomiting. The gastric pipe gets torn and abraded a little, and the stomach is acidic, so the vomit was brownish. I am diabetic from the past ten years. I was also diagnosed with high blood pressure, and I am on a mild medication. My surgeon wanted a cardiac assessment as standard operating procedures. He wanted DCE, an alternative test for stress treadmill test, due to high BP of 168/93 mmHg. I did a normal echocardiogram, which was as per him fine. So, he did not perform the stress test and told to go for the surgery, as the TLC count increased from 13500 to 19000 today. Today my BP is 138/80 mmHg. I have no cardiac history. Should I let them operate for gallbladder stones? I have doubts regarding my cardiac assessment.

Dr. Arvind Guru

General Surgery Surgical Gastroenterology Surgical Oncology
#

Hi,

Welcome to icliniq.com.

The short answer, in my opinion, is yes, let them operate for gallbladder stones. Here is why.

  • The surgeon's job was to see that the patient will be safe, so he asked for a cardiac assessment. Here dobutamine stress echocardiogram (DSE) was requested most likely as it must have been presumed that a 60 years old cannot run on a treadmill to do a regular stress test.
  • Well, in reality, there is no well-documented literature that says DSE is mandatory before operating on such patients. In fact, only a few situations absolutely demand this kind of testing, the better judge of this is the cardiologist and not a surgeon. So trust your cardiologist.
  • And there is no previous history of any heart disease and the ECG (electrocardiography) was also normal. Your BP (blood pressure) is also well controlled.
  • WBC (white blood cell) of 19,000 in a diabetic patient with gallstone problems is a danger bell type of situation. It can go bad very swiftly. Along with that, the patient here is overweight. All these things put the patient at moderately increased risk in comparison to a normal patient.
  • But at the same time, delaying surgery could be even worse for the patient. It is much better to be early, than late in this case.

I hope that helps. In case you need more information or second opinion after visiting your doctor or need help regarding what to do or which option to choose, kindly follow-up.

For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Is it necessary to stop taking beta blocker before an EKG?

Query: Hi doctor, Could Atenolol mask any abnormality that might be found where I am not taking a beta blocker at the time of my EKG? I am a 47 year old female. I am overweight but not obese.  Read Full »

Diabetes and Eyes

Article Overview: Diabetes is one of the leading cause for permanent blindness. It is very essential for us to know to avoid the complications of diabetes. Micro-vascular complications will involve eyes, kidneys and nerves in common. But early detection and prevention will avoid permanent disability. Read Article


Dr. Pratap Vgm
Diabetologist

"EYES are the most beautiful organs created by nature which enables us to have vision. It is very important factor for individuals to be independent in their life" Diabetes is a metabolic syndrome entity which is characterized by hyperglycemia, high blood pressure and dyslipedemia. It causes variou...  Read Article

How often do I need a treadmill test?

Query: Hello doctor, I run about five kilometers every alternate day. I recently felt a chest heaviness and a pinching pain. So, I went in for a TMT test. I want to know the frequency at which such tests are to be done. I am attaching the results of my tests.  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Surgical Gastroenterologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.