Hello everyone and welcome back to the Biotherapy Alternative Medical Clinic YouTube page.

In this video, we talk about why we shouldn't be in a hurry to remove our Gallbladders and that we should educate ourselves about the importance of the Gallbladder and the possible long-term effects of removing this vital organ.

FOR MORE INFORMATION:
Peter Melamed, LAc, RN, Ph.D.
Biotherapy Alternative Medicine Clinic of San Francisco
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For consultation or appointment call: (415) 409-3939
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FIRST QUOTE
The Rising Tide of Cholecystectomy

“With the introduction of minimally invasive surgery, biliary dyskinesia and the sphincter of Oddi dysfunction has become a new indication for laparoscopic cholecystectomy. This rise was most pronounced in the pediatric population (700% increase), with biliary dyskinesia accounting for more than 10% of cholecystectomies. Compared with acute biliary diseases, significantly more of the not obligatory, elective hospitalisations were covered by private insurances.”
CONCLUSIONS: “Practice patterns differ from expert opinion, with biliary dyskinesia accounting for an increasing fraction of cholecystectomies. The rise in these elective interventions is associated with a shift to a younger, low risk and predominantly privately insured population. Considering the benign nature of biliary dyskinesia, it is time to reassess the need for operative interventions, which have never been compared with active conservative therapy.”
Bielefeldt K. The rising tide of cholecystectomy for biliary dyskinesia. Aliment Phar‐ macol and Ther. 2013;37: 98-106.

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SECOND QUOTE
Cholecystectomy for Biliary Dyskinesia: How Did We Get There?

By Klaus Bielefeldt.and doctors from Divisions of Gastroenterology University of Pittsburgh Medical Center Pittsburgh USA published article in 2014
CONCLUSION: Functional gallbladder testing should not be seen as an indicator of relevant biliary tract disease or prognostic marker to identify patients who may benefit from operative intervention. Instead biliary dyskinesia should be considered as a part of a spectrum of functional disorders, which are generally managed conservatively.”
Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D.
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THIRD QUOTE
Postcholecystectomy syndrome with special regard to children

European doctors. From Department of Pediatric Surgery, Hannover Medical School, Hannover, Germany conclude “Up to one third of the patients consult a doctor because of abdominal complaints within 1 year after the operation. In addition, a higher incidence of colon carcinoma after cholecystectomy has been reported in female patients.”
Ure BM, Jesch NK, Nustede R. Postcholecystectomy syndrome with special regard to children--a review. Eur J Pediatr Surg. 2004 Aug;14(4):221-5.

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FOURTH QUOTE
“Gallbladder Dysfunction: How Much Longer Will It Be Controversial?”

The group of the American surgeons and doctors wrote the medical review about this topic. We can quote some of the provisions of this article. “The etiology and pathogenesis of these disorders are poorly understood, and diagnostic criteria have been historically controversial.”
“Overall, no good medical therapy exists.”
After cholecystectomy “37% were classified as having an unsatisfactory result, 25% reported no improvement.”
“…leading the authors to conclude that data supporting the use of gallbladder ejection fraction in the evaluation of patients with abdominal pain suggestive of biliary disease are insufficient, with the caveat that the quality of the data was low.”
Goussous N.a · Kowdley G.C.a · Sardana N.b · Spiegler E.c · Cunningham S.C.a 
Gallbladder Dysfunction: How Much Longer Will It Be Controversial?. Digestion 2014;90:147-154 
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FIFTH QUOTE
Cochrane
A Cochrane review article was published in 2009 to study the efficacy of cholecystectomy conducted “…evidence is not sufficient to recommend cholecystectomy for patients with gallbladder dysfunction and that further randomized clinical trials are needed.”
Gurusamy KS, Junnarkar S, Farouk M, Davidson BR: Cholecystectomy for suspected gallbladder dyskinesia. Cochrane Database Syst Rev 2009;CD007086
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