- Gallbladder disease is a category encompassing various conditions related to the gallbladder and bile ducts located below the liver, and does not refer to a single disease.
- Gallstones that obstruct bile flow are a common contributing factor, and inflammation, infection, structural abnormalities, or rare tumors can also be causes.
- The gallbladder stores bile produced in the liver and releases it into the small intestine through the bile ducts after meals; if the bile ducts are blocked, problems can arise with bile flow and gallbladder function.
- Representative symptoms include pain in the upper right abdomen, discomfort that worsens after meals, nausea, or vomiting; if fever or jaundice is accompanied, evaluating complications is important.
- Risks and prognosis may vary depending on age, weight changes, dietary and metabolic status, pregnancy, history of gallstones or gallbladder disease, and comorbidities.
- The natural history ranges from asymptomatic cases to progression into complications such as recurrent pain, acute inflammation, bile duct obstruction, and pancreatitis.
- Diagnosis is based on symptoms and physical examination, prioritizing blood tests and abdominal ultrasound, and adding CT/MRI-based biliary imaging or endoscopic examinations if necessary.
- Even if there are imaging findings of gallstones or the gallbladder, the cause or severity of symptoms is not automatically confirmed; therefore, clinical symptoms, test results, and other causes must be interpreted together.
- Management combines observation, pain control, infection treatment, biliary procedures, or surgery depending on symptoms, presence of obstruction or infection, and risk of complications.
- In symptomatic gallstone disease or recurrent gallbladder problems, cholecystectomy can be an important treatment for selected patients, and treatment options vary depending on the cause and individual status.