onsutant General DEAR DOCTORMr Simon Toh isConsultant GeneralSurgeon practising atSpire Portsmouth HospitalQ I have gallstones and havebeen advised I would need tohave my gallbladder removedwhich really worries me. I've tried ito cut out fatty foods, which has 'helped ease the bouts of pain. Do iI need to have surgery?I can understand that you are worriedabout surgery for your gallstones, this isnatural. However, in the right patient, this ispatients. So you do need to discuss thesI with your surgeon and decide if you wish toI take these risks or notery successful and safe keyhole operationthat permanently cures the symptoms ofgallstones and more importantly, avoidspotentially more serious complications ofgallstones in the futureKeyhole surgery has been the majori advance in gallbladder surgery in the pastI'm pleased to hear you have tried to cut out 20 years. It is an established procedurefatty foods-this is a good idea and shouldprevent the more painful episodes of pain. I only a few hours after surgery with minimalthis diet works for you and you can maintain pain. Your symptoms should resolve anda low fat diet long-term, then this is certainlyI often done as a day case so you are homeyou wil be able to get back to physical workan option to avoid surgery. However, there I withtwo to three weeks. My patientsare small risks with this strategy as in someIpatients the gallstones can cause moreserious problems such as acute infection of Ithe gallbladder, which could rarely lead to thegallbladder perforating. The gallstones could Each case is individual and on somefall out of the gallbladder into the bile duct(tube between the liver and gut) causing ablockage. This will result in jaundice and there i you decide to consider surgery I wouldis also a risk of inflammation of the pancreas recommend you see a specialist who will(acute pancreatitis). This unusual complication be able to discuss your suitability and thecan be serious and life-threatening in 30% of risks and benefits of surgery with youoften say that they have had their 'life back'and can enjoy a meal out with friends andfamily without worrying about painoccasions, gallstones can seriousldisrupt your family and work life. ShoulodS2To book a consultation or for any enquiriesplease speak to our team onSpirePortsmouth Hospital02392 802 921or email info@spireportsmouth.comBartons Rd, Havant PO9 5NP

Date: 09 May 2018

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onsutant General DEAR DOCTOR Mr Simon Toh is Consultant General Surgeon practising at Spire Portsmouth Hospital Q I have gallstones and have been advised I would need to have my gallbladder removed which really worries me. I've tried i to cut out fatty foods, which has ' helped ease the bouts of pain. Do i I need to have surgery? I can understand that you are worried about surgery for your gallstones, this is natural. However, in the right patient, this is patients. So you do need to discuss thes I with your surgeon and decide if you wish to I take these risks or not ery successful and safe keyhole operation that permanently cures the symptoms of gallstones and more importantly, avoids potentially more serious complications of gallstones in the future Keyhole surgery has been the major i advance in gallbladder surgery in the past I'm pleased to hear you have tried to cut out 20 years. It is an established procedure fatty foods-this is a good idea and should prevent the more painful episodes of pain. I only a few hours after surgery with minimal this diet works for you and you can maintain pain. Your symptoms should resolve and a low fat diet long-term, then this is certainly I often done as a day case so you are home you wil be able to get back to physical work an option to avoid surgery. However, there I with two to three weeks. My patients are small risks with this strategy as in someI patients the gallstones can cause more serious problems such as acute infection of I the gallbladder, which could rarely lead to the gallbladder perforating. The gallstones could Each case is individual and on some fall out of the gallbladder into the bile duct (tube between the liver and gut) causing a blockage. This will result in jaundice and there i you decide to consider surgery I would is also a risk of inflammation of the pancreas recommend you see a specialist who will (acute pancreatitis). This unusual complication be able to discuss your suitability and the can be serious and life-threatening in 30% of risks and benefits of surgery with you often say that they have had their 'life back' and can enjoy a meal out with friends and family without worrying about pain occasions, gallstones can seriousl disrupt your family and work life. Shoulod S2 To book a consultation or for any enquiries please speak to our team on Spire Portsmouth Hospital 02392 802 921 or email info@spireportsmouth.com Bartons Rd, Havant PO9 5NP

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