Gallbladder removal - Complications (2024)

Removal of the gallbladder (cholecystectomy) is considered a relatively safe procedure, but like all operations there's a small risk of complications.

Infection

Some people develop a wound or internal infection after a gallbladder removal.

Signs of a possible infection include increasing pain, swelling or redness, and pus leaking from a wound.

See your GP if you develop these symptoms, as you may need a short course of antibiotics.

Bleeding

Bleeding can occur after your operation, although this is rare. Ifit does occur, you may require a further operationtostop it.

Bile leakage

When the gallbladder is removed, special clips are used to seal the tube that connects the gallbladder to the main bile duct.

But bile fluid can occasionally leak out into the tummy (abdomen) after the gallbladder is removed.

Symptoms of a bile leak include tummy pain, feeling sick, a fever and a swollen tummy.

Sometimes this fluid can be drained off. Occasionally, an operation is required to drain the bile and wash out the inside of your tummy.

Bile leakage occurs in around 1% of cases.

Injury to the bile duct

The bile duct can be damaged during a gallbladder removal.

If this happens during surgery, it may be possible to repair it straight away.

In some cases, further surgery is needed after your original operation.

Injury to theintestine, bowel and blood vessels

Thesurgical instruments used to remove the gallbladder can also injure surrounding structures, such as the intestine, bowel and blood vessels.

This type of injury is rare and can usually be repaired at the time of the operation.

Sometimes injuries are noticed afterwards and a further operation is needed.

Deep vein thrombosis

Some people are at a higher risk ofblood clots developingafter surgery.

This is known asdeep vein thrombosis (DVT) and usually occurs ina leg vein.

This canbe serious because theclot can travelaround the body and could block the flow of blood into the lungs (pulmonary embolism).

You may be given special compression stockings to wearafter the operation to prevent this happening.

Risks from general anaesthetic

There are several serious complications associated with having a general anaesthetic, but these are very rare.

Complications include allergic reaction and death. Being fit and healthy before your operation reduces the risk of any complications occurring.

Post-cholecystectomy syndrome

Some peopleexperience symptoms similarto those caused by gallstones after surgery, including:

This is known as post-cholecystectomy syndrome (PCS). It's thought to be caused by bile leaking into areas such as the stomach, or by gallstones being left in the bile ducts.

In most cases symptoms are mild and short-lived, but theycan persist for many months.

If you have persistent symptoms, you should contact your GP for advice.

You maybenefit froma procedure to remove any remaining gallstones, or medication to relieve your symptoms.

Page last reviewed: 08 December 2021
Next review due: 08 December 2024

Gallbladder removal - Complications (2024)

FAQs

Can gallbladder removal cause problems later in life? ›

The symptoms include fatty food intolerance, nausea, vomiting, heartburn, flatulence, indigestion, diarrhea, jaundice, and intermittent episodes of abdominal pain. Post-cholecystectomy syndrome can present early, typically in the post-operative period, but can also manifest months to years after surgery.

What are the disadvantages of not having a gallbladder? ›

It's possible you'll experience digestive side effects when your gallbladder is removed.
  • Difficulty digesting fat. It may take your body time to adjust to its new method of digesting fat. ...
  • Diarrhea and flatulence. ...
  • Constipation. ...
  • Intestinal injury. ...
  • Jaundice or fever.

Does your liver work harder without a gallbladder? ›

Yes, gallbladder removal can increase your risk of liver problems like NALFD. If you have had your gallbladder removed, you should ensure you eat a healthy diet to support your liver and other digestive organs.

What is the life expectancy of someone without a gallbladder? ›

Gallbladder removal does not reduce your life expectancy. The absence of a gallbladder in the body does not reduce the life expectancy of a patient. On the contrary, dietary changes that a patient makes post-removal can increase life expectancy.

What are permanent issues after gallbladder removal? ›

However, some people experience persistent issues known as post-cholecystectomy syndrome. Long-term effects of gallbladder removal include diarrhea, fatty food intolerance, gas, heartburn, nausea, vomiting, jaundice, and intermittent episodes of abdominal pain.

What is the most feared complication of cholecystectomy? ›

Bile duct injury is perhaps the most feared complication of laparoscopic cholecystectomy.

What foods should you avoid without a gallbladder? ›

Don't eat high-fat foods, fried and greasy foods, and fatty sauces and gravies for at least a week after surgery. Instead, choose fat-free or low-fat foods. Low-fat foods are those with no more than 3 grams of fat in a serving. Check labels and follow the serving size listed.

What is dumping syndrome after gallbladder removal? ›

Overview. Dumping syndrome is a condition in which food, especially food high in sugar, moves from your stomach into your small bowel too quickly after you eat. Sometimes called rapid gastric emptying, dumping syndrome most often occurs as a result of surgery on your stomach or esophagus.

Do you get more sick without a gallbladder? ›

Living without a gallbladder

You can lead a perfectly normal life without a gallbladder. Your liver will still make enough bile to digest your food, but instead of being stored in the gallbladder, it drips continuously into your digestive system.

Why avoid Caffeine after gallbladder removal? ›

Reduce your caffeine intake

Caffeine increases the production of stomach acid, which makes your stomach contents empty faster. Without the normal amount of bile in your stomach that used to be produced by your gall bladder, you will experience more gas, bloating and pain as the food is digested.

What don't they tell you about gallbladder surgery? ›

There are risks of surgery of all sorts, things like bleeding infection, heart problems, lung problems, these in theory are all possible. Although these risks are high, more specific to gallbladder surgery, we talk about bile duct injury. We have to operate around the main bile duct, leading from the liver.

What is the Mirizzi syndrome? ›

Mirizzi syndrome is a rare condition caused by the obstruction of the common bile duct or common hepatic duct by external compression from multiple impacted gallstones or a single large impacted gallstone in Hartman's pouch.

What is the downside of having the gallbladder removed? ›

When the gallbladder is removed, special clips are used to seal the tube that connects the gallbladder to the main bile duct. But bile fluid can occasionally leak out into the tummy (abdomen) after the gallbladder is removed. Symptoms of a bile leak include tummy pain, feeling sick, a fever and a swollen tummy.

Is it harder to lose weight after gallbladder removal? ›

People who undergo gallbladder removal surgerymay experience changes in their body weight ahead of and following this procedure. Some people will lose weight initially but may see an increase in their BMI in the long term. A person may be able manage these weight changes with diet and exercise.

Do and don'ts after gallbladder removal? ›

How can you care for yourself at home?
  • Rest when you feel tired. ...
  • Try to walk each day. ...
  • For about 2 to 4 weeks, avoid lifting anything that would make you strain. ...
  • Avoid strenuous activities, such as biking, jogging, weightlifting, and aerobic exercise, until your doctor says it is okay.

Can gallbladder surgery cause other health problems? ›

Some people develop a wound or internal infection after a gallbladder removal. Signs of a possible infection include increasing pain, swelling or redness, and pus leaking from a wound. See your GP if you develop these symptoms, as you may need a short course of antibiotics.

How does gallbladder removal change your life? ›

Living without a gallbladder

You can lead a perfectly normal life without a gallbladder. Your liver will still make enough bile to digest your food, but instead of being stored in the gallbladder, it drips continuously into your digestive system.

How many people have problems after gallbladder removal? ›

It's not known how many people have diarrhea after surgery to remove their gallbladders, called cholecystectomy. Studies have found that up to 20% of people undergoing gallbladder surgery develop diarrhea. In most cases, the diarrhea stops soon after the surgery. Rarely, it may last for years.

What are the long-term effects of a bad gallbladder? ›

When bile backs up into your liver, as a result of gallbladder problems or bile duct problems or both, it causes inflammation and eventually scarring of the liver (cirrhosis). This will do long-term damage to your liver's functioning. Cirrhosis also causes complications to other organs.

Top Articles
Latest Posts
Article information

Author: Jerrold Considine

Last Updated:

Views: 6745

Rating: 4.8 / 5 (78 voted)

Reviews: 85% of readers found this page helpful

Author information

Name: Jerrold Considine

Birthday: 1993-11-03

Address: Suite 447 3463 Marybelle Circles, New Marlin, AL 20765

Phone: +5816749283868

Job: Sales Executive

Hobby: Air sports, Sand art, Electronics, LARPing, Baseball, Book restoration, Puzzles

Introduction: My name is Jerrold Considine, I am a combative, cheerful, encouraging, happy, enthusiastic, funny, kind person who loves writing and wants to share my knowledge and understanding with you.