Lama Biliar: Cirurgia de retirada da vesícula é indicada quando a inflamação provoca sintomas intensos

A lama biliar, ou barro biliar, geralmente surge em situações de jejum prolongado, dificultando a digestão, por causa do espessamento da bile. Isso acontece porque a vesícula não consegue ir por completo para o intestino, e o acúmulo de colesterol e cálcio deixa a bile mais grossa, como uma lama.

Geralmente, esse problema é tratado com uma boa dieta equilibrada, mas ela pode favorecer o acúmulo de pedras na vesícula, por isso há a necessidade de cirurgia em alguns casos. Quando a inflamação é muito alta, ainda provoca sintomas fortes, também tendo indicação para cirurgia.

Sintomas

Os sintomas da lama biliar são raros, mas quando surgem são bem semelhantes à pedra na vesícula, como:

  • Dor forte no lado direito da barriga;
  • Náuseas e vômitos;
  • Fezes semelhantes a barro;
  • Perda de apetite;
  • Gases;
  • Distensão abdominal.

Causas

Entre as causas mais prováveis, o paciente pode desenvolver a lama biliar em decorrência do jejum prolongado, mas também por causa de algumas condições, como:

  • Excesso de peso;
  • Uso de anticoncepcionais;
  • Dietas restritivas;
  • Transplante de órgãos;
  • Perda rápida de peso;
  • Várias gestações;
  • Diabetes…

Tratamento

O tratamento inclui uma dieta que evite a gordura, colesterol, alimentos processados e salgados, dando vez aos alimentos mais leves e com pouco teor de gordura.

A cirurgia, quando necessária, é feita a partir da retirada da vesícula. A partir daí, o corpo fica sem o armazenamento para a bile, e o fígado passa a liberar o líquido diretamente no intestino, para a digestão dos alimentos.

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