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Treatment of Cholecystitis

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for cholecystitis
 from  358
Cholecystitis treatment with laparoscopic cholecystectomy
 from  2411
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
 from  3330

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnostic tests for cholecystitis
1472
Cholecystitis treatment with laparoscopic cholecystectomy
7484
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
11491

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for cholecystitis
1664
Cholecystitis treatment with laparoscopic cholecystectomy
8769
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
11965

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for cholecystitis
2082
Cholecystitis treatment with laparoscopic cholecystectomy
11222
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
15319

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for cholecystitis
1587
Cholecystitis treatment with laparoscopic cholecystectomy
8466
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
12867

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for cholecystitis
1850
Cholecystitis treatment with laparoscopic cholecystectomy
9775
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
13359

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for cholecystitis
1498
Cholecystitis treatment with laparoscopic cholecystectomy
7435
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
10296

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for cholecystitis
1527
Cholecystitis treatment with laparoscopic cholecystectomy
7891
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
10794

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for cholecystitis
1658
Cholecystitis treatment with laparoscopic cholecystectomy
8552
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
11878

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for cholecystitis
1413
Cholecystitis treatment with laparoscopic cholecystectomy
7214
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
11682

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for cholecystitis
0
Cholecystitis treatment with laparoscopic cholecystectomy
0
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
0

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for cholecystitis
1549
Cholecystitis treatment with laparoscopic cholecystectomy
7914
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
10475

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for cholecystitis
1836
Cholecystitis treatment with laparoscopic cholecystectomy
9675
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
13684

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for cholecystitis
1527
Cholecystitis treatment with laparoscopic cholecystectomy
7898
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
10199

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for cholecystitis
1620
Cholecystitis treatment with laparoscopic cholecystectomy
8226
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
12623

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for cholecystitis
1662
Cholecystitis treatment with laparoscopic cholecystectomy
8583
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
11816

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for cholecystitis
1538
Cholecystitis treatment with laparoscopic cholecystectomy
7963
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
10789
| from Booking Health GmbH

Acute cholecystitis is a pathology that develops against the background of gallstone disease. The stone blocks the neck of the bladder or cystic duct. As a result, the pressure rises, the organ wall stretches, and bile stagnates and becomes infected. The pathology begins with acute pain. Late diagnosis and poor-quality treatment may lead to severe, potentially fatal complications such as gallbladder empyema, gangrene, perforation, peritonitis. Medical specialists abroad perform minimally invasive surgical interventions for cholecystitis treatment. These are laparoscopic and robot-assisted interventions. After these operations, patients recover quickly and rarely suffer from complications.

Content

  1. Conservative therapy
  2. Surgical treatment
  3. Treatment of chronic cholecystitis in adults
  4. Where to undergo treatment

Conservative therapy

 

If there are no signs of peritonitis, treatment of cholecystitis begins with conservative therapy. Patients receive pain killers, antispasmodics, antibiotics, and infusion therapy (droppers) to reduce intoxication. The effect is achieved in half of the patients. In the rest, the symptoms continue to progress or the disease takes on a protracted course.

The results of conservative treatment of acute gallbladder infections are assessed after 6 hours. If there is no improvement, surgery is performed.

In case of severe pathology, therapy takes place in the intensive care unit. Doctors monitor the patient's main hemodynamic parameters such as cardiac output, diuresis, and blood pressure.

Surgical treatment

 

In the acute form of pathology, surgical treatment of cholecystitis is carried out within 3 days after the onset of the first symptoms. If the disease is complicated by peritonitis (inflammation has extended to the peritoneum), then the operation is performed within 3 hours. This time is spent on presurgical preparation.

It has been proven that the operation performed during the first 3 days has the following benefits:

  • Lower risk of complications.
  • Less lethality.
  • Rapid intervention and lack of technical difficulties.
  • Accelerated rehabilitation.

Cholecystectomy (removal of the gallbladder) is the main treatment option for the disease. It can be performed via open (through a large incision) or laparoscopic access (through several short incisions). The second option is better, as it provides less trauma, a lower risk of complications, and patients recover quickly.

Sometimes surgical treatment can be carried out in two stages:

The first operation is decompression and drainage of the gallbladder to remove the inflammatory contents. Instead of permanent drainage, doctors may use repeated punctures to drain the pus.

The second operation is the removal of the gallbladder. It is performed in the "cold" period, namely after the elimination of the inflammatory process. As a rule, the second stage involves performing an open intervention. In Europe, minilaparotomy is preferred. The operation is performed from a smaller incision, and therefore surgeons can reduce blood loss and provide a better aesthetic result.

In case of destructive (severe) cholecystitis, concomitant cholangitis (inflammation of the bile duct) and large stones in the bile ducts, additional manipulations may be required to eliminate obstructive jaundice. The bile ducts are closed, so bile enters the bloodstream. It is necessary to direct its outflow into the intestines or into the external environment. In such cases, doctors use percutaneous drainage of the common bile duct or endoscopic retrograde cholangiopancreatography with papillosphincterotomy.

Treatment of chronic cholecystitis in adults

 

Chronic cholecystitis is usually a type of gallstone disease with inflammation of the gallbladder. The inflammation occurs very rarely without stones.

The mainstay of treatment is cholecystectomy. An exacerbation of chronic cholecystitis is essentially biliary colic. This condition occurs when a stone blocks the bile ducts. Acute cholecystitis develops due to biliary colic with a probability of 10%.

Where to undergo treatment

 

To benefit from the highest level of medical care, you can undergo gallbladder inflammation treatment abroad. The specialists of the Booking Health company will select the best hospitals for the treatment of chronic cholecystitis abroad for you and take care of the organization of your trip.

There are several reasons for you to undergo treatment of acute and chronic cholecystitis abroad:

  • Accurate diagnosis of cholecystitis. Doctors quickly distinguish this pathology from diseases of other organs, and also differentiate biliary colic from acute cholecystitis.
  • The disease is treated abroad with conservative therapy, if possible. Surgery is avoided in about half of the patients.
  • If the help of surgeons is needed, the preference is always given to minimally invasive treatment, namely, laparoscopic cholecystectomy.
  • The gallbladder can be removed laparoscopically even in gangrenous cholecystitis and in patients over 65 years of age.
  • Some hospitals use robot-assisted technology for laparoscopic cholecystectomy, which is an even safer operation.
  • Vast experience: the world's first laparoscopic cholecystectomy was performed in Germany in 1985. Thus, the operation in this country has been performed for more than 35 years, and the methodology for its performance is being constantly improved.
  • Successful treatment of even severe and complicated forms of acute cholecystitis with the development of peritonitis and septic shock.
  • Successful surgical treatment of cholecystitis in pregnant women.
  • In severe cases, complex hybrid operations are used from transabdominal (through the abdomen) and oral approaches (through the mouth): cholecystectomy and papillosphincterotomy.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare the cost of treatment in different hospitals in order to book your treatment at the best price.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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