Treatment:

Surgery is the usual treatment. Cholecystectomy (surgical removal of the gallbladder) can be performed as an open or laparoscopic procedure. The open procedure requires a large incision (cut), while laparoscopic surgery requires a cluster of small incisions for the insertion of instruments, including a small camera.

For patients who are poor candidates for surgery because of other diseases or conditions, methods to dissolve gallstones may be of use. The symptoms of chronic indigestion can be managed by low-fat diet and weight reduction. Acid-suppressing and anticholinergic medications may also be helpful, as may antacids.

Expectations (prognosis):

Cholecystectomy is a common procedure with low risk. Patients who do not have surgery may be bothered by indigestion, but symptoms can be managed with a low-fat diet, weight loss, and medications.

Some patients continue to experience chronic indigestion after cholecystectomy, but this is likely caused by another condition.

Complications:

Gallstones with chronic inflammation of the gallbladder can result in a worsening of the condition, pancreatitis, or (rarely) cancer of the gallbladder.

Calling your health care provider:

Call for an appointment with your health care provider if you develop any symptoms of cholecystitis.

Call for an appointment with your health care provider if you have been diagnosed with chronic cholecystitis and your symptoms worsen or do not improve with treatment, or if new symptoms develop.