Doctor Lam Van Hoang, Head of Endocrinology and Diabetes Department at Tam Anh General Hospital Ho Chi Minh City, reported that Tam was severely obese, had grade three fatty liver, and high total cholesterol levels. An ultrasound revealed numerous gallstones, which laboratory tests confirmed to be cholesterol gallstones. This type of gallstone is common in individuals who are overweight, obese, and have metabolic disorders.

Doctor Hoang explained that gallstones form when the amount of cholesterol in bile exceeds its solubility. The excess cholesterol then crystallizes into small particles that gradually develop into stones. Obese individuals face a higher risk of developing gallstones because their liver produces more cholesterol than normal. Overweight women are also at a heightened risk, as estrogen hormones increase cholesterol synthesis in the liver and its secretion into the bile.

Doctor Hoang advises Tam on weight loss. Photo: Tam Anh General Hospital

Gallstones can develop silently over a long period. According to Doctor Hoang, Tam received treatment for obesity combined with dyslipidemia management to prevent the formation of new stones. Her larger gallstones were also monitored for potential intervention if necessary.

After three months of dietary adjustments, regular exercise, and medical treatment as guided by the doctor, Tam lost 16 kg, and her cholesterol levels improved significantly. Small gallstones were no longer detected on ultrasound, and the larger stones did not increase in size.

Doctors advise patients to maintain a healthy weight, adopt a healthy diet, and engage in regular physical activity to reduce the risk of both gallstone formation and recurrence.

Duc Hanh

*Patient's name has been changed