Abnormal Liver Problems Can Originate In Gallbladder Medical Students Celebrate Match Day

Not all liver test abnormalities originate in the liver. Sometimes it is the gallbladder. As many as 50 percent of people with a “gallbladder attack” or medically termed acute inflammation of the gallbladder will have abnormal liver tests. Many patients become jaundiced from gallbladder or bile duct disease. Gallbladder disease is common, especially among an overweight population. A good diet with maintenance of a healthy weight may help reduce the likelihood of developing gallstones.

Most people with acute gallbladder inflammation complain of pain in the right upper abdomen. Coincidentally, this also happens to be the area where the liver is located. It is for this reason that your doctor may ask you to undergo a sonogram of the liver, gallbladder, and bile ducts if you have abdominal pain and abnormal liver tests. This test is looking for changes in the gallbladder consistent with inflammation, gallstones, bile duct obstruction or structural liver abnormalities.

The Specialist

David Bernstein, MD

A thickened gallbladder wall, fluid around the gallbladder or pain on performing the ultrasound are all commonly seen in a “gallbladder attack”. Stones seen within the gallbladder do not necessarily mean that the gallbladder is sick or that the stones are a problem. Gallstones are very common and large stones seldom cause problems.

The treatment for an inflamed gallbladder is surgical removal of the gallbladder. There is no medicine for this. Patients whose gallbladders are removed are generally out of the hospital within 48 hours and the recovery time is significantly less than older, open gallbladder surgery. Despite the commonality of this type of surgery, it is still a surgical procedure with potential significant risks for both long and shortterm complications. You should ask your surgeon to answer any questions prior to the surgery.

The gallbladder is not an essential organ and most people who have had their gallbladder removed feel fine without any changes to their usual activities. Rarely, people can develop diarrhea following surgery and sometimes years later, a new stone forms in the biliary tract that can be endoscopically removed. Following gallbladder removal, the liver tests should return to normal. If they do not, further evaluation of the liver should be performed.

—David Bernstein, MD, MACG, FAASLD, AGAF, FACP

Graduating students at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell learned where they would spend the next phase of their medical training during the school’s Match Day ceremony on March 17. Clutching small white envelopes containing their “match,” the 91 graduating students that make up the Class of 2023 eagerly awaited the stroke of noon, the time all medical students nationwide open a personalized letter from the National Resident Matching Program (NRMP) revealing their residency results. This rite of passage is the culmination of years of preparation, hard work, and determination.

Anise Diaz is the only student who successfully matched into the competitive otolaryngology specialty at Boston University Medical Center.

“I’m so grateful for all the support and for all the mentors that I had here at the School of

Medicine,” shared Diaz. “I’m super ecstatic that I made it and I’m ready for the future.”

Eric Lee and Erika Rivera were one of three couples at the Zucker School of Medicine who went into the match process together via “Couples Match”.

“It was a little scary applying to the match as a couple. There’s already so much uncertainty with a match and having to apply as a couple further adds to that uncertainty,” said Lee, who expressed both nervousness and excitement for his and Rivera’s future. “It was really helpful to have someone by your side to ground each other during the stressful parts of this entire process,” explained Rivera. Lee and Rivera successfully matched and will begin their residencies in anesthesiology at Brigham and Women’s Hospital and Yale New Haven Hospital.

—Donald and Barbara Zucker School of Medicine at Hofstra/Northwell