Exploring the Effect of Liver flush in the Management of Cholelithiasis- A Case Series

Abstract

Cholelithiasis is a condition which affects 10- 15 % of the world population and more than 80 % is asymptomatic. The prevalence is due to multiple factors such as age, gender, lifestyle etc. Cholecystectomy is the widely practiced treatment option for gallstones.However, the conservative management of Cholelithiasis is not well established.The objective of the current case series is to explore the effect of Liver flush technique as a conservative treatment in the management for Cholelithiasis.We present the case series of 4 Cholelithiasis patients with associated co morbidities. Liver flush technique, as per previous studies(i.e. Apple diet for 10 days followed by intake of 180 ml of Olive oil with concentrated lemon extract and low caloric high fiber diet) was administered as a treatment modality for the conservative management for Gall stones.In our case series, we present cases, wherein there was complete disappearance or reduction in the size of gall stones, after following life style changes and diet pattern mentioned in the Liver flush technique. Considerable improvement in the associated co-morbidities was also observed. Cholelithiasis could possibly lead to potential health derangement, significantly impacting the functioning of Hepato biliary system. The case series presented here is to be considered as preliminary evidence on the efficacy of Liver flush in the conservative management of Cholelithiasis. Further research is required to substantiate our findings and promote conservative management, rather than opting for surgical removal of gall bladder.