As of Monday, December 18, 2022, Jefferson Surgical Clinic physicians and staff are employed by Carilion Clinic.

Jefferson Surgical Clinic and Carilion share the same philosophy about the practice of medicine. We believe in an evidence-based, patient-centered approach that emphasizes care coordination and keeping people healthy. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources through Carilion, including MyChart, a secure online health management tool, and easy connections to many specialty services through an electronic medical record system.

If you have questions regarding an upcoming appointment, you can continue to reach your care team at (540) 283-6000..

The patient portal is no longer active due to system changes. Please call (540) 283-6070 for account questions or to make a payment on your account.

Gallbladder disease includes inflammation, infection, stones or blockage of the gallbladder, a small sac located underneath the liver that stores and concentrates bile. Bile from the liver aids in the digestion of fat and is released from the gallbladder into the upper small intestine in response to food.

Types of gallbladder disease include:

  • Cholecystitis (inflammation of the gallbladder)
  • Gallstones
  • Chronic acalculous gallbladder disease (occurs when natural movements needed to empty the gallbladder do not work properly)
  • Gangrene or abscesses
  • Growths of tissue in the gallbladder
  • Sclerosing cholangitis
  • Tumors of the gallbladder and bile ducts

Risk Factors

Risk factors for gallbladder disease include:

  • Obesity
  • Gender – women are more likely to develop gallstones for example
  • Age
  • Family history of gallbladder disease
  • Sedentary lifestyle

Symptoms

The most common (and mildest) symptom of gallbladder disease is intermittent pain called biliary colic. Typically, a patient experiences a steady gripping or gnawing pain in the upper right abdomen near the rib cage, which can be severe and radiate to the upper back. Some patients with biliary colic experience the pain behind the breastbone, and nausea or vomiting may occur.

Those with symptomatic gallstones develop inflammation in the gallbladder (acute cholecystitis), which occurs when stones or sludge block the duct. Symptoms are similar to those of biliary colic but are more persistent and severe, including pain in the upper right abdomen that is severe and constant and may last for days. Pain frequently increases when drawing a breath.

Chronic gallbladder disease involves gallstones and mild inflammation. In such cases, the gallbladder may become scarred and stiff. Symptoms of chronic gallbladder disease include nausea, gas, abdominal discomfort after meals and chronic diarrhea.

Stones lodged in the common bile duct can cause symptoms that are similar to those produced by stones that lodge in the gallbladder, but they may also cause:

  • Jaundice
  • Dark urine, lighter stools or both
  • Rapid heartbeat and abrupt blood pressure drop
  • Fever, chills, nausea and vomiting, with pain in the upper right abdomen