When the gall bladder and cystic duct are removed, bile produced in the liver flows directly to the intestine. The amount of bile which serves to emulsify dietary fats is no longer present in amounts to digest more than a low-fat diet. The gall bladder serves as a storage reservoir to supply additional bile in times when dietary fat exceeds the constant output of bile from the liver.

Unless you modified your diet to non-fat/low fat so the proportion of dietary fat to available bile salts is in equilibrium or there is an excess of bile to fat, some will not be emulsified resulting in digestive issues such as malabsorption of fat-soluble vitamins and formation of gas in the bowel. Fats easier to digest are MCT oil, avocado and Ghee and Palm oils. Fatty meals and butter will cause issues without a gall bladder. Ox bile is one medication that can be used-supplemental digestive enzymes known as pancrealipase or pancreatin with a high lipase content help to digest fats. The Rx brands tend to be expensive depending on one’s Rx prescription benefits plan.An alternate source of pancrealipase are OTC brands that can be 75% cheaper.

A Registered Dietitian is a good source for reviewing your dietary habits and making suggestions on the use of easier to digest oils and supplemental medications. If you consume high fiber vegetables, they are difficult to digest in healthy persons and cause gas and bloating. They contain oligosaccharides that requires the enzyme alpha-d-galactosidase to digest without forming gas. The human pancreas does not produce alpha-d-galactoside. So if you want to eat high-fiber vegetables and legumes such as peas, corn, broccoli, cauliflower, cabbage, Brussels sprouts, most varieties of beans, taking the OTC product Beano will break down these complex carbohydrate vegetables without gas being formed.