Gallstone disease natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Gallstones develop in many people without causing symptoms. The chance of symptoms or complications from gallstones is about 20%. Nearly all patients (99%) who have gallbladder surgery do not have their symptoms return. | |||
== Natural History, Complications and Prognosis == | == Natural History, Complications and Prognosis == |
Revision as of 14:45, 27 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Gallstones develop in many people without causing symptoms. The chance of symptoms or complications from gallstones is about 20%. Nearly all patients (99%) who have gallbladder surgery do not have their symptoms return.
Natural History, Complications and Prognosis
Asymptomatic stones: 16-26% of patients develop gallstone-related symptoms in 10 years. Prophylactic cholecystectomy not indicated UNLESS increased risk of gallbladder (gb) cancer:
- Pima Indian
- calcified gb
- gb polyp >10 mm
- gallstones >2.5 cm
- Salmonella carrier
Diagrams shown below are courtesy of Wikisurgery.com
Symptomatic stones
38-50% of patients have pain recurrence/year after 1 episode biliary colic. 1-2% of patients have complication rate/year.