Gallstone disease overview: Difference between revisions
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Gallstones is the presence of gallstones ([[cholelithiasis]]) within the gallbladder. Gallstones are [[crystalline]] bodies formed within the body by accretion or concretion of normal or abnormal [[bile]] components. Gallstones can occur anywhere within the [[biliary tree]], including the [[gallbladder]] and the common [[bile duct]]. Obstruction of the [[common bile duct]] is ''[[choledocholithiasis]]''; obstruction of the biliary tree can cause [[jaundice]]; obstruction of the outlet of the pancreatic exocrine system can cause [[pancreatitis]]. ''Cholelithiasis'' is the presence of stones in the gallbladder—''chole-'' means "bile", ''lithia'' means "stone", and ''-sis'' means "process". | Gallstones is the presence of gallstones ([[cholelithiasis]]) within the gallbladder. Gallstones are [[crystalline]] bodies formed within the body by accretion or concretion of normal or abnormal [[bile]] components. Gallstones can occur anywhere within the [[biliary tree]], including the [[gallbladder]] and the common [[bile duct]]. Obstruction of the [[common bile duct]] is ''[[choledocholithiasis]]''; obstruction of the biliary tree can cause [[jaundice]]; obstruction of the outlet of the pancreatic exocrine system can cause [[pancreatitis]]. ''Cholelithiasis'' is the presence of stones in the gallbladder—''chole-'' means "bile", ''lithia'' means "stone", and ''-sis'' means "process". | ||
===Natural History, Complications and Prognosis=== | ==Historical Perspective== | ||
==Classification== | |||
==Pathophysiology== | |||
==Causes== | |||
==Differentiating {{PAGENAME}} from Other Diseases== | |||
==Epidemiology and Demographics== | |||
==Risk Factors== | |||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
===Natural History=== | |||
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. | 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. | ||
===Complications=== | |||
===Prognosis=== | |||
==Diagnosis== | |||
===Diagnostic Criteria=== | |||
===History and Symptoms=== | |||
===Physical Examination=== | |||
===Laboratory Findings=== | |||
===Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | ==Treatment== | ||
===Medical Therapy=== | |||
Nonoperative management is suboptimal (ursodiol, lithotripsy). [[Cholecystectomy]] is the therapy of choice. | Nonoperative management is suboptimal (ursodiol, lithotripsy). [[Cholecystectomy]] is the therapy of choice. | ||
===Surgery=== | |||
===Prevention=== | |||
==References== | ==References== | ||
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[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 19:14, 8 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Gallstones is the presence of gallstones (cholelithiasis) within the gallbladder. Gallstones are crystalline bodies formed within the body by accretion or concretion of normal or abnormal bile components. Gallstones can occur anywhere within the biliary tree, including the gallbladder and the common bile duct. Obstruction of the common bile duct is choledocholithiasis; obstruction of the biliary tree can cause jaundice; obstruction of the outlet of the pancreatic exocrine system can cause pancreatitis. Cholelithiasis is the presence of stones in the gallbladder—chole- means "bile", lithia means "stone", and -sis means "process".
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Gallstone disease overview from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Natural History
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.
Complications
Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Nonoperative management is suboptimal (ursodiol, lithotripsy). Cholecystectomy is the therapy of choice.