Gallstone disease natural history, complications and prognosis: Difference between revisions
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{{Gallstone disease}} | {{Gallstone disease}} | ||
{{CMG}} | {{CMG}} | ||
==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. | 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 == | ||
'''Asymptomatic stones:''' | '''Asymptomatic stones:''' | ||
16-26% of patients develop gallstone-related symptoms in 10 years. Prophylactic cholecystectomy ''not'' indicated UNLESS increased risk of gallbladder (gb) cancer: | 16-26% of patients develop gallstone-related symptoms in 10 years. Prophylactic cholecystectomy ''not'' indicated UNLESS increased risk of gallbladder (gb) cancer: | ||
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==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | |||
[[Category:Hepatology]] | |||
[[Category:Surgery]] | |||
[[Category:Abdominal pain]] | |||
[[Category:Disease]] | |||
[[Category:Primary care]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 19:56, 6 May 2013
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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.