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==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.



Revision as of 13:50, 7 May 2013

Gallstone disease Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gallstone disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

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Electrocardiogram

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MRI

Ultrasound

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Treatment

Medical Therapy

Surgery

Lithotripsy
Surgical management

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

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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".

Natural History, Complications and Prognosis

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.

Treatment

Nonoperative management is suboptimal (ursodiol, lithotripsy). Cholecystectomy is the therapy of choice.

References

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