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Management of gallstones and their complications.

Abstract

The accurate differentiation of gallstone-induced biliary colic from other abdominal disease processes is the most crucial step in the successful management of gallstone disease. Despite the availability of many imaging techniques to demonstrate the presence of gallstones, clinical judgment ultimately determines the association of symptoms with cholelithiasis and its complications. Adult patients with silent or incidental gallstones should be observed and managed expectantly, with few exceptions. In symptomatic patients, the intervention varies with the type of gallstone-induced complication. In this article, we review the salient clinical features, diagnostic tests and therapeutic options employed in the management of gallstones and their complications.

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  • Authors+Show Affiliations

    ,

    Stanford University School of Medicine, California, USA.

    ,

    Source

    American family physician 61:6 2000 Mar 15 pg 1673-80, 1687-8

    MeSH

    Cholagogues and Choleretics
    Cholecystectomy, Laparoscopic
    Cholelithiasis
    Contraindications
    Diagnosis, Differential
    Humans
    Lithotripsy
    Patient Education as Topic
    Risk Factors
    Teaching Materials
    Ursodeoxycholic Acid

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    10750875

    Citation

    Ahmed, A, et al. "Management of Gallstones and Their Complications." American Family Physician, vol. 61, no. 6, 2000, pp. 1673-80, 1687-8.
    Ahmed A, Cheung RC, Keeffe EB. Management of gallstones and their complications. Am Fam Physician. 2000;61(6):1673-80, 1687-8.
    Ahmed, A., Cheung, R. C., & Keeffe, E. B. (2000). Management of gallstones and their complications. American Family Physician, 61(6), pp. 1673-80, 1687-8.
    Ahmed A, Cheung RC, Keeffe EB. Management of Gallstones and Their Complications. Am Fam Physician. 2000 Mar 15;61(6):1673-80, 1687-8. PubMed PMID: 10750875.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Management of gallstones and their complications. AU - Ahmed,A, AU - Cheung,R C, AU - Keeffe,E B, PY - 2000/4/6/pubmed PY - 2000/4/15/medline PY - 2000/4/6/entrez SP - 1673-80, 1687-8 JF - American family physician JO - Am Fam Physician VL - 61 IS - 6 N2 - The accurate differentiation of gallstone-induced biliary colic from other abdominal disease processes is the most crucial step in the successful management of gallstone disease. Despite the availability of many imaging techniques to demonstrate the presence of gallstones, clinical judgment ultimately determines the association of symptoms with cholelithiasis and its complications. Adult patients with silent or incidental gallstones should be observed and managed expectantly, with few exceptions. In symptomatic patients, the intervention varies with the type of gallstone-induced complication. In this article, we review the salient clinical features, diagnostic tests and therapeutic options employed in the management of gallstones and their complications. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/10750875/full_citation L2 - http://www.aafp.org/link_out?pmid=10750875 DB - PRIME DP - Unbound Medicine ER -