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Current options in gallstone management. What to do when symptoms are mild or absent.
Postgrad Med 1994; 95(5):115-21, 125, 128PM

Abstract

Recent advances in our understanding of the natural history of gallstones and the introduction of new treatment options have dramatically altered the approach to gallstone management. Most patients with cholelithiasis are asymptomatic, and for them, expectant management is now recommended by many authorities. This approach may also be acceptable for some patients who have only occasional episodes of biliary colic. Laparoscopic cholecystectomy is preferred for patients who have had repeated episodes of biliary colic or acute cholecystitis and who are suitable operative candidates. Nonsurgical options include oral dissolution therapy with bile acids, extracorporeal shock wave lithotripsy, and contact dissolution with methyl tert-butyl ether. Each has significant limitations but may be considered for selected patients with symptomatic gallstones who are not candidates for general anesthesia or who refuse surgery. Future improvements in nonsurgical therapies may ultimately expand their use.

Authors+Show Affiliations

Department of Internal Medicine, University of Missouri-Columbia School of Medicine 65212.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8153038

Citation

Marshall, J B.. "Current Options in Gallstone Management. what to Do when Symptoms Are Mild or Absent." Postgraduate Medicine, vol. 95, no. 5, 1994, pp. 115-21, 125, 128.
Marshall JB. Current options in gallstone management. What to do when symptoms are mild or absent. Postgrad Med. 1994;95(5):115-21, 125, 128.
Marshall, J. B. (1994). Current options in gallstone management. What to do when symptoms are mild or absent. Postgraduate Medicine, 95(5), pp. 115-21, 125, 128.
Marshall JB. Current Options in Gallstone Management. what to Do when Symptoms Are Mild or Absent. Postgrad Med. 1994;95(5):115-21, 125, 128. PubMed PMID: 8153038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Current options in gallstone management. What to do when symptoms are mild or absent. A1 - Marshall,J B, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 115-21, 125, 128 JF - Postgraduate medicine JO - Postgrad Med VL - 95 IS - 5 N2 - Recent advances in our understanding of the natural history of gallstones and the introduction of new treatment options have dramatically altered the approach to gallstone management. Most patients with cholelithiasis are asymptomatic, and for them, expectant management is now recommended by many authorities. This approach may also be acceptable for some patients who have only occasional episodes of biliary colic. Laparoscopic cholecystectomy is preferred for patients who have had repeated episodes of biliary colic or acute cholecystitis and who are suitable operative candidates. Nonsurgical options include oral dissolution therapy with bile acids, extracorporeal shock wave lithotripsy, and contact dissolution with methyl tert-butyl ether. Each has significant limitations but may be considered for selected patients with symptomatic gallstones who are not candidates for general anesthesia or who refuse surgery. Future improvements in nonsurgical therapies may ultimately expand their use. SN - 0032-5481 UR - https://www.unboundmedicine.com/medline/citation/8153038/Current_options_in_gallstone_management__What_to_do_when_symptoms_are_mild_or_absent_ L2 - https://medlineplus.gov/gallstones.html DB - PRIME DP - Unbound Medicine ER -