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Gallstone Disease

Gallstone Disease is a topic covered in the Washington Manual of Medical Therapeutics.

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General Principles

  • Asymptomatic gallstones (cholelithiasis) are a common incidental finding for which no specific therapy is generally necessary (J Gastroenterol Hepatol 2010;25:719  [PMID:20492328]). Cholesterol stones are the most common type, but pigmented stones can be seen with hemolysis or infection. Risk factors include obesity, female gender, parity, rapid weight loss, ileal disease, and maternal family history.
  • Symptomatic cholelithiasis, when upper abdominal symptoms are linked to gallstones, is typically treated surgically with cholecystectomy.
  • Acute cholecystitis is caused most often by obstruction of the cystic duct by gallstones, but acalculous cholecystitis can occur in severely ill or hospitalized patients.

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Citation

Williams, Dominique, et al., editors. "Gallstone Disease." Washington Manual of Medical Therapeutics, 35th ed., Wolters Kluwer Health, 2016. Washington Manual, www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602289/4/Gallstone_Disease.
Gallstone Disease. In: Williams D, Ramgopal R, Gdowski M, et al, eds. Washington Manual of Medical Therapeutics. 35th ed. Wolters Kluwer Health; 2016. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602289/4/Gallstone_Disease. Accessed June 20, 2019.
Gallstone Disease. (2016). In Williams, D., Ramgopal, R., Gdowski, M., Dretler, A., & Bhat, P. (Eds.), Washington Manual of Medical Therapeutics. Available from https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602289/4/Gallstone_Disease
Gallstone Disease [Internet]. In: Williams D, Ramgopal R, Gdowski M, Dretler A, Bhat P, editors. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. [cited 2019 June 20]. Available from: https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602289/4/Gallstone_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Gallstone Disease ID - 602289 ED - Williams,Dominique, ED - Ramgopal,Rajeev, ED - Gdowski,Mark, ED - Dretler,Alexandra, ED - Bhat,Pavat, BT - Washington Manual of Medical Therapeutics UR - https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602289/4/Gallstone_Disease PB - Wolters Kluwer Health ET - 35 DB - Washington Manual DP - Unbound Medicine ER -