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Surgical Therapy for Gallstone Disease
- Source :
- Gastroenterology Clinics of North America; March 1991, Vol. 20 Issue: 1 p157-169, 13p
- Publication Year :
- 1991
-
Abstract
- Surgery, in particular laparoscopic cholecystectomy, will probably remain the preferred treatment for symptomatic gallbladder stones. It is unlikely that other methods of treatment, such as oral dissolution therapy or lithotripsy, can match the results and patient acceptance of this procedure. With the advent of laparoscopic cholecystectomy, however, more patients with choledocholithiasis will undergo endoscopic sphincterotomy and endoscopic common bile duct clearance. This may change, however, if the common bile duct can be explored safely through the laparoscope. Finally, severe gallstone pancreatitis will continue to be treated by early endoscopic sphincterotomy followed by cholecystectomy. Nevertheless, endoscopic sphincterotomy alone will be used more often as a definitive treatment to prevent recurrent attacks, especially in elderly patients who are poor candidates for cholecystectomy.
Details
- Language :
- English
- ISSN :
- 08898553
- Volume :
- 20
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Gastroenterology Clinics of North America
- Publication Type :
- Periodical
- Accession number :
- ejs56039709
- Full Text :
- https://doi.org/10.1016/S0889-8553(21)00538-0