Incidental Gallstones

Incidental Gallstones

 

Jeffrey K Wang, MD; Shannon M Foster, MD; Bruce G Wolff, MD, FACS

Spring 2009 - Volume 13 Number 2

https://doi.org/10.7812/TPP/08-050

Abstract

Gallstones develop in approximately 10% to 15% of the US population and represent one of the most common and most costly of all digestive diseases. Studies investigating gallstones’ natural history have shown that gallstone-related complications arise at a rate of approximately 1% per year in asymptomatic patients and 2% per year in patients who already have symptoms. Patients can have any of multiple presentations with gallstone-related problems along a continuum of health threats from intermittent biliary colic to septic shock from ascending infections. In most clinical situations in which the patient’s gallstone symptoms are either recurrent or have caused complications, cholecystectomy remains the procedure of choice. Laparoscopic cholecystectomy, first performed in the mid-1980s, has quickly become the gold standard in the US. For clinicians who perform abdominal procedures, the literature is consistent in advocating cholecystectomy for gallstones found incidentally during other abdominal procedures.

 

The Permanente Journal

Sponsored by the eight Permanente Medical Groups, The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery.

Reprint Permissions

The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to healthcare. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.


ISSN 1552-5775 Copyright © 2018 thepermanentejournal.org.

The Permanente Press. All Rights Reserved.