Asymptomatic Gallstones: Dilemma, Controversy and Consensus
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
Background: Cholecystectomy is currently advised only for patients with symptomatic gallstones. However, about 4.1% of patients with asymptomatic gallstones develop symptoms including cholecystitis, obstructive jaundice, pancreatitis, and gallbladder cancer. Objectives: To assess the benefits and harms of surgical removal of the gallbladder for patients with asymptomatic gallstones. Material & Methods: A topic wise search was done in Pubmed, Google-scholar, medIND and other electronic sources for asymptomatic gallstone, silent gallstones and preventive cholecystectomy. Conclusion: There are no randomized trials comparing cholecystectomy versus no cholecystectomy in patients with silent gallstones. Further evaluation of observational studies, which measure outcomes such as obstructive jaundice, gallstone-associated pancreatitis, and/or gall-bladder cancer for sufficient duration of follow-up, is necessary. But Laparoscopic cholecystectomy may be recommended for asymptomatic gallstones in areas where there is high prevalence of gallbladder stone disease and cancer.
Authors and Affiliations
Rajiv Ranjan
Keywords
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