Abstract
What you need to know
• Laparoscopic cholecystectomy is the current treatment of choice for
people with symptoms of gallstone disease
• There is limited evidence from two randomised controlled trials that
conservative management with pain medications and observation may
be a safe alternative to surgery in patients with acute cholecystitis or
biliary colic and no complications, as symptoms may subside over time
and not recur
• A proportion of patients with uncomplicated gallstone disease who are
initially treated conservatively may never require surgery
• Laparoscopic cholecystectomy is the current treatment of choice for
people with symptoms of gallstone disease
• There is limited evidence from two randomised controlled trials that
conservative management with pain medications and observation may
be a safe alternative to surgery in patients with acute cholecystitis or
biliary colic and no complications, as symptoms may subside over time
and not recur
• A proportion of patients with uncomplicated gallstone disease who are
initially treated conservatively may never require surgery
| Original language | English |
|---|---|
| Article number | l5709 |
| Number of pages | 4 |
| Journal | The BMJ |
| Volume | 367 |
| Issue number | 8218 |
| DOIs |
|
| Publication status | Published - 11 Oct 2019 |
Keywords
- Cholecystectomy
- Clinical Decision-Making
- Conservative Treatment
- Gallstones/therapy
- Humans
- Randomized Controlled Trials as Topic
- MANAGEMENT
- SILENT GALLSTONES
- NATURAL-HISTORY
- CHOLECYSTECTOMY