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CHOLELITHIASIS-MANAGEMENT

Gastroenterology

CHOLELITHIASIS-MANAGEMENT

1. If the patient has gallstones and is symptomatic, do an elective cholecystectomy because 70% of these patients will have recurrent symptoms if not treated.

2. Do not treat asymptomatic cholelithiasis because only 20% of patients go on to develop symptoms in 10-20 years.

3. Supplemental oral bile acid (ursodeoxycholic acid) may be used in the treatment of gallstones for those who are too ill to have surgery or refuse surgery.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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