Saudi Journal of Gastroenterology
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Year : 1996  |  Volume : 2  |  Issue : 1  |  Page : 29-38

Management of gallstones

Department of Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia

Correspondence Address:
Ibrahim A Al Mofleh
Professor of Medicine, Gastroenterology Division(59), P.O. Box 2925, Riyadh 11461
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

PMID: 19864839

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Asymptomatic patients with gallbladder stones rarely develop complications and therefore do not require treatment; in contrary, symptomatic patients should he treated. Nowadays, several approaches are available to treat gallbladder and ductal stones using surgical techniques. chemical dissolvents, frag­mentation, endoscopic and percutancous approaches. The choice of approach is influenced by the site, size and chemical composition of stone, as well as the age, general condition and desire of patient. Surgi­cal approaches are considered as the primary method of treatment. Nonsurgical treatment is considered in patients at high risk and patients unwilling to undergo surgery. The main concern of non-surgical treat­ment is the high recurrence rate, especially after dissolution.

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