Gallstone disease natural history, complications and prognosis: Difference between revisions

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===Symptomatic stones===
===Symptomatic stones===
The patients whom experience an episode of  pain recurrence once per year are around 38-50%  [[Gallstone disease history and symptoms|biliary colic]].<ref name="pmid20492328">{{cite journal |vauthors=Festi D, Reggiani ML, Attili AF, Loria P, Pazzi P, Scaioli E, Capodicasa S, Romano F, Roda E, Colecchia A |title=Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study |journal=J. Gastroenterol. Hepatol. |volume=25 |issue=4 |pages=719–24 |year=2010 |pmid=20492328 |doi=10.1111/j.1440-1746.2009.06146.x |url=}}</ref>
The patients whom experience an episode of  pain recurrence ([Gallstone disease history and symptoms|biliary colic]]) once per year are around 38-50%  [.<ref name="pmid20492328">{{cite journal |vauthors=Festi D, Reggiani ML, Attili AF, Loria P, Pazzi P, Scaioli E, Capodicasa S, Romano F, Roda E, Colecchia A |title=Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study |journal=J. Gastroenterol. Hepatol. |volume=25 |issue=4 |pages=719–24 |year=2010 |pmid=20492328 |doi=10.1111/j.1440-1746.2009.06146.x |url=}}</ref>


===Prognosis===
===Prognosis===

Revision as of 14:10, 28 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Gallstones develop in many people without causing symptoms. The chance of symptoms or complications from gallstones is about 20%. Nearly all patients (99%) who have gallbladder surgery do not have their symptoms return.[1]

Natural History, Complications, and Prognosis

Natural History

Complications

Diagrams shown below are courtesy of Wikisurgery.com

Symptomatic stones

The patients whom experience an episode of pain recurrence ([Gallstone disease history and symptoms|biliary colic]]) once per year are around 38-50% [.[3]

Prognosis

  • The prognosis in patients with Gallstone disease is dependent upon the occurence and severity of complications. The category of patients whom refuse or are unfit for surgery will remain asymptomatic 45% of the time, whilst 55% will have varying degrees of complications.[4]

References

  1. 1.0 1.1 Gracie WA, Ransohoff DF (1982). "The natural history of silent gallstones: the innocent gallstone is not a myth". N. Engl. J. Med. 307 (13): 798–800. doi:10.1056/NEJM198209233071305. PMID 7110244.
  2. Friedman GD (1993). "Natural history of asymptomatic and symptomatic gallstones". Am. J. Surg. 165 (4): 399–404. PMID 8480871.
  3. Festi D, Reggiani ML, Attili AF, Loria P, Pazzi P, Scaioli E, Capodicasa S, Romano F, Roda E, Colecchia A (2010). "Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study". J. Gastroenterol. Hepatol. 25 (4): 719–24. doi:10.1111/j.1440-1746.2009.06146.x. PMID 20492328.
  4. Julliard O, Hauters P, Possoz J, Malvaux P, Landenne J, Gherardi D (2016). "Incisional hernia after single-incision laparoscopic cholecystectomy: incidence and predictive factors". Surg Endosc. 30 (10): 4539–43. doi:10.1007/s00464-016-4790-4. PMID 26895902.

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