Premium
the management of gallstone disease
Author(s) -
HUSSAINI S. H.
Publication year - 1996
Publication title -
alimentary pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.308
H-Index - 177
eISSN - 1365-2036
pISSN - 0269-2813
DOI - 10.1046/j.1365-2036.1996.64235000.x
Subject(s) - medicine , disease , disease management , intensive care medicine , medline , gastroenterology , general surgery , parkinson's disease , political science , law
Surgical techniques have an inherent advantage over oral bile therapy and extracorporeal shock‐wave lithotripsy because they remove both gallstones and the gallbladder, thus preventing stone recurrence. Moreover, surgical techniques are more effective for patients with symptomatic gallstones compared with non‐surgical techniques. Laparoscopic surgery is the best therapy from the clinical economic viewpoint being cost‐minimal, effective and beneficial compared with other surgical and medical techniques. However, non‐surgical techniques may be preferable in selected patients at high risk from general anaesthesia such as the elderly and those with significant cardio‐pulmonary disease.