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Minerva Medica 2001 August;92(4):227-44

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Cholelithiasis: from epidemiology to therapy

Pellicano R., Palmas F., Astegiano M., Vanni E., Leone N., Bresso F., Rizzetto M.


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The diagnosis of cholelithiasis, more and more common with the wide diffusion of abdominal ultrasound, is often a surprise for the patient as well as for the physician who is sometimes forced to take a therapeutical decision. In the case of dilatation of the biliary duct, the cholangioRM is assuming an increasingly important role, especially before a therapeutical ERCP. The best therapeutical approach seems to be the surgical ablation in laparoscopy in presence of specific signs and symptoms. Indication to surgical ablation is a symptomatic or complicated cholelithiasis, or the history of obstructive pancreatitis. A preventive cholecystectomy can be useful for precancerous lesions.

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