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Minerva Gastroenterologica e Dietologica 2009 December;55(4):385-93

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Cholelitiasis: state of the art

Merra G., Dal Lago A., Roccarina D., Santoro M. C., Gasbarrini G., Ghirlanda G., Gasbarrini A., Gentiloni Silveri N.

Department of Internal Medicine, Catholic University of Sacred Heart, Rome, Italy


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Cholelithiasis is the formation or presence of gallstones (biliary gallstones) in the gallbladder. Most clinical diseases affecting the extrahepatic biliary system are connected with the presence of gallstones. Some factors can increase the probability of gallstone disease, such as: female sex, obesity, old age, North American Indian ethnicity, western diet and a positive family history. The clinical consequences of the formation of gallstones in the gallbladder are varied. The diagnosis, in the presence of typical symptomatology, is confirmed by an abdominal ultrasound scan, with the discovery of various sizes of stones in the gallbladder. There are several therapeutic options for this pathology, medical or surgical. No data exists justifying an indication to remove the gallbladder in patients with asymptomatic lithiasis, therefore surgical operation to remove the gallbladder is indicated for persons who have had at least one episode of biliary colic.

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