Gallstones: Watch and wait, or intervene?

被引：33

作者：

Ibrahim, Mounir ^{[1
]}

Sarvepalli, Shashank ^{[2
]}

Morris-Stiff, Gareth ^{[3
,4
,5
]}

Rizk, Maged ^{[5
,6
]}

Bhatt, Amit ^{[5
,6
]}

Walsh, R. Matthew ^{[5
,7
,8
,9
]}

Hayat, Umar ^{[2
]}

Garber, Ari ^{[5
,6
]}

Vargo, John ^{[5
,10
]}

Burke, Carol A. ^{[10
]}

机构：

[1] Cleveland Clin, Digest Dis & Surg Inst, Cleveland, OH 44195 USA

[2] Cleveland Clin, Med Inst, Cleveland, OH 44195 USA

[3] Cleveland Clin, HPB Surg, Digest Dis & Surg Inst, Cleveland, OH 44195 USA

[4] Cleveland Clin, Dept Stem Cell Biol & Regenerat Med, Lerner Res Inst, Cleveland, OH 44195 USA

[5] Case Western Reserve Univ, Cleveland Clin, Lerner Coll Med, Cleveland, OH 44106 USA

[6] Cleveland Clin, Digest Dis & Surg Inst, Cleveland, OH 44195 USA

[7] Cleveland Clin, Digest Dis, Cleveland, OH 44195 USA

[8] Cleveland Clin, Dept Gen Surg, Inst Digest Dis, Cleveland, OH 44195 USA

[9] Cleveland Clin, Acad Dept Surg, Educ Inst, Cleveland, OH 44195 USA

[10] Cleveland Clin, Dept Gastroenterol & Hepatol, Digest Dis & Surg Inst, A30,9500 Euclid Ave, Cleveland, OH 44195 USA

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 2018年 / 85卷 / 04期

关键词：

DELAYED LAPAROSCOPIC CHOLECYSTECTOMY; RANDOMIZED CONTROLLED-TRIALS; BILE-DUCT STONES; NATURAL-HISTORY; ACUTE CHOLECYSTITIS; GALLBLADDER-DISEASE; SUSPECTED CHOLEDOCHOLITHIASIS; PORCELAIN GALLBLADDER; GUIDELINE MANAGEMENT; ACUTE-PANCREATITIS;

D O I：

10.3949/ccjm.85a.17035

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Gallstones are common in the United States, affecting an estimated 1 in 7 adults. Fortunately, they are asymptomatic in up to 80% of cases, and current guidelines do not recommend cholecystectomy unless they cause symptoms. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones, acute cholecystitis, and gallstone pancreatitis.

引用

页码：323 / 331

页数：9

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