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Scand J Gastroenterol. 1996 Feb;31(2):191-9.

Expectant management of patients with gallbladder stones diagnosed at planned investigation. A prospective 5- to 7-year follow-up study of 153 patients.

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  • Dept. of Surgery, Ryhov Hospital, Jönköping, Sweden.

Abstract

BACKGROUND:

Few studies have been done on the expectant management of patients with cholelithiasis diagnosed by planned investigation, and results are conflicting.

METHODS:

A prospective 6-year follow-up study of 153 patients with cholelithiasis diagnosed by oral cholecystography was carried out.

RESULTS:

An acute gallstone complication occurred during the follow-up period in 23 patients (15%)-that is, acute cholecystitis (n = 18), acute pancreatitis (n = 2), and jaundice (n = 3). The annual risk of developing an acute biliary complication was 3.1%. A history of a gallstone complication predicted further gallstone complications during follow-up. The overall cholecystectomy rate was 20 % during the 1st year but fell to about 3% during the 5th year of follow-up. Young age and frequent attacks of biliary pain episodes predicted the need for gallstone surgery.

CONCLUSIONS:

Expectant management of patients with electively diagnosed cholelithiasis may be justified, especially in those with only occasional biliary symptoms and no history of gallstone complications.

PMID:
8658043
[PubMed - indexed for MEDLINE]
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