The Korean Journal of Gastroenterology (May 2018)

Management of Gallstone

  • Kyo-Sang Yoo

DOI
https://doi.org/10.4166/kjg.2018.71.5.253
Journal volume & issue
Vol. 71, no. 5
pp. 253 – 259

Abstract

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Gallstones are one of the most common diseases worldwide. Recently, the incidence of gallstones has increased and the pattern of gallstones has changed in Korea. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones. Expectant management is considered the most appropriate choice in patients with asymptomatic gallstones. The dissolution of cholesterol gallstones by oral bile acid, such as ursodeoxycholic acid, can be considered in selected patients with gallstones. Although the advent of laparoscopic cholecystectomy has moved interest away from the pharmacologic treatment of gallstones, several promising agents related to various mechanisms are under investigation.

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