2001, Number 2
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Cir Cir 2001; 69 (2)
The myth of the innocent gallstones
Cervantes-Castro J, Rojas-Reyna GA
Language: Spanish
References: 23
Page: 92-96
PDF size: 589.54 Kb.
ABSTRACT
The presence of gallstones and its complications has been documented from antiquity. It has been proven that patients with gallstones, if left untreated, will develop symptoms and complications as they advance in age, which will result in serious consequences, especially when associated to other medical problems.
At the beginning of the twentieth century, surgery for gallstones resulted in significant mortality and morbidity. With the advances in surgical techniques, anaesthesia, and now laparoscopic surgery, the operation can be carried out with minimal complications and no deaths; this, it makes sense to recommend surgery at an early stage of the disease, instead of waiting for complications to occur. A gallbladder with stones is a diseased organ that requires appropriate treatment. We question the concept of so-called “prophylactic” surgery that implies surgery before the appearance of gallstones, and the erroneously called “innocent” gallstones, which are not innocent at all.
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