Should we treat asymptomatic Gallstones in Gallbladder ????Created by:
The risk factors of developing gallstones are increased body mass index, central obesity, increasing age, and female. Having gallstones can be symptomatic. Gallstones can possible lead to acute cholycystitis, or biliary colic / obstruction which can lead to ascending cholangitis. When gallstones escapes into common bile duct, it can lead to biliary colic with severe, episodic right upper quadrant pain, with jaundice. But, around 60% to 80% of population of having gallstones are symptomatic. The risk of developing symptoms are around 2% to 4%. Patient with symptomatic gallstones should be offered cholecystectomy. However, the asymptomatic cohort of having gallstones, there is no advantages of having a prophylactic cholecystectomy, as the risk of developong symptoms are low. Would you agree with this ??