Disputes and thinking on the clinical diagnosis and treatment of asymptomatic gallstones
10.3760/cma.j.cn115396-20230724-00007
- VernacularTitle:无症状胆囊结石临床诊治的争议与思考
- Author:
Yamin ZHENG
1
;
Liguo GU
;
Chen XU
Author Information
1. 首都医科大学宣武医院普通外科，北京 100053
- Keywords:
Gallstone;
Diagnosis;
Treatment outcome;
Asymptomatic gallstones
- From:
International Journal of Surgery
2023;50(8):509-513
- CountryChina
- Language:Chinese
-
Abstract:
Cholecystolithiasis is a common clinical disease, which can be secondary to cholecystitis, cholangitis, pancreatitis and gallbladder cancer. Many patients with gallstone have no obvious clinical symptoms such as biliary colic. Some patients are indeed asymptomatic because there are not obstruction and inflammation. However, some patients have no symptoms due to ignorance, mistaken for stomach pain, enteritis, etc. Some patients have no symptoms because of insensitivity and insufficient perception. For other patients with abnormal gallbladder morphology and structure, non-functional gallbladder must be no pain. To clarify the concept, diagnosis and classification of asymptomatic gallstones according to pathophysiological stages is conducive to the development of personalized management strategies. According to guidelines formulated by different periods, different regions and different medical institutions, there are many controversies regarding the management of asymptomatic gallstones, including regular follow-up, drug treatment, surgical resection or gallblades-saving lithotomy. Reasonable personalized diagnosis and treatment requires more in-depth basic research evidence.
