Clinical economics review: the management of gallstone disease.
Surgical techniques have an inherent advantage over oral bile therapy and extracorporeal shock-wave lithotripsy because they remove both gallstones and the gallbladder, thus preventing stone recurrence. Moreover, surgical techniques are more effective for patients with symptomatic gallstones compared with non-surgical techniques. Laparoscopic surgery is the best therapy from the clinical economic viewpoint being cost-minimal, effective and beneficial compared with other surgical and medical techniques. However, non-surgical techniques may be preferable in selected patients at high risk from general anaesthesia such as the elderly and those with significant cardiopulmonary disease.
Hussaini
S H
SH
Department of Medicine, St James' University Hospital, Leeds, UK.
D000768:Anesthesia, General / Q000009:adverse effects; D002635:Chenodeoxycholic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D002756:Cholagogues and Choleretics / Q000008:administration & dosage / Q000627:therapeutic use; D002769:Cholelithiasis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D003362:Cost-Benefit Analysis; D006323:Heart Arrest / Q000503:physiopathology; D006801:Humans; D010535:Laparoscopy / Q000191:economics*; D008096:Lithotripsy / Q000191:economics*; D012307:Risk Factors; D016896:Treatment Outcome
D002756:Cholagogues and Choleretics; D002635:Chenodeoxycholic Acid