[Lithiasis of the gallbladder and biliary ducts: from epidemiology to therapy].
The diagnosis of cholelitiasis, more and more common with the wide diffusion of abdominal ultrasound, is often a surprise for the patient as well as for the physician who is sometimes forced to take a therapeutical decision. In the case of dilatation of the biliary duct, the cholangioRM is assuming an increasingly important role, especially before a therapeutical ERCP. The best therapeutical approach seems to be the surgical ablation in laparoscopy in presence of specific signs and symptoms. Indication to surgical ablation is a symptomatic or complicated cholelithiasis, or the history of obstructive pancreatitis. A preventive cholecystectomy can be useful for precancerous lesions.
Pellicano
R
R
UOADU Gastro-Epatologia, Azienda Ospedaliera, San Giovanni Battista (Molinette), Turin, Italy. rinaldo_pellicano@hotmail.com
Palmas
F
F
Astegiano
M
M
Vanni
E
E
Leone
N
N
Bresso
F
F
Rizzetto
M
M
D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D006801:Humans
Litiasi della colecisti e delle vie biliari: dall'epidemiologia alla terapia.