CHOLELITIASIS

CHOLELITIASIS
ABSTRACT The prevalence of gall-bladder stones in adult population is arround 8% worldvide and is gradually increasing with aging. At least 80% of stones do not cause symptoms. Pathogenesis of cholesterol gall stones is multifactorial and at least in a part under the genetic control. Typical symptoms incloude biliary colic right quadrant pain, radiating to the back and lasting usually less than 12 hours. Atypical presentations are common and can make the diagnosis challangable. Asymptomatic gall stones require no treatment. Symptomatic disease is usually treated by laparascopic cholecystectomy which reveales the pain, but et least 20% of patients still have digestive symptoms afterwards. However, laparascopic procedure has not reduced overall mortality, morbidity and the cost of surgery.

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