Management of Gallstone

Kyo-Sang Yoo

doi:10.4166/kjg.2018.71.5.253

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Yoo: Management of Gallstone

Review Article

Korean J Gastroenterol 2018;71(5):253-259.

Published online: 4 October 2018

DOI: https://doi.org/10.4166/kjg.2018.71.5.253

Management of Gallstone

Kyo-Sang Yoo

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea

Correspondence to: Kyo-Sang Yoo, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri 11923, Korea. Tel: +82-31-560-2229, Fax: +82-31-560-2235, E-mail: kyoo@hanyang.ac.kr

Received 26 April 2018 Revised 30 April 2018 Accepted 30 April 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gallstones are one of the most common diseases worldwide. Recently, the incidence of gallstones has increased and the pattern of gallstones has changed in Korea. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones. Expectant management is considered the most appropriate choice in patients with asymptomatic gallstones. The dissolution of cholesterol gallstones by oral bile acid, such as ursodeoxycholic acid, can be considered in selected patients with gallstones. Although the advent of laparoscopic cholecystectomy has moved interest away from the pharmacologic treatment of gallstones, several promising agents related to various mechanisms are under investigation.

Keywords: Gallstones, Therapeutics

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