Nonsurgical management of gallstone disease.

  title={Nonsurgical management of gallstone disease.},
  author={Daniel E. Howard and Hans Fromm},
  journal={Gastroenterology clinics of North America},
  volume={28 1},
Cholelithiasis is a common disease in the United States associated with significant morbidity. Surgical treatment with cholecystectomy has been increasing with a significant cost to the health care system. Surgical management is not without risk. Cholecystectomy has also been associated with a significant morbidity and mortality in elderly patients. Cholecystectomies are often performed unnecessarily in gallstone patients for nonspecific symptoms. Many patients with nonspecific pain, which may… CONTINUE READING