Nonsurgical Options for Gallstones: What Are Your Choices?
Nonsurgical Options for Gallstones: What Are Your Choices?
The Big Picture
Surgery isn't the only option for gallstones. Explore the different nonsurgical treatments available and find out which might be right for you.
Contents
Oral Dissolution Therapy
Oral dissolution therapy uses bile acids like ursodiol to dissolve cholesterol gallstones. It's most effective for patients with small, non-calcified stones and mild symptoms. This approach is a viable option for those unable or unwilling to undergo surgery.
Percutaneous Cholecystostomy
Percutaneous cholecystostomy involves inserting a tube to drain the gallbladder, offering relief for high-risk surgical patients. It can be followed by percutaneous extraction of stones if symptoms persist. This procedure provides a temporary solution for complicated gallstone cases.
Extracorporeal Shock Wave Lithotripsy
This treatment uses shock waves to break up gallstones, allowing them to pass naturally. While effective for solitary stones, it has a high rate of recurrence and potential for biliary colic. It's less commonly used but remains an option in certain scenarios.
FAQs
What is oral dissolution therapy?
A treatment using bile acids to dissolve cholesterol gallstones.
Who benefits from percutaneous cholecystostomy?
High-risk surgical patients needing temporary gallbladder relief.
How does shock wave lithotripsy work?
It breaks up stones using focused shock waves.
Is surgery the only option for gallstones?
No, there are several nonsurgical treatments available.
Key Takeaways
Which nonsurgical treatment might be the best fit for your gallstone situation?
Additional References
- Darzi A, Geraghty JG, Williams NN, et al. The pros and cons of laparoscopic cholecystectomy and extracorporeal shock wave lithotripsy in the management of gallstone disease. Ann R Coll Surg Engl 1994; 76:42.
- Zakko SF, Hofmann AF. Microprocessor-assisted solvent-transfer system for gallstone dissolution. In vitro and in vivo validation. Gastroenterology 1990; 99:1807.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.