gallstones

Laparoscopic treatment of common bile duct stones

Laparoscopic treatment of common bile duct stones

The standard treatment for patients with symptomatic gallstones is laparoscopic cholecystectomy
(LC). In patients undergoing LC the prevalence of common bile duct (CBD) stones ranges between 8%
and 15% and it increases with advancing age, reaching up to 60% in elderly patients. Every patient who
is candidate for LC should be evaluated for the presence of CBD stones and these should be treated if the
diagnosis is confirmed. In the literature, the procedure of choice for CBD stones treatment is still debated.

Biliary Stone Disease in Patients with Neuroendocrine Tumors Treated with Somatostatin Analogs. A Multicenter Study

Background: Somatostatin analogs (SSAs) are the mainstay of neuroendocrine tumor (NET) treatment. Biliary stone disease is reported as a common side effect of SSAs, with a frequency ranging from 10% to 63%. Studies on SSA-treated patients for acromegaly report an increased incidence of biliary stone disease compared with the general population, whereas data on patients with NETs are few. Guidelines are based on weak evidence, thus resulting in conflicting recommendations.

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