Medical MCQ-A 30-year-old lady is found to have gallstones. She is asymptomatic and has never had any jaundice or dyspeptic symptoms in the past. The best course of management for her would be

A 30-year-old lady is found to have gallstones. She is asymptomatic and has never had any jaundice or dyspeptic symptoms in the past. The best course of management for her would be

Dissolution therapy

Extra corporeal lithotripsy

Cholecystectomy

To wait till she becomes symptomatic

Question Category:

Surgery

Correct Answer:

To wait till she becomes symptomatic

Description:

Operation of not done in most cases of gallstones, it is done in symptomatic cases There was no clear cost benefit and no life years were gained from prophylactic Cholecystectomy, indicating no clear-cut advantages of prophylactic Cholecystectomy in asymptomatic cholelithiasis. As a result, in patients with asymptomatic gallstones, expectant management is recommended Ref: Blumga 5th edition Pgno : 486

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