A 69 year old male patient having coronary artery disease was found to have gall bladder stones while undergoing a routine ultrasound of the abdomen. There was no history of biliary colic or jaundice at any time. What is the best treatment advice for such a patient for his gallbladder stones?

**Core Concept**
The patient presents with asymptomatic gallbladder stones, which is a common condition in patients with coronary artery disease. The management of asymptomatic gallstones is a clinical dilemma, as the risk of complications such as cholecystitis or pancreatitis is low.

**Why the Correct Answer is Right**
The American Gastroenterological Association recommends a wait-and-see approach for asymptomatic gallstones, especially in patients with co-existing medical conditions such as coronary artery disease. This approach is based on the low risk of complications and the associated risks of surgical intervention. The patient's symptoms and condition will be monitored, and surgery will be considered only if symptoms develop.

**Why Each Wrong Option is Incorrect**
**Option A:** Surgery is not recommended for asymptomatic gallstones, as it carries a risk of complications and may not improve the patient's quality of life.

**Option B:** A trial of dissolution therapy with ursodeoxycholic acid is not recommended for asymptomatic gallstones, as it has a low success rate and may not prevent future symptoms.

**Option C:** Elective cholecystectomy is not necessary for asymptomatic gallstones, especially in patients with co-existing medical conditions.

**Clinical Pearl / High-Yield Fact**
Asymptomatic gallstones are common in patients with coronary artery disease, and a wait-and-see approach is recommended to avoid unnecessary surgical intervention.

**Correct Answer:** C.

✓ Correct Answer: C. No surgery for gallbladder stones