Parasites and Biliary stones

Gallbladder stones ٦٨
25% within 5 years. The non-surgical option is currently only indicated
for patients either unfit or unwilling to undergo surgical intervention and
has not been recommended in children (Migala, 2006).
Surgical care: Removal of the gallbladder (cholecystectomy) is the
treatment of choice for symptomatic cholelithiasis. In some cases of
gallbladder empyema, temporary drainage of pus from the gallbladder
(cholecystostomy) may be preferred to allow stabilization and to permit
later cholecystectomy under elective circumstances. At the time of
cholecystectomy, the surgeon can explore the common bile duct and
remove common bile duct stones. Alternatively, the surgeon can create a
fistula between the distal bile duct and the adjacent duodenum
(choledochoduodenostomy), allowing stones to pass harmlessly into the
intestine. Cholecystectomy is generally indicated in patients who have
experienced symptoms or complications of gallstones, unless the patient's
age and general health make the risk of surgery prohibitive (Heuman,
2006).
Cholecystectomy is not required for patients with asymptomatic
gallstones. However, elective cholecystectomy for asymptomatic
gallstones may be indicated in: Patients with large gallstones greater than
2 cm in diameter, Cirrhosis, Portal hypertension, Sickle cell disease,
transplant candidates and diabetic patient (Lee, 2006).