Attasaranya Siriboon, Fogel Evan L, Lehman Glen A
Division of Gastroenterology/Hepatology, Department of Medicine, Indiana University Medical Center, 550 N. University Boulevard, UH 4100, Indianapolis, IN 46202, USA.
Med Clin North Am. 2008 Jul;92(4):925-60, x. doi: 10.1016/j.mcna.2008.03.001.
Gallstone disease is encountered commonly in clinical practice. The diagnosis of biliary stones has become less problematic with current, less-invasive imaging methods. The relatively invasive endoscopic techniques should be reserved for therapy and not used for diagnosis. Acute cholangitis and gallstone pancreatitis are two major complications that require prompt recognition and timely intervention to limit morbidity and prevent mortality or recurrence. Appropriate noninvasive diagnostic studies, adequate monitoring/supportive care, and proper patient selection for invasive therapeutic procedures are elements of good clinical practice.
胆结石疾病在临床实践中很常见。随着当前侵入性较小的成像方法的出现，胆管结石的诊断变得不那么成问题了。相对具有侵入性的内镜技术应保留用于治疗，而不应用于诊断。急性胆管炎和胆石性胰腺炎是两种主要并发症，需要迅速识别并及时干预，以限制发病率并预防死亡或复发。适当的非侵入性诊断研究、充分的监测/支持性护理以及对侵入性治疗程序进行适当的患者选择是良好临床实践的要素。
