Yoo Kyo Sang
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea.
Korean J Gastroenterol. 2018 May 25;71(5):253-259. doi: 10.4166/kjg.2018.71.5.253.
Gallstones are one of the most common diseases worldwide. Recently, the incidence of gallstones has increased and the pattern of gallstones has changed in Korea. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones. Expectant management is considered the most appropriate choice in patients with asymptomatic gallstones. The dissolution of cholesterol gallstones by oral bile acid, such as ursodeoxycholic acid, can be considered in selected patients with gallstones. Although the advent of laparoscopic cholecystectomy has moved interest away from the pharmacologic treatment of gallstones, several promising agents related to various mechanisms are under investigation.
胆结石是全球最常见的疾病之一。最近,韩国胆结石的发病率有所上升,且胆结石的类型也发生了变化。腹腔镜胆囊切除术是有症状胆结石的标准治疗方法。对于无症状胆结石患者,观察等待管理被认为是最合适的选择。对于部分选定的胆结石患者,可以考虑使用口服胆汁酸(如熊去氧胆酸)溶解胆固醇结石。尽管腹腔镜胆囊切除术的出现使人们对胆结石的药物治疗兴趣减少,但几种与各种机制相关的有前景的药物正在研究中。