Radiological aspects of nonsurgical therapy of gallbladder stones
Radiologische aspecten van de niet chirurgische behandeling van galblaasstenen
In the western world gallstones are a common finding in adults. Epidemiologic studies in Italy [1-3] reported the prevalence of gallstones to be between 8.3%  and 13.9% . The prevalence increases with age and is higher for females. Over the age of 50 years the prevalence is 10-15% for males and 20-25% for females . Although 80% of the subjects with gallstones are free of symptoms , gallstone disease is a major health problem. It is reported to be one of the most common causes of hospitalization for surgical procedures . In the United States 500,000 - 600,000 cholecystectomies are performed annually with an estimated cost of over 1 billion dollars . Cholecystectomy has a hospital stay of approximately 5 days and a subsequent significant disability of 3-6 weeks. It is a safe and effective procedure and has been the standard therapy for more than 100 years. McSherry  recently reviewed records of more than 14,000 cases over half a century of surgically treated patients with gallstones. The total mortality rate was I. 7% with age being the most important risk factor. The mortality rate was 0.4% in patients under 50 years, !.5% in patients between 50 and 65 years and 4.5% in patients 65 years and older. When elective cholecystectomy was performed the mortality rate was 0.09% for patients under 50 years and 0.8% for patients over 50 years.
|H.E. Schütte (Henri)|
|Erasmus University Rotterdam|
|Organisation||Erasmus MC: University Medical Center Rotterdam|
Brakel, K. (1992, April 15). Radiological aspects of nonsurgical therapy of gallbladder stones. Erasmus University Rotterdam. Retrieved from http://hdl.handle.net/1765/40696