search
for
 About Bioline  All Journals  Testimonials  Membership  News


Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 68, Num. 5, 2006, pp. 288-288

Indian Journal of Surgery, Vol. 68, No. 5, September-October, 2006, pp. 288

Letter To Editor

Cholecystectomy for asymptomatic gallstone patients

Department of Surgery, SPS Apollo Hospital, Ludhiana, Punjab
Correspondence Address:Department of Surgery, SPS Apollo Hospital, Ludhiana, Punjab Email: prafarya@sancharnet.in

Code Number: is06087

Related Article: is06058

Sir,

The article by Khanna et al - ′Histological changes in gall bladder due to stone disease′ is very interesting and thought-provoking.[1] There have been controversies regarding the management of asymptomatic gallstone disease. It is now commonly agreed that gallstones are an important risk factor for facilitating development of gall bladder cancer, despite it being adenocarcinoma.[2]

We have been traditionally doing cholecystectomy for symptomatic gallstone disease or gallstones with some coexisting morbid condition suggesting cholecystectomy for patients′ safe future. I agree that there is no relationship between the type and number of gallstones, and the epithelial changes occurring in the gall bladder. We at our centre have found pathological changes in the gall bladder wall in all cases, irrespective of the presence or severity of symptoms. Therefore, I further agree with the authors that cholecystectomy should be offered to all gallstone patients irrespective of symptoms. But as gall bladder cancer is directly related to the presence of gallstones most of the times, I would suggest that cholecystectomy should be offered even if patient comes from low incidence area for gall bladder cancer.

References

1.Khanna R, Chansuria R, Kumar M, Shukla HS. Histological changes in gallbladder due to stone disease. Indian J Surg 2006;68:201-4.  Back to cited text no. 1    
2.Al-Hadeedi SY, Moorchead RJ, Leaper DJ, Wong J. Carcinoma of the gallbladder: A diagnostic challenge. J Coll Surg Edin 1991;36:174-7.   Back to cited text no. 2    

Copyright 2006 - Indian Journal of Surgery

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2024, Site last up-dated on 01-Sep-2022.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Google Cloud Platform, GCP, Brazil