Appropriate Management of flatulent dyspepsia in an otherwise normal female is (AIIMS May 2012)
|A||Immediate laparoscopic cholecystectomy|
|B||Laparotomy after 1/2 months|
|C||Wait till onset of biliary colic|
|D||Endoscopic retrograde cholangiopancreatography|
a. Gallstone disease discovered in an asymptomatic patient or in a patient whose symptoms are not referable to cholelithiasis is a common clinical problem.
b. The natural history of “silent” or asymptomatic gallstones has occasioned much debate.
c. In silent gallstone patients the cumulative risk for the development of symptoms or complications is relatively low-10% at 5 years, 15% at 10 years, and 18% at 15 years.
d. Decision analysis has suggested that (1) the cumulative risk of death due to gallstone disease while on expectant management is small, and (2) prophylactic cholecystectomy is not warranted