Which of the following is the most appropriate management? A. Endoscopic retrograde cholangiopancreatography (ERCP) B. Magnetic resonance cholangiopancreatography (MRCP) C. Laparos... Which of the following is the most appropriate management? A. Endoscopic retrograde cholangiopancreatography (ERCP) B. Magnetic resonance cholangiopancreatography (MRCP) C. Laparoscopic cholecystectomy D. Conservative treatment
Understand the Problem
The question describes a clinical scenario involving a 45-year-old woman with specific symptoms and lab results indicating possible gallbladder issues. The question is asking for the most appropriate management option based on the provided information.
Answer
Laparoscopic cholecystectomy
Laparoscopic cholecystectomy is the most appropriate management for symptomatic and complicated gallstones according to multiple guidelines.
Answer for screen readers
Laparoscopic cholecystectomy is the most appropriate management for symptomatic and complicated gallstones according to multiple guidelines.
More Information
Laparoscopic cholecystectomy is generally preferred due to its minimally invasive nature, leading to quicker recovery and shorter hospital stays compared to traditional open surgeries. It is the gold standard for symptomatic gallstones treatment.
Tips
A common mistake could be choosing conservative treatment for symptomatic gallstones, which usually requires surgical intervention unless contraindicated.
Sources
- Surgical and Nonsurgical Management of Gallstones - AAFP - aafp.org
- Review Clinical update on acute cholecystitis and biliary pancreatitis - sciencedirect.com
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