Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Cholecystitis

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

Gallbladder

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

Acute Pancreatitis II: Clinical Manifestations and Management

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...

Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Always-On ICG Fluorescence: A New Normal in Laparoscopic Cholecystectomy?

ANZ journal of surgery·2026

Same author

Acute wrap migration after anti-reflux surgery: The devil is in the details.

Journal of minimal access surgery·2026

Same author

Biphasic Use of ICG for Delineation of Bilio-Vascular Anatomy During Lymph Node Clearance.

Surgical innovation·2025

Same author

Will Artificial Intelligence replace physicians?

Medical journal, Armed Forces India·2025

Same author

Persistent Pathogens Following Minimally Invasive Surgery: Is It Time to Rethink Aldehyde-Based Disinfection?

Cureus·2025

Same author

Getting to 'Shows how'.

The National medical journal of India·2025

Search research articles

Related Experiment Video

Updated: May 24, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Asymptomatic gall stones--revisited.

Avinash Supe¹

¹Department of GI Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India. avisupe@gmail.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation

|February 16, 2012

Summary

Routine surgery for asymptomatic gallstones is not advised for most patients in India. Cholecystectomy is recommended only for specific high-risk groups, while others should undergo expectant management.

Area of Science:

Gastroenterology
Surgical Decision Making
Public Health

Background:

Asymptomatic gallstones represent a significant health burden in India.
Current management strategies for asymptomatic gallstones require re-evaluation in light of advancements in surgical techniques.

Purpose of the Study:

To analyze the cost-effectiveness and clinical indications for cholecystectomy in patients with asymptomatic gallstones.
To provide evidence-based recommendations for managing asymptomatic gallstones in the Indian population.

Main Methods:

Markov model decision analysis.
Cost-effectiveness analysis.
Review of clinical guidelines and natural history data for gallstones.

Main Results:

Related Experiment Videos

Last Updated: May 24, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Routine laparoscopic cholecystectomy is not indicated for the majority of asymptomatic gallstone cases (over 90%).
Selective or concomitant cholecystectomy is recommended for specific indications, including hemolytic disorders and gallstones in endemic areas.
Expectant management is the preferred approach for most patients with asymptomatic gallstones.

Conclusions:

The evolution of laparoscopy has not changed the fundamental indications for cholecystectomy.
Patient counseling regarding risks, benefits, and natural history is crucial for shared decision-making.
Prophylactic routine cholecystectomy for asymptomatic gallstones is not recommended; selective surgical intervention is advised.