Die akute Gallenkolik

Abstract

Acute biliary pain represents the main symptom of gallbladder stones, less frequently of common bile duct stones or functional disorders of the biliary tract. The pain lasts at least 15 minutes, is typically localized to the epigastrium or the right upper quadrant of the abdomen and my radiate to the right shoulder. Diagnosis of biliary pain is primarily based on clinical criteria, ultrasound allows detection of causative gallstones with high sensitivity and specificity. Analgesics and laparoscopic cholecystectomy are widely accepted as standard therapy for the majority of patients.

Urgent Laparoscopic Cholecystectomy Is the Best Management for Biliary Colic

“…A few of them develop more serious complications such as acute pancreatitis and obstructive jaundice [11]. Biliary colic is one of the most common initial presentations of gallstone-related problems [1, 2, 7, 10]. ULC after biliary colic may help to prevent some of these recurrent emergency admissions.…”

“…Patients were included in the study if they presented to the emergency room or clinic office with an initial biliary colic diagnosis. The diagnosis of biliary colic was based on physical examination (right upper quadrant abdominal pain and tenderness), laboratory findings (normal leukocyte level), and ultrasonographic findings (gallstones in the gallbladder without pericystic fluid) [10]. Patients with other biliary complications such as acute cholecystitis, obstructive jaundice, cholangitis or pancreatitis were not included in the study.…”

“…Impaction of a stone in the neck of the gallbladder or in the cystic duct is thought to result in spasm which causes visceral pain. Although referred to as biliary colic, this pain is constant in nature, typically lasting for several hours, before resolving spontaneously or with analgesia [1, 9, 10]. In patients with biliary colic caused by cholelithiasis, treatment delays may increase the probability of risk of recurrent emergency admission while awaiting elective cholecystectomy [11,12,13].…”