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Medicine General 33648d6b

Medical therapy can be tried in gallstone patients with:

A
Contracted and small non functioning gallbladder
B
Radiolucent gallstones
C
Gallstones of size < 30 mm in diameter
D
Gallstone pancreatitis
High-Yield Explanation
Ursodeoxycholic acid (UDCA) decreases cholesterol saturation of bile. In carefully selected patients with functioning gallbladder and with radiolucent stones <10 mm in diameter, complete dissolution with UDCA can be achieved in 50% of patients within 6 months to 2 years. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 2621

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