Question

A 49-year-old obese woman presents with right upper quadrant pain after fatty meals, confirmed gallstones on ultrasound and a normal common bile duct. What is the most appropriate definitive management for her symptomatic gallstones?

Accepted Answer

Elective laparoscopic cholecystectomy

Answer

Ursodeoxycholic acid alone

Answer

Watchful waiting only

Answer

Open cholecystectomy via laparotomy as first choice

Answer

ERCP with sphincterotomy alone

Practice question

A 49-year-old obese woman presents with right upper quadrant pain after fatty meals, confirmed gallstones on ultrasound and a normal common bile duct. What is the most appropriate definitive management for her symptomatic gallstones?