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Let sleeping stones lie

Q: I have silent gallstones and my doctor wants me to have surgery to have them removed. They're not bothering me, and I'd rather not have surgery unless I absolutely need it. Do you have any information about this condition that might help me make a decision one way or the other?

JVW: "Silent" gallstones are gallstones not associated with any gallbladder attacks. Back in the mid-1990s, the New England Journal of Medicine published a study that compared the mortality rate from emergency surgery for obstructing gallstones with the mortality rate from routine gallbladder surgery and concluded that it is actually more dangerous. They advised that silent gallstones should not be subject to surgery but left alone.

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