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Common Problems in Acute Care Surgery pp 243–251Cite as

Acute Biliary Disease

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Abstract

Gallstone disease is prevalent in western society, with 10–15 % of adults having gallstones (Stinton and Shaffer, Gut Liver 6(2):172–87, 2012). In the USA, 500,000–750,000 cholecystectomies are performed annually. Given the prevalence of biliary disease, it is important to understand the spectrum of gallstone-related pathologies and how to treat them. The major problems caused by gallstones are symptomatic cholelithiasis; acute cholecystitis; choledocholithiasis; cholangitis; and biliary pancreatitis. In addition, the surgeon may encounter a patient with acute acalculous cholecystitis or gallstone ileus. This chapter offers an overview of each of these clinical entities and outlines a diagnostic and treatment strategy for each.

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Authors and Affiliations

  1. University of Hawaii Residency Program in General Surgery, Honolulu, HI, USA

    Ning Lu

  2. Acute Care Surgery, The Queen’s Medical Center, Honolulu, HI, USA

    Walter L. Biffl

  3. Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA

    Walter L. Biffl

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  1. Ning Lu
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  2. Walter L. Biffl
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Correspondence to Walter L. Biffl .

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Editors and Affiliations

  1. Department of Surgery, The University of Texas McGovern Medical School - Houston, Houston, Texas, USA

    Laura J. Moore

  2. General Surgery and Trauma Ben Taub Hospital, Houston, Texas, USA

    S. Rob Todd

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Lu, N., Biffl, W.L. (2017). Acute Biliary Disease. In: Moore, L., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-42792-8_23

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