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Gallstones — UKMLA MCQ

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EasyGastroenterologyGallstonesUKMLA

A 29-year-old woman has colicky right upper quadrant pain and ultrasound-detected gallstones without evidence of cholecystitis or cholangitis. According to NICE guidelines, what is the recommended definitive management?

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Correct answer: B — Laparoscopic cholecystectomy

NICE advises laparoscopic cholecystectomy for symptomatic gallstones to prevent complications. ERCP is indicated for stones in the common bile duct. Oral bile salts and lithotripsy are rarely used. As she is symptomatic, watchful waiting is not advised.

Reference: NICE Gallstone Disease