Nice | Gallstone disease

11th November 2014 by Louise Hudman

Nice | Gallstone disease

This is a new guideline from NICE on gallstone disease. It doesn’t say anything very surprising and doesn’t change our current management, but does try to unify practice, which can currently be quite variable.

Remember that 15% of adults have gallstones, but only some of these will go on to have symptoms from them.

Investigations

  • LFT
  • USS

If there are abnormal LFT or a dilated biliary tree, but no gallstones are found, refer them as they will likely need MRCP (MR cholangiopancreatography). Endoscopic USS may be needed if MRCP doesn’t give a diagnosis.

Advice to patients

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