The agreed indications and contra-indications for cholecystectomy

Gerald M. Fraser, Dinah Pilpel, Sally Hollis, Jacqueline Kosecoff, Robert H. Brook

    Research output: Contribution to journalArticlepeer-review

    3 Scopus citations


    Indications as to which patients should undergo cholecystectomy remain, at least in part, a matter of controversy. In 1987, a panel of nine Israeli physicians from different specialties established a list of indications for the performance of cholecystectomy based on the literature available at the time. The panel agreed that cholecystectomy was appropriate for 59 indications and that it was inappropriate for 58. The major indications for surgery were biliary colic and acute cholecystitis. Patients who were asymptomatic or had vague symptoms were not recommended to undergo surgery unless they had stones in the common bile duct and were less than 71 years of age. Patients with pancreatitis were recommended for surgery if they had stones in the common bile duct and did not have a history of alcohol abuse. Performing a cholecystectomy at the same time as abdominal surgery was being performed for other reasons was indicated only if the patient was symptomatic from his gall-stones.

    Original languageEnglish
    Pages (from-to)81-85
    Number of pages5
    JournalInternational Journal for Quality in Health Care
    Issue number1
    StatePublished - 1 Dec 1993


    • Appropriate
    • Cholecystectomy
    • Comorbidity
    • Consensus agreement
    • Contra-indication
    • Inappropriate
    • Indication
    • Panel
    • Score

    ASJC Scopus subject areas

    • Health Policy
    • Public Health, Environmental and Occupational Health


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