Although surgery remains the ultimate treatment for symptomatic gallst
one disease, the number of nonsurgical alternatives continues to grow.
It is important to consider these options. The patient's age and over
all health and the composition, number, and size of gallstones are maj
or factors in determining whether alternative methods of therapy are a
ppropriate. Many patients are eliminated from consideration when crite
ria for nonsurgical therapy are carefully followed. For example, oral
dissolution therapy is relatively effective, but only about 20% to 25%
of patients are candidates.