Gallstone disease

In this episode, surgeon Peter Carr-Boyd shares expert insights on gallstones, their symptoms, diagnosis, and management, helping primary care providers better understand when to refer and how to handle common presentations.

Topics

Intro.
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What are gallstones?
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Prevalence.
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Identifying classic biliary colic.
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Vague epigastric symptoms.
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What questions to ask?
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Dyspepsia or GORD?
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Identifying red flags.
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Physical examination insights.
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Diagnostic approaches: Ultrasound and blood tests.
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Gallbladder sludge and its clinical implications.
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When to consider surgery: Indications for cholecystectomy.
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Management of acute cholecystitis and timing of intervention.
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Outpatient management and waiting for surgery.
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When to seek emergency care for persistent pain.
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Key take-home messages.
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Take home messages

Gallstones are really common (1 in 5 people).
Vast majority of those with gallstones are asymptomatic.
Success rate of cholecystectomy depends on the type of symptoms.
Refer on if patient has ongoing symptoms.

Presenter

Peter Carr-Boyd

General, Upper Gastrointestinal, Hepatobiliary and Pancreatic Surgeon

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Peter obtained his Medical degree from the University of Sydney, and obtained his fellowship with the Royal Australasian College of Surgeons in General Surgery. During these five years he focused on the management of a wide range of conditions, including colorectal, upper gastrointestinal, breast and endocrine. A large focus of his training was on laparoscopic gastrointestinal surgery and laparoscopic hernia repair.

He spent two years receiving sub-specialist training in HPB/UGI surgery at Auckland City Hospital and The Royal Prince Alfred Hospital in Sydney, and a further two years focusing on adult and paediatric Transplantation with The New Zealand Transplant Unit and The Children’s Hospital, Pittsburgh. Whilst in the USA he completed the UPMC Advanced Robotics Training Program. He completed a Master of Surgery focusing on colorectal cancer liver metastases and has recently completed The Harvard Medical School Surgical Leadership Program.