Table 1.

Protocol Followed in Management of Patients With Gallstone Disease

Case Scenario	Mode of Presentation	Management Plan*
A	Presentation with history and chronic symptoms of gallstone disease or Gallstones diagnosed on community ultrasound	LFT and Imaging (US +/−MRI) to confirm diagnosis and normal CBD and proceed to planned LC.
B	Cholelithiasis with severe biliary pain or acute cholecystitis	LC within 96 hours
C	Cholelithiasis with choledocholithiasis	ERCP with clearance of common bile duct stones followed by LC as early as possible after watching for development of ERCP-related complications
D	Cholelithiasis with gallstone pancreatitis	LC as soon as patient is symptom free and biochemical parameters are normal. CT scan 7 days after onset of symptoms to rule out pancreatic necrosis or if evidence of infection.