Publication Name	World Journal of Clinical Cases
Manuscript ID	91618
Country	India

Category	Surgery
Manuscript Type	Editorial
Article Title	Cracking the silent gallstone code: Wait or operate?
Manuscript Source	Invited Manuscript
All Author List	Aakansha Giri Goswami and Somprakas Basu
Funding Agency and Grant Number
Corresponding Author	Somprakas Basu, FRCS, MBBS, MS, MSc, Professor, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Virbhadra Road, Rishikesh 249203, Uttarakhand, India. sombasu@hotmail.com
Key Words	Asymptomatic gallstones; Silent gallstones; Cholecystectomy; Gallbladder cancer; Risk stratification
Core Tip	The discussion surrounding silent gallstones remains unresolved. Despite only approximately 20% of gallstones becoming symptomatic, the widespread use of abdominal ultrasounds, coupled with the availability of laparoscopic cholecystectomies and their quick recovery times, promotes the preemptive removal of asymptomatic gallstones. Patients often opt for surgery to avert future complications, including gallbladder cancer in certain areas. The likelihood of asymptomatic gallstones progressing to symptomatic disease is very low, and complications typically do not arise without symptoms. Given this and the absence of clear guidelines, there is a need for risk stratification to selectively manage those in high-risk groups with silent gallstones.
Citation	Goswami AG, Basu S. Cracking the silent gallstone code: Wait or operate? World J Clin Cases 2024; In press

Received	2023-12-31 18:13
Peer-Review Started	2023-12-31 18:13
To Make the First Decision
Return for Revision	2024-03-06 21:45
Revised	2024-04-10 05:00
Second Decision	2024-04-18 02:39
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2024-04-18 07:54
Articles in Press	2024-04-18 07:54
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com