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Invited Critique
April 1, 2005

Gallbladder Disease in Cardiac Transplant Patients—Invited Critique

Arch Surg. 2005;140(4):404. doi:10.1001/archsurg.140.4.404

This article adds another page to the controversy of how to best manage gallbladder disease in cardiac transplant patients. What the authors do document in their study group of 60 patients drawn from 183 heart transplantations in the 1990s is that (1) they had a high morbidity (33%) in both elective and emergent cholecystectomy groups and (2) there was a subset of patients with radiologic gallbladder disease who were safely followed up without intervention. Does this help us with recommendations for management of this group of patients?