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J. Michael Henderson, MD, FRCS

Arch Surg. 2005;140:404.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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?

This article does not provide data for strong evidence-based recommendations for the evaluation and treatment of gallbladder disease in cardiac transplant patients. Unfortunately, this is a recurring theme in the surgical literature on this topic, when data are all retrospective and are skewed by selective evaluation of patients for suspicion of biliary tract disease. Nevertheless, this is an . . . [Full Text of this Article]

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