IN THE NEWS

October 9, 2025 - (Helena, MT) - The Montana Hospital Association (MHA) is pleased to announce recipients of its top honors for 2025. Presented annually at the Montana Healthcare Conference, this set of awards recognizes individuals and organizations dedicated to advancing health across the state through innovation, quality, and service.

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RESOURCES

Systematic review and meta-analysis of gallstone disease treatment outcomes in early cholecystectomy versus conservative management/delayed cholecystectomy.

Study/Year - Bagepally, et al., 2021

Patient Group - Symptomatic gallstone patients

Recommendation - Early cholecystectomy reduces biliary complications

Effectiveness of conservative management versus laparoscopic cholecystectomy in the prevention of recurrent symptoms and complications in adults with uncomplicated symptomatic gallstone disease (C-GALL trial): pragmatic, multicentre randomised controlled trial

Study/Year - C‑GALL trial, 2023

Patient Group - Uncomplicated symptomatic cases

Recommendation - Supports early cholecystectomy over conservative care

2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis

Study/Year - Pisano et al., 2020

Patient Group - Complicated gallstone disease

Recommendation - Guidelines: Index/early cholecystectomy recommended

Laparoscopic Cholecystectomy in Elderly Patients

Study/Year - Shrestha et al., 2025

Patient Group - Elderly with acute cholecystitis

Recommendation - Early surgery is safe and improves outcomes

Bibliography References

  1. Kristensen SL, Rørth R, Jhund PS, et al. Cardiovascular, mortality, and kidney outcomes with GLP-1 receptor agonists in patients with type 2 diabetes: a systematic review and meta-analysis of cardiovascular outcome trials. Lancet Diabetes Endocrinol. 2019;7(10):776-785. doi:10.1016/S2213-8587(19)30249-9

  2. Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172-187. doi:10.5009/gnl.2012.6.2.172

  3. Fanelli RD, Gersin KS. Laparoscopic endobiliary stenting: a simplified approach to the management of occult common bile duct stones. J Gastrointest Surg. 2001;5(1):74-80. doi:10.1016/s1091-255x(01)80016-0