I. INTRODUCTION The presence of gallstones in the gallbladder is called cholelithiasis.

Cholelithiasis is the pathologic state of stones or calculi within the gallbladder they vary greatly in size, shape and composition. They are uncommon in children and young adults but become more prevalent with increasing age, affecting 30 % to 40 % of people by the age of 80 years. Each year, in the United States, approximately 500,000 people develop symptoms or complications of gallstones requiring cholecystectomy. Gallstone disease is responsible for about 10,000 deaths per year in the United States. About 7000 deaths are attributable to acute gallstone complications, such as acute pancreatitis. About 2000-3000 deaths are caused by gallbladder cancers (80% of which occur in the setting of gallstone disease with chronic cholecystitis). Although gallstone surgery is relatively safe, cholecystectomy is a very common procedure, and its rare complications result in several hundred deaths each year. In Japan a recent trend, title Journal of Biliary Tract & Pancreas by Takagi Ichiro (Jikei Univ. Daisan Hosp.) The patient number who for the gallbladder gallstone increased by increase of the fat intake and aging, and the gallbladder cholelithiasis became a disease which encountered well. For the gallbladder cholelithiasis, various disease states exist to the gallstone which complicated acute cholecystitis by gallstone incarceration from silent gallstone. In the therapy, there are various methods such as oral administration method of the gallstone-dissoluting drug, extracorporeal shock wave cholecystolithotripsy therapy (ESWL), gallstone direct dissolution therapy, percutaneous gallstone extraction, Laparoscope cholecystectomy and laparotomy cholecystectomy. In this paper, the oral gallstone dissolution method was described center on gallbladder conservation treatment including ESWL, and disease state and inspection method as the indication were explained. The oral gallstone dissolution therapy by UDCA explained being effective as symptomatic therapy for the symptomatic gallbladder cholelithiasis.

II. OBJECTIVES GENERAL OBJECTIVE:

We did this case study for us to enhance our knowledge and to understand more information about Cholelithiasis, thus to give us an idea of how we could give proper nursing care for our clients with this condition, and so that we could apply them on our future exposures as students and eventually as nurses.

STUDENT NURSE CENTERED: At the end of the study, the researchers: Shall have critical thinking skills necessary for providing safe and effective nursing care. Shall have a comprehensive assessment and implement care base on our knowledge and skills of the condition. Shall have familiarized with effective inter-personal skills to emphasized health promotion and illness prevention. Shall have imparted the learning experience from direct patient care.

PATIENT / FAMILY CENTERED: At the end of this study, the patient/family will be able to: Identify measures that could minimize the risk of occurrence of the disease. Identify possible risk factors that may have contributed to the development of Cholelithiasis. Increase awareness on the risk factors Cholelithiasis. Develop the familys support system and distinguish their respective roles in improving patients health status. Involve them in promoting the health care of the patient.