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The only curative treatment available is liver transplantation and should be considered at a MELD score of 15. © Georg Thieme Verlag KG Stuttgart · New York.Gallstones develop in the gallbladder or the bile ducts. According to their chemical composition, gallstones can be divided into cholesterol stones, which are common, and the rare bile pigment stones. Altogether, up to 20 % of all adults develop gallstones and more than 20 % of them symptoms or complications. Female sex, age, pregnancy, physical inactivity, obesity, overnutrition and g