Incidence of Cholelithiasis, its Complications and Management at Isra University Hospital
Juwereya Memon, Sohail Ahmed Soomro, Muhammad Jarwar, Muhammad Hussain Laghari, Ahsan Ali Laghari
1783
ABSTRACT
Aim: To determine the frequency of cholelithiasis, complications and its management
at Isra University Hospital, Hyderabad.
Setting: General Surgery Department, Isra University
Hospital, Hyderabad
Duration: One year
from Nov 2015 to Oct 2016
Methods: Patients (>20 years and <80
years) presenting in general surgery Out Patient Department (OPD) and admitted
in general surgery ward with a suspected case of cholelithiasis based on the
signs and symptoms along with supported physical examination were enrolled in
this study. The confirmatory diagnosis of gallstones was made by using
abdominal ultrasound. The complications of cholelithiasis were assessed thoroughly
be examined and investigated by laboratory investigations and abdominal
ultrasound, where appropriate and any complication. Data was collected via
study proforma and analysis was done by using SPSS version 20.
Results: A total of 383 suspected patients were selected for this study. The
study subjects consisted of 127 males (33%) and 256 (67%) females. The mean age
of patients was 43.12+9.43 years. The overall prevalence of gallstones
was 38.9% in suspected patients and the rate of complications among patients
having gallstones was 46.3% as acute cholecystitis, chronic cholecystitis,
acute pancreatitis and obstructed jaundice due to CBD stone, followed by
cholangitis, Empyema, mucocele, perforation and peri cholecystitis abscess,
gall bladder adenocarcinoma and gall stone ileus. Most of the patients 52.3%
were managed through laparoscopic cholecystectomy, 36.2% were managed through
open Cholecystectomy and 10.1% were managed conservatively and two patients
underwent ERCP by gastroenterologist those having CBD stones.
Conclusion:
In the observation of this study gall stone
was highly prevalent in suspected cases and disease was associated with several
complications. Mostly females and poor peoples were involved in
complications by ignorance and late diagnosis of gall stone. Mostly patients
were managed by laparoscopic cholecystectomy including open cholecystectomy,
conservative treatment and ERCP.
Keywords: Cholecystectomy, complications, management
Aim: To determine the frequency of cholelithiasis, complications and its management
at Isra University Hospital, Hyderabad.
Setting: General Surgery Department, Isra University
Hospital, Hyderabad
Duration: One year
from Nov 2015 to Oct 2016
Methods: Patients (>20 years and <80
years) presenting in general surgery Out Patient Department (OPD) and admitted
in general surgery ward with a suspected case of cholelithiasis based on the
signs and symptoms along with supported physical examination were enrolled in
this study. The confirmatory diagnosis of gallstones was made by using
abdominal ultrasound. The complications of cholelithiasis were assessed thoroughly
be examined and investigated by laboratory investigations and abdominal
ultrasound, where appropriate and any complication. Data was collected via
study proforma and analysis was done by using SPSS version 20.
Results: A total of 383 suspected patients were selected for this study. The
study subjects consisted of 127 males (33%) and 256 (67%) females. The mean age
of patients was 43.12+9.43 years. The overall prevalence of gallstones
was 38.9% in suspected patients and the rate of complications among patients
having gallstones was 46.3% as acute cholecystitis, chronic cholecystitis,
acute pancreatitis and obstructed jaundice due to CBD stone, followed by
cholangitis, Empyema, mucocele, perforation and peri cholecystitis abscess,
gall bladder adenocarcinoma and gall stone ileus. Most of the patients 52.3%
were managed through laparoscopic cholecystectomy, 36.2% were managed through
open Cholecystectomy and 10.1% were managed conservatively and two patients
underwent ERCP by gastroenterologist those having CBD stones.
Conclusion:
In the observation of this study gall stone
was highly prevalent in suspected cases and disease was associated with several
complications. Mostly females and poor peoples were involved in
complications by ignorance and late diagnosis of gall stone. Mostly patients
were managed by laparoscopic cholecystectomy including open cholecystectomy,
conservative treatment and ERCP.
Keywords: Cholecystectomy, complications, management