E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Clinical Presentation and Management of Cholelithiasis: A Hospital based study

Anil Reddy Pinate, Pramod Mala, Mohammad Fezelul Rahman Shoeb, Rajeshwari Neela.

Abstract
Introduction:
In the recent years, cholelithiasis has become one of the major cause of increased abdominal morbidity and mortality through the world. The impaired metabolism of cholesterol, bilirubin and bile acids, leads to formation of gallstones in the hepatic bile duct, common bile duct, or gallbladder.
Objectives:
The study was conducted to analyze the clinical presentation, incidence and variations of presentation among the various age/sex groups and the various mode of management of Cholelithiasis.
Results:
The present study Included 65 patients with cholelithiasis, out of which 41 were females and 24 were males. The mean age group of patients was 45years and incidence rate was more common in female patients with mean age of 45.3years. It is also observed that mixed stones 36 (55%) were commonly seen compared to pigment stones 21(32%) and cholesterol stones08(12%). Significant association was seen with patients who are on mixed diet(N=39). Upper abdominal pain was the primary presentation seen in all patients, associated with dyspepsia, nausea, vomiting and fever in few patients. As laparoscopic cholecystectomy is considered as gold standard technique, 83% of patients underwent same surgery with minimal postoperative complications compared to open cholecystectomy.
Conclusion:
Laparoscopic cholecystectomy reduces the number of hospital days and was associated with lesser postoperative morbidity. Further studies are required in larger population to find out the prevalence rate as well as mode of management in patients with cholelithiasis.

Key words: Cholelithiasis, Laparoscopic Cholecystectomy, Mixed Stones


 
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How to Cite this Article
Pubmed Style

Pinate AR, Mala P, Shoeb MFR, Neela R. Clinical Presentation and Management of Cholelithiasis: A Hospital based study. Int J Surg Med. 2022; 8(6): 9-12. doi:10.5455/ijsm.136-1647338439


Web Style

Pinate AR, Mala P, Shoeb MFR, Neela R. Clinical Presentation and Management of Cholelithiasis: A Hospital based study. https://www.ejos.org/?mno=102086 [Access: January 11, 2023]. doi:10.5455/ijsm.136-1647338439


AMA (American Medical Association) Style

Pinate AR, Mala P, Shoeb MFR, Neela R. Clinical Presentation and Management of Cholelithiasis: A Hospital based study. Int J Surg Med. 2022; 8(6): 9-12. doi:10.5455/ijsm.136-1647338439



Vancouver/ICMJE Style

Pinate AR, Mala P, Shoeb MFR, Neela R. Clinical Presentation and Management of Cholelithiasis: A Hospital based study. Int J Surg Med. (2022), [cited January 11, 2023]; 8(6): 9-12. doi:10.5455/ijsm.136-1647338439



Harvard Style

Pinate, A. R., Mala, . P., Shoeb, . M. F. R. & Neela, . R. (2022) Clinical Presentation and Management of Cholelithiasis: A Hospital based study. Int J Surg Med, 8 (6), 9-12. doi:10.5455/ijsm.136-1647338439



Turabian Style

Pinate, Anil Reddy, Pramod Mala, Mohammad Fezelul Rahman Shoeb, and Rajeshwari Neela. 2022. Clinical Presentation and Management of Cholelithiasis: A Hospital based study. International Journal of Surgery and Medicine, 8 (6), 9-12. doi:10.5455/ijsm.136-1647338439



Chicago Style

Pinate, Anil Reddy, Pramod Mala, Mohammad Fezelul Rahman Shoeb, and Rajeshwari Neela. "Clinical Presentation and Management of Cholelithiasis: A Hospital based study." International Journal of Surgery and Medicine 8 (2022), 9-12. doi:10.5455/ijsm.136-1647338439



MLA (The Modern Language Association) Style

Pinate, Anil Reddy, Pramod Mala, Mohammad Fezelul Rahman Shoeb, and Rajeshwari Neela. "Clinical Presentation and Management of Cholelithiasis: A Hospital based study." International Journal of Surgery and Medicine 8.6 (2022), 9-12. Print. doi:10.5455/ijsm.136-1647338439



APA (American Psychological Association) Style

Pinate, A. R., Mala, . P., Shoeb, . M. F. R. & Neela, . R. (2022) Clinical Presentation and Management of Cholelithiasis: A Hospital based study. International Journal of Surgery and Medicine, 8 (6), 9-12. doi:10.5455/ijsm.136-1647338439