Abstract

Gall stone disease remains a common and significant cause of suffering in most parts of the world. Gallstones are the most common biliary pathology. A descriptive study covered 80 patients underwent surgical treatment for gallstone diseases. Ultrasound study and plain abdominal X-ray were done to confirm the presence of gallstone. More than half of the sample 58.8% were in the oldest age group 50-69 year. Female were 68(85%) and the remaining 12(15%) patients were male. Most of patients 60(75.0%) operated upon by open cholecystectomy, laparoscope used in 18(22.5%). The main finding on exploring the abdomen was inflammatory adhesion in 54(67.5%) of the patients, thick wall gallbladder came next in 12 (15%) patients. Many complications and clinical findings associated with gallstone, some of them are serious other are even fatal. That is why cholecystectomy is highly indicated even for silent gallstone. Keywords: Gallstone, Jaundice, Cholecystitis, Surgery, Laparoscopy DOI: 10.7176/JHMN/71-09 Publication date: February 29 th 2020

Highlights

  • Gall stone disease remains a common and significant cause of suffering in most parts of the world (Balakrishnan et al 2008)

  • Total number of patients with gall stone disease participated in the study were 80 patients

  • Three patients were in the age group 18-29 year, two out of the three patients were known to had hereditary spherocytosis

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Summary

Introduction

Gall stone disease remains a common and significant cause of suffering in most parts of the world (Balakrishnan et al 2008). The gallbladder (GB) is a pear-shaped organ, 7.5-12 cm length It joins the common bile duct through the cystic duct at the supra-duodenal segment but there are many anatomical variations (Nagral 2005). Gallstones are the most common biliary pathology, which can be divided into three main types: cholesterol, pigment (black, brown) or mixed stones (Singha et al 2017). It may be single or multiple, large or small. Several studies have provided evidence supporting the role of gall bladder bile stasis in the genesis of gall stones, clear cut data on impaired gall bladder contractility have not been found consistently in gall stone patients (Cicala et al 2011).

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