Effective diagnosis for the management of gall stone: a clinical study

Abstract

Background: Gallstones also known as cholelithiasis, is one of the most occurring and costly gastrointestinal disorder. Management of acute biliary cholelithiasis mainly involves pain control with non-steroidal anti-inflammatory drugs or narcotic pain relievers. However, surgical procedures like laparoscopic and mini-laparotomy cholecystectomy is also use for the management of it.Methods: Present clinical study gives an account of the diagnostic criteria for the effective management of acute biliary cholelithiasis, the diagnosis of gallstones was done by ultrasonography (USG).Results: Present study indicated females more (73.33 %) prone to occurrence of gallstone compared to males (26.67 %). Abdominal pain was the common feature in all the patients, with majority complaining (40 %) pain in right hypochondrium and epigastrium. Dyspepsia along with Nausea and vomiting was associated in 70 % and 66.66 % patients respectively. Tenderness and tenderness of hypochondrium were reported in 70 % and 30 % patients respectively. Ultrasonography served to be the major technique in diagnosing gallstones in the present study with success rate of 98.33 %.Conclusions: The present study concludes male-female ratio for occurrence of gallstones 1:2.75. Pain in the abdomen with nausea/vomiting and dyspepsia is the major clinical feature along with the occurrence of tenderness with elevated leucocytes count as one of the prime diagnostic criteria’s. Present study concluded ultrasonography (USG) as the correct technique in diagnosing gallstones.