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Category: Volume 06 Issue 02 February 2018
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Title: Prevalence and Management of Cholelithiasis in Population of Rajasthan: A Clinical Study

Authors: Dinesh Kumar Sarda, Praveen Kumar Garg

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.27

Abstract

Background: Cholelithiasis, is a recurrent disease caused due to impaired cholesterd, bilirubin and bile acid metabolism. It has high prevalence in southern part of India than in comparison to northern part. Therefore the aim of our study was to study the incidence of cholelithiasis in Population of Rajasthan and its associated risk factors along with surgical management and complication.

Materials & Methods: The study was conducted in the department of surgery, Government Bangur Hospital, Pali, Rajasthan (India) taking 80 patients. Patient history was taken in the structured proforma. The ultrasonography of the abdomen and surgical procedure (Both laparoscopy and open) were carried out.

Results: Cholelithiasis was more prevalent in female (68.75%) and was frequent in the age group and 40-50 years (31.25%). Mixed type of calculi was more common (66.25%). The major sign observed was abdominal pain nausea and vomiting. The common site of cholelithiasis was gall bladder (93.75%) and most of the cases were subjected to laparoscopic procedure (90%). We found surgical site infection and biliary leaks as the post-surgical complications.

Conclusion: Prevalence of cholelithiasis is substantially increased due to the changes in life style and eating habits of people considering the associated risk factors, care must be taken inorder to reduce the economic as well as health loss. 

Keywords: Cholelithiasis, Laparoscopy, Cholesterol Stone, Calculi.

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Corresponding Author

Dr Praveen Kumar Garg

Assistant Professor (General Medicine),

Government Bangur Hospital, Pali, Rajasthan, India