Title: Upper GI Endoscopic Findings with Cholelithiasis
Authors: Dr K.C.M.Rajkumar, Prof. Dr R.Ramesh, Dr K. Ravichandran
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.52
Background: Upper abdominal symptoms like abdominal pain, dyspepsia etc are most often attributed to bilary disease and many patients continue to complain the same symptoms after cholecystectomy. So upper GI Endoscopy performed for patients with Cholelithiasis before cholecystectomy to exclude upper GI pathology other than Cholelithiasis. Aims: To Assess the valve of pre-operative upper GI endoscopy in patients with Cholelithiasis. Patients and Methods: This is a Retrospective Hospital based study. Fifty Symptomatic adult patients diagnosed having cholelithiasis by ultrasound who underwent pre-operative oesophagoduodenoscopy were included in this study. Results: OGD Revealed different pathological findings in 37 (74%) out of 50 patients with GSD. Conclusions: OGD cholelithiasis for detection of upper GI pathology Responsible for symptoms. Keywords: Gallstone disease, upper Gastrointestinal Endoscopy Reflux esophagitis, gastritis, dyspepsia. 1. Everhart JE, Khare M, Hill M, Maurer KR. Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology 1999; 117:632-9. 2. Al-Azawi D, Rayis A, Hehir D J. Esophagogastroduodenoscopy prior laparoscopic cholecystectomy. Journal of Laparoendoscopic and Advanced Surgical Techniques 200; 16:593-597. 3. Niv Y, Fraser GM. Is there a need for diagnostic upper gastrointestinal endoscopybefore cholecystectomy?. Isr J Med Sci 1995;31:536-9. 4. Schwenk W, Bohm B, Badke A, Zarras K, Stock W. Preoperative es ophagogastro-duodenoscopy before elective surgical therapy of symptomatic cholelithiasis. Leber Magen Darm 1992;22:225-9. 5. Diettrich H, Wundrich B, Kobe E, Noack S, Weber K. Gastroscopy before cholecys-tectomy. Gastroenterol J. 1990;50:173-4. 6. Thybusch A, Schaube H, Schweizer E, Gollnick D, Grimm H. Significant value and therapeutic implications of routine gastroscopy before cholecystectomy. J Chir (Paris) 1996;133:171-4. 7. Sosada K, Zurawinski W, Piecuch J, Stepien T, Makarska J. Gastroduode-noscopy: a routine examination of 2, 800 patients before laparoscopic cholecystec-tomy. Surg Endosc 2005; 19:1103-8. 8. Ure BM, Spangenberger W, Lefering R, Dietric A, Troidl H. Routine gastroscopy before laparoscopic cholecystectomy: evaluation of the technology in 376 patients. Z Gastroenterol 1992; 30:529-33. 9. Zubler J, Markowski G, Yale S, Graham R, Rosenthal TC. Natural history of asymptomatic gallstones in family practice office practices. Arch Fam Med. 1998; 7:230-3. 10. Meshikhes AW. Asymptomatic gallstones in the laparoscopic era. J R Coll Surg Edin. 2002; 14:742-748.Abstract
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