Published August 30, 2022 | Version http://impactfactor.org/PDF/IJTPR/12/IJTPR,Vol12,Issue8,Article41.pdf
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Exploring the Clinical Signs of Cholelithiasis and How They Relate to Histological Results

  • 1. Assistant Professor Dept. of General Surgery, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati

Description

BackgroundOne of the most common gastrointestinal ailments and a major financial strain on the healthcare system is gall stone disease. Gallstone formation is facilitated by the bile becoming concentrated and the gallbladder not emptying completely and frequently. Aims & Objectives: In the current study, we sought to examine the clinical characteristics of cholelithiasis and their relationship to histological results. Material and Methods: The current investigation was an observational, prospective, hospital-based study that examined patient gall bladder samples who had already received a cholelithiasis clinical diagnosis. Results: There were 200 total specimens examined. In the fourth decade, there were the most cases. 64 men (32%) and 136 women (68%) participated in our study. With a male to female ratio of 1:2.1, there were more females than men. With a ratio of 5.6:1, non-vegetarians were more negatively impacted than vegetarians. In our study, 35% of subjects with a BMI >30 kg/m2 were obese. In 110 patients (or 55%), pain in the right hypochondrium was the most prevalent symptom. In 80% of the instances, multiple stones were the most frequent stones seen. Gross examination revealed that the gall bladder was thicker in 57% of cases. In our investigation, the gallstones ranged in size from 0.2 to 3 cm, with the majority measuring 0.2 cm (25%). In our investigation, chronic nonspecific cholecystitis was the most prevalent lesion, occurring in 80% of cases. The most frequent types of stones in patients with chronic nonspecific cholecystitis were mixed stones (71%). In follicular cholecystitis, pigment stones were common (8%); in xanthogranulomatous cholecystitis, both pigment and cholesterol stones were present (1%). Conclusion: Females and non-vegetarians are more likely to have cholelithiasis. The bulk of the instances had multiple stones, and biochemical research revealed that most of the stones were mixed varieties.

Abstract (English)

BackgroundOne of the most common gastrointestinal ailments and a major financial strain on the healthcare system is gall stone disease. Gallstone formation is facilitated by the bile becoming concentrated and the gallbladder not emptying completely and frequently. Aims & Objectives: In the current study, we sought to examine the clinical characteristics of cholelithiasis and their relationship to histological results. Material and Methods: The current investigation was an observational, prospective, hospital-based study that examined patient gall bladder samples who had already received a cholelithiasis clinical diagnosis. Results: There were 200 total specimens examined. In the fourth decade, there were the most cases. 64 men (32%) and 136 women (68%) participated in our study. With a male to female ratio of 1:2.1, there were more females than men. With a ratio of 5.6:1, non-vegetarians were more negatively impacted than vegetarians. In our study, 35% of subjects with a BMI >30 kg/m2 were obese. In 110 patients (or 55%), pain in the right hypochondrium was the most prevalent symptom. In 80% of the instances, multiple stones were the most frequent stones seen. Gross examination revealed that the gall bladder was thicker in 57% of cases. In our investigation, the gallstones ranged in size from 0.2 to 3 cm, with the majority measuring 0.2 cm (25%). In our investigation, chronic nonspecific cholecystitis was the most prevalent lesion, occurring in 80% of cases. The most frequent types of stones in patients with chronic nonspecific cholecystitis were mixed stones (71%). In follicular cholecystitis, pigment stones were common (8%); in xanthogranulomatous cholecystitis, both pigment and cholesterol stones were present (1%). Conclusion: Females and non-vegetarians are more likely to have cholelithiasis. The bulk of the instances had multiple stones, and biochemical research revealed that most of the stones were mixed varieties.

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Dates

Accepted
2022-08-30

References

  • 1. Rakesh, Rajender G. A prospective clinicopathological study of 50 cases of chronic calculous cholecystitis in the local population. JEMDS 2013 August;2(15) : 6706-6716. 2. Dr. R. Thamilselvi, Dr. Pammysinha, Dr. P.M. Subramaniam, Dr. P. G. Konapur, Dr. C.V. Prabha. A clinicopathological study of cholecystitis with special reference to analysis of cholelithiasis. International journal of basic medical sciences July 2011;2(2): 68-72. 3. Pradhan SB, Joshi MR, Vaidya A. Prevalence of different types of gallstone in the patients with cholelithiasis at kathmandu medical college, Nepal. Kathmandu university medical journal 2009;7: 268-271. 4. Malhotra SL. Epidemiological study of cholelithiasis among railroad workers in India with special reference to causation. Gut 1968; 9(3): 290. 5. H.Mohan, R.P.S Punia, S.B. Dhawan, S.Ahal , M.S.Sekhon. Departments of Pathology and Surgery, Government Medical College and Hospital, Chandīgarh, India. Morphological spectrum of gallstone disease in 1100 cholecystectomies in north India. Indian journal of surgery 2005; 67(3):140. 6. Mathur SK, Duhan A, Singh S, Aggarwal M, Aggarwal G, Sen R et al. Correlation of gallstone characteristics with mucosal changes in gall bladder. Tropical gastroenterology 2012 ;33(1): 39-44 7. Kamran tassadque, Muhammadali, abdussalam, Muhammedl atif, Nazishafroze, Samrahmasood. Studies on the chemical composition and presentation of gallstones in relation to sex and age among human population of Multan, Pakistan. Journal of biological sciences 2004;4(4):470-473. 8. P.Chandran, N. K. Kuchhal, P. Garg and C.S. Pundir. An extended chemical analysis of gallstones. Indian journal of clinical biochemistry 2007; 22 (2): 14 5-150. 9. Mohammed A. Taher. Descriptive study of cholelithiasis with chemical constituents analysis of gallstones from patients living in Baghdad, Iraq. International journal of medicine and medical sciences 2013; 5(1): 19-23. 10. Mustafa mazlum, Fatma Hüsniyedilek, Arzu Neşeyener, Çiğdemtokyol, Fatmaaktepe, Osman Nuridilek. Profile of gallbladder diseases diagnosed at Afyonkocatepe University: A retrospective study. Turkish journal of pathology 2011; 27(1): 023-03. 11. Mohan H, Punia RP, Dhawan SB, Sekhon MS. Morphological spectrum of gallstone disease in 1100 cholecystectomies in North India. Indian J Surg. 2005;67:140–2. 12. Khanna R, Chansuria R, Kumar M, Shukla HS. Histological changes in gallbladder due to stone disease. Indian J Surg. 2006;68:201–4. 13. Tyagi SP, Tyagi N, Maheshwari V, Ashraf SM, Sahoo P. Morphological changes in diseased gall bladder: A study of 415 cholecystectomies at Aligarh. J Indian Med Assoc. 1992;90: 178–81. 14. Singh UR, Agarwal S, Misra K. Histopathological study of xanthogranulomatous cholecystitis. Indian J Med Res. 1989;90:285–8. 15. Baig SJ, Biswas S, Das S, Basu K, Chattopadhyay G. Histopathological changes in gallbladder mucosa in cholelithiasis: Correlation with chemical composition of gallstones. Trop Gastroenterol. 2002;23:25–7. 16. Johnston DE, Kaplan MM. Pathogenesis and treatment of gallstones. N Engl J Med. 1993;328: 412–21. 17. Batool D. R., Jamal D. K., Sheroze D. M. W., Bhatti D. I. A., Jaffar D. N., Haider D. G., & Faridi D. M. A. Clinical features of colorectal carcinoma at the Jinnah Postgraduate Medical Centre, Karachi, Pakistan: a cross-sectional study. Journal of Medical Research and Health Sciences, 2022;5(9): 2203–2209.