Analysis of Upper Gastro-Intestinal Endoscopic Findings in Patients with Gallstone Disease who Present with Dyspepsia
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Gall stone disease is one of the most prevalent diseases in man with age, gender, ethnicity and lifestyle playing important roles in the formation of gall stones. Most of the gall stones are silent / asymptomatic with only 1 – 4% lifetime risk of becoming symptomatic. Gall stones can have 4 types of clinical presentation. Most commonly they are largely asymptomatic. Gall stones can present with typical biliary colic in about 10 – 25% of patients with pain described as severe right upper quadrant or epigastric pain which ebbs and flows, radiating to right shoulder and back. The main aim of the study was to analyze the upper gastro-intestinal endoscopic findings amongst patients with gallstone disease who presented with dyspepsia. Material and methods: In the present study, 63 patients with dyspeptic symptoms and radiologically proven cholelithiasis were included. All patients were subjected to EGD. Details of cases were recorded including history and clinical examination and investigations as per the pretested proforma. Upper GI endoscopy was performed to look for significant lesions. All the data thus obtained was arranged in a tabulated form. The results were expressed as percentage of total data. SPSS software was used for analysis. Results: In the present study, pain abdomen was the most common dyspeptic symptom, accounting for 77.77%, followed by post-prandial fullness which accounted for 63.49%. Other symptoms included nausea (53.96%), heartburn (50.79%), belching (33.33%) and vomiting (14.28%). Out of the 48 patients who underwent medical management, 47 patients (97.92%) were symptom free by the end of 3 months. One patient failed to respond and hence underwent cholecystectomy. Out of 47 patients who responded, 2 patients was post cholecystectomy without significant pre-operative EGD findings. Conclusion: Routine pre-operative upper GI endoscopy is recommended in all patients with gall-stone disease who present with dyspepsia to avoid unnecessary cholecystectomy.
Authors and Affiliations
K Aravind, Kalghatgi S, Shubhlaxmi Nayak, Mukund Kulkarni, Vinayak B
Keywords
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