ASSOCIATION BETWEEN GALL BLADDER DIAMETER AND CALCULUS IN THE CYSTIC DUCT IN GALL STONE DISEASES AND ITS IMPORTANCE IN THE CURRENT SURGICAL PRACTICE- A CROSSSECTIONAL STUDY IN JNIMS, POROMPAT, MANIPUR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
BACKGROUND Gall Stone Disease is still a problem even in this new era. Patients with suspected gall bladder disease visiting Jawaharlal Nehru Institute of Medical Sciences, Porompat, Manipur (JNIMS) were diagnosed by doing ultrasound examination in the Department of Radiodiagnosis, JNIMS. Sometimes, it is difficult to trace the complete cystic duct and was overlooked, especially in obese patients which in fact needs further evaluation by Computerised Tomography (CT)/ Magnetic Resonance Imaging (MRI). The objective of this study is to assess the association of gall bladder diameter and calculus in the cystic duct. MATERIALS AND METHODS All patients with suspected Gall Bladder Disease visiting Jawaharlal Nehru Institute of Medical Sciences, Porompat, Manipur (JNIMS) from 1st Feb 2016 to 15th March 2017 between the age group of 18 - 70 yrs. irrespective of sex and race were examined in Department of Radiodiagnosis, JNIMS. All are examined by Transabdominal Ultrasonography (USG) and selectively with CT/ MRI for confirmation. The confirmed Gall Stone Diseases (GSD) were taken up for Cholecystectomy in JNIMS and operative findings were correlated with the USG and CT/ MRI findings and were analysed. Study Design- A cross-sectional study. Setting- Jawaharlal Nehru Institute of Medical Sciences, Porompat, Manipur (JNIMS). RESULTS Out of 586 patients, a total of 500 cases, aged 18 - 70 yrs. were studied. 65 cases were found calculus in the Gall Bladder (GB), Cystic duct, Common Bile Duct (CBD) or combined. Total number of cases having only GB calculi was 38. GB calculi and cystic duct was 16 cases. Total number of cystic duct calculus only was 7 (USG-3, CT-2 and MRI-2). GB with cystic duct and CBD calculi was 3 and CBD only was 1. All the intraoperative findings are similar with the pre-operative USG, CT/ MRI reports. Patients with Gall Bladder diameter > 3.5 cm are associated with stone in the cystic duct. CONCLUSION Symptomatic patients showing a gall bladder diameter of > 3.5 cm or more should be further evaluated for the cystic duct calculus, so as it will help complete treatment in the GSD patients.
Authors and Affiliations
Heramot Singh O, Somorjit Singh N, Ruma Sarkar, Th. Hemchandra Singh
Keywords
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- EP ID EP399089
- DOI 10.14260/jemds/2018/195
- Views 63
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