CHRONIC CALCULUS CHOLECYSTITIS IN THE PEOPLE OF BARAK VALLEY IN RELATION TO SEX, AGE AND NUMBER OF GALL BLADDER STONES- AN OBSERVATIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
BACKGROUND Gallstone disease is responsible for morbidities and mortality all across the globe. Cholecystitis means inflammation of the gall bladder. It is one of the most common conditions, which is encountered by a surgeon in the North East region. Chronic cholecystitis is a long-standing gallbladder inflammation, which occurs almost always due to gallstones. The aim of this study is to find the correlation of chronic calculus cholecystitis with the gender and age of the patients as well as with the number of stones. MATERIALS AND METHODS This prospective observational study was conducted over a period of three years from July 2014 to June 2017 in the Department of General Surgery, Silchar Medical College and Hospital, Silchar, Barak Valley, Assam. 900 patients who were admitted for elective cholecystectomy in the department during this period were studied. RESULTS Of the 900 patients, 243 were males and 656 were females. Male-to-female ratio was 1: 2.7. All the histopathological lesions were also found to be predominant in the female population. Maximum patients in the study group belonged to the age group 31 - 40 years. Mean age of chronic cholecystitis was 39.48 years and acute on chronic cholecystitis 41.63 years. 576 patients had multiple stones and 324 patients had single stone when analysed. The āpā value was found to be significant (< 0.001). CONCLUSION Cases of chronic calculus cholecystitis are frequently encountered by a surgeon in his day-to-day practice. Almost all studies have reported female sex predilection apart from higher distribution in the fourth to fifth decade of life. Symptomatic gallstone disease are found more often in association with multiple calculi. Future research should be directed towards preventing the onset of gallstone formation by identifying the at-risk population.
Authors and Affiliations
Bikash Sandalya
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