ROLE OF PRE-OPERATIVE UPPER GASTRO-INTESTINAL ENDOSCOPY IN SYMPTOMATIC PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY FOR GALL BLADDER STONE DISEASE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 20
Abstract
BACKGROUND Gallbladder stone disease is one of the most common problems encountered in surgical practice. The diagnosis of gallbladder stone disease has increased over the last decade because of the ease of access to sonography. A percentage of patients do not get relief after surgery for gallstone disease. The sonographic finding of gallbladder calculi may be incidental and acid peptic disease of the stomach or the duodenum, reflux disease or hiatus hernia may be the true cause of pain. Upper abdominal pain may be secondary to either cholelithiasis or gastro duodenal diseases. Differentiating between these two is important, because the prevalence of these conditions is common in the general population. Thus, this study aims to determine the importance of upper gastro intestinal endoscopy to reveal the association between dyspeptic symptoms and diseases with gallbladder calculi. METHODS This is a prospective study conducted on 66 cases of ultrasound proven gallstone disease, at the department of general surgery, Dr. Prabhakar Kore Hospital and Medical Research Center irrespective of age and sex. After examination, all patients were subjected to Upper GI endoscopy. The statistical analysis was conducted using SPSS version 22. RESULTS Out of 66 study samples, symptomatology has shown atypical biliary colic accounting for 54.5% in comparison to typical biliary colic of 45.5%. All subjects were subjected to upper GI endoscopy which detected a total number of 24 samples having positive upper GI lesions accounting for 36.4%, which is statistically significant (p=0.045) and 63.6 % being normal on endoscopy. CONCLUSIONS We recommend an UGI-Scopy pre-operatively for patients undergoing elective laparoscopic cholecystectomy for gallbladder stone disease for adequate diagnosis and treatment of the co-existing UGI lesions if present and reduce the incidence of post-operative persistence of symptoms.
Authors and Affiliations
Anil Kumar Parappa Bellad, Manish Chandrashekar Asha
Keywords
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- EP ID EP617681
- DOI 10.14260/jemds/2019/354
- Views 61
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