A Analysis of Upper Gastrointestinal Endoscopy in Symptomatic Cholelithiasis Patients

Ritesh Venkatesh Kumar, (2019) A Analysis of Upper Gastrointestinal Endoscopy in Symptomatic Cholelithiasis Patients. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION: Cholelithiasis is one of the ˌmost common problems encountered in surgery. It’s an immense challenge to discriminate between upper gastrointestinal (UGI) symptoms due to gall stones or any other causes. These gastrointestinal symptoms have been related to gallstones but. causal relationship has not been established yet. The persistence of abdominal symptoms even after cholecystectomy is highly discouraging for surgeons. Coexistence of concurrent upper gastrointestinal problems in gallstones disease patients may have attributed to the post cholecystectomy syndrome. AIM OF STUDY: The aim of the study is to know the frequency of alternative diagnosis of significant disease by upper gastrointestinal endoscopy in patients with ultrasound proven cholelithiasis having complaints of chronic dyspeptic symptoms. This study focuses on the yield of pre – op upper gastrointestinal endoscopy as an investigative modality to find out other associated disorders of upper gastrointestinal tract in patients with ultrasonogram proven gall stones presenting with chronic dyspeptic symptoms. MATERIALS AND METHODS: SITE OF STUDY: The study was conducted in General Surgery Department at Government Royapettah Hospital and Kilpauk Medical College. PERIOD OF STUDY: The study was conducted from March 2018 to August 2018. Sample size: 166 patients comprising of both males and females. INCLUSION CRITERIA: 1. Patients of age above 15 years of age. 2. Patients having single or multiple stones in gall bladder shown only on ultrasound. 3. Patients havng any one or more of the following symptoms: a. pain or discomfort in upper abdomen, b. nausea or vomiting, c. early satiety, d. bloating sensation or fullness of abdomen, 4. Patients who have given written consent and willing to participate. Exclusion criteria: 1. Patients age < 15 years. 2. Patients having acute abdomen and / or biliary colicky pain. 3. Patients whose general condition is unstable. 4. Patients not willing to participate or willing to sign written consent form. CONCLUSION: The prevalence of significant lesions in upper gastrointestinal evaluation of symptomatic cholelithiasis patients having chronic dyspeptic symptoms on endoscopy is relatively more than prevalence of normal findings. The prevalence of significant lesions was higher in females than males in symptomatic patients. The prevalence of significant lesions was highest in the age group of less than 40 years. Therefore upper gastrointestinal endoscopy has a vital role in the preop evaluation and investigation symptomatic cholelithiasis patients.

Item Type: Thesis (Masters)
Additional Information: Reg.No.221611165
Uncontrolled Keywords: Upper Gastrointestinal Endoscopy, Symptomatic Cholelithiasis Patients.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 02 Sep 2019 07:37
Last Modified: 08 Sep 2019 08:35
URI: http://repository-tnmgrmu.ac.in/id/eprint/11419

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