Gallstone Disease in North India

Sharma, Monika; Duphare, H. V.; Nijhawan, Sandeep; Dasarathy, Srinivasan

doi:10.1097/00004836-199010000-00012

Cited by 12 publications

(2 citation statements)

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“…4 In northern states including Kashmir, a very high and increasing prevalence was reported. [5][6][7][8][9] It constitutes a major chunk of patients in our departmental Outdoor Patient Department. Obesity, high-caloric diets, certain medications (eg, oral contraceptives), and rapid weight loss are modifiable risk factors associated with gallstone diseases.…”

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confidence: 99%

Association of Body Mass Index and Waist to Hip Ratio With Gallstone Disease in Patients Visiting Rural Tertiary Care Center in North India

et al. 2020

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Introduction. In India the prevalence of gall stone disease varies in different parts of India. Malhotra in 1996 conducted an epidemiological study in Indian Railway employees and showed that North Indians has 7 times higher prevalence of gall stones compared to South Indian employees. It is said that Gall bladder is a disease of “Fatty, Fertile, Females in their Forties”. In our daily routine we observe that it is found not only in fatty females but common in average built patients also. Material and Methods. Study includes patients visiting to BPS GMC Khanpur Kalan with diagnosis of gall stone diseases and operated at our center with sample size of 135. Body mass index (BMI) and Waist to Hip ratio are calculated using their standard formulas. All data was compiled in IBM SPSS statistics (20.0). Result. Normal BMI is considered up to 25 and more than 50% patients lie in normal BMI range. Only 13% of cases lie in obese group that is BMI greater than 30. Waist to hip ratio, maximum patients that is BMI greater than 30. Waist to hip ratio, maximum patients that is (83%) lie in group more than 0.85. Minimum Waist to Hip ratio is .77 and maximum Waist to Hip ratio is 1.45. Out of 135 patients 90 patients are having high Waist to Hip ratio. Conclusion. Waist to Hip Ratio (abdominal adiposity) is better indicator of Gall stone diseases than BMI.

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Section: Introductionmentioning

confidence: 99%

Association of Body Mass Index and Waist to Hip Ratio With Gallstone Disease in Patients Visiting Rural Tertiary Care Center in North India

et al. 2020

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“…In the West, 10 to 15% of adults are suffering from gallstone disease; [1][2][3][4][5] however, 1 to 4% become symptomatic per year, 3,5 In India, the disease prevalence is variable in different parts with almost 7 times in North India as compared with South India. 6 The invention of laparoscopic instruments, a new era in gallbladder surgery began in the year 1987. With the advantages associated with laparoscopic surgery, the method is now preferred and has become a standard procedure at the taluka level.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study

Sharma¹,

Agarwal²

2017

Journal of Mahatma Gandhi University of Medical Sciences and Technology

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Introduction: Cholecystectomy is the most common surgery performed. The invention of laparoscopic cholecystectomy has made it extremely convenient and safe, but still the question of when to perform the surgery persists. This study attempts to compare the intraoperative findings of acute cholecystitis patients of the early and delayed group and its impact in surgery. Materials and methods:Institutional-based prospective randomized control study was done on two groups of patients who were diagnosed and admitted to the General Surgery outpatient department (OPD) of Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India from November 2015 to November 2017. The early group was operated within 7 days of the appearance of symptoms and the delayed group was operated after 6 weeks. Intraoperative findings and modification of technique were duly noted in both and analysis done by applying the chi-square test.Results: Acute complications are found to be more in an early group like turbid bile or pus with distended gallbladder in the early group, but adhesions are much more in the delayed group. Technique modification is more required in early as compared with the delayed group. Conclusion:An early cholecystectomy is a convenient option for a patient with a nonsignificant technique modification to manage the intraoperative complications.

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