Prevalence of Gallstone Disease in Hispanic Populations in the United States

Maurer, Kurt R.; Everhart, James E.; Ezzati, Trena; Johannes, Richard S.; Knowler, William C.; Larson, David; Sanders, Roger C.; Shawker, Thomas H.; Roth, Harold P.

doi:10.1016/0016-5085(89)91575-8

Cited by 117 publications

(47 citation statements)

References 18 publications

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“…Although it has been well demonstrated that the prevalence of gallstones increases with age [1,10,14], we found no signi®cant age dierence between the two groups, which probably re¯ects a selection bias. Another selection bias was seen in the similar female-to-male ratio of our two groups.…”

Section: Discussioncontrasting

confidence: 71%

“…Other studies have shown that women are more likely to have gallstones than men. After age 50, gallstones are approximately twice as likely to occur in women as in men [1,10]. We believe that our study diers from other studies with respect to age and sex because the risk associated with those factors is well known and we relied more heavily on ultrasound as a screening tool.…”

Section: Discussionmentioning

confidence: 48%

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Risk factors for gallstone disease in the laparoscopic era

et al. 2001

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 48%

Risk factors for gallstone disease in the laparoscopic era

et al. 2001

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“…The only other U.S. survey to use gallbladder ultrasonography, the Hispanic HANES, examined Mexican Americans, Cuban Americans, and mainland Puerto Ricans but did not include non-Hispanic whites or blacks. 17 The initial report from NHANES III, published only a few months ago, documented the prevalence of gallstone disease among American adults and confirmed previously suggested differences in prevalence among ethnic and racial groups. 1 We can now look forward to a series of reports from the NHANES III investigators that should substantially advance our knowledge of gallstone disease and its risk factors.…”

mentioning

confidence: 54%

Cholelithiasis and the insulin resistance syndrome

Diehl

2000

Hepatology

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“…Yet, even acknowledging the shortcomings of these studies, they represent a convincing body of evidence demonstrating that most silent gallstones will remain silent or become symptomatic before causing complications. In fact, the same conclusions can be made from the historical series when we consider only the truly asymptomatic patients.Data on gallstone prevalence obtained in population screening studies using ultrasound (US) (3,5, 6,(8)(9)(10)(11) 34) and autopsy surveys (12, 35, 36) have largely confirnied the benign nature of most gallstones. For instance, in a cross-sectional study performed in the city 820 Vol.…”

mentioning

confidence: 99%

Cholecystolithiasis: Lithotherapy for the 1990S

Strasberg

Clavien

1992

Hepatology

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Cholelithiasis afTects from 10% to 15% of the adult population in industrialized Western countries, with higher prevalence in women, in women with high parity, in the obese, in patients with hypertriglyceridemia and in older patients (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). In the United States, it has been estimated that 20 to 25 million people have gallstones, and more than 500,000 cholecystectomies are performed annually. Cholecystectomy is the most frequently performed surgical procedure, after cesarean section in this country (141, with an annual cost estimated at $4 to 5 billion. About a quarter of all women will experience cholelithiasis by age 60 in industrialized Western societies; the prevalence in men is about half that of womenThe fist effective treatment for cholelithiasis was cholecystostomy (15, 161, a procedure that was abandoned in the early decades of this century because of the high incidence of stone recurrence. Open cholecystectomy (OC) was introduced more than 100 yr ago (17) and remained the sole effective treatment of this disease for about 90 yr. During this period, the only decision that was required for a patient with cholelithiasis was whether treatment was indicated or not. In the last two decades several new treatments, such as oral bile acid therapy (BAT), extracorporeal shock wave lithotripsy (ESWL) and, more recently, laparoscopic cholecystectomy (LC) have become available. Therefore, it is now not only necessary for physicians to decide whether to treat gallstones but also to recommend the most suitable type of treatment. The purpose of this work is to present an evaluation of the newer therapies (mainly in comparison with OC) including the basis for selection of therapy in individual patients. CLINICAL STAGES OF CHOLELITHIASISCholelithiasis has three clinical stages: the asymptomatic and symptomatic stages and the stage of complications. Complicated forms of cholecystolithiasis include acute cholecystitis and its complications, choledocholithiasis and its complications, gallstone ileus and gallbladder cancer. These complications are much 31/1/40081 more serious than symptomatic cholelithiasis and usually require prompt and invasive treatment. Treatment of the complicated forms of cholelithiasis will not be considered in this work, but it should be noted that it is the avoidance of such complications that constitutes an important rationale for therapy in the symptomatic stage or even under special circumstances in the asymptomatic stage (18)(19)(20)(21)(22)(23)(24)(25).Of critical importance in making recommendations about treatment is knowledge of the natural history of cholelithiasis (i.e., the rate of conversion from the asymptomatic stage to the other stages). Such information is necessary to weigh the risk of expectant management against the hazards of treatment. Historical series on the natural history of gallstones have yielded controversial results, mainly because of the inclusion of many patients with biliary symptoms at the start of the study; this distorts the resu...

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Prevalence of Gallstone Disease in Hispanic Populations in the United States

Cited by 117 publications

References 18 publications

Risk factors for gallstone disease in the laparoscopic era

Risk factors for gallstone disease in the laparoscopic era

Cholelithiasis and the insulin resistance syndrome

Cholecystolithiasis: Lithotherapy for the 1990S

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