Prevalence of gallstones in sonographic surveys worldwide

Kratzer, Wolfgang; Mason, Richard; Kächele, Volker

doi:10.1002/(sici)1097-0096(199901)27:1<1::aid-jcu1>3.0.co;2-h

Cited by 202 publications

(126 citation statements)

References 50 publications

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“…The overall prevalence of biliary lithiasis as revealed in our study is 11.56%. World wide, almost all studies strongly correlate gallstone prevalence with advancing age and report highest prevalence in the oldest age group [6,9,10]. In contrast, our study shows maximum concentration of cases around 50 years.…”

Section: Discussioncontrasting

confidence: 58%

Biliary Lithiasis: Prevalence and Ultrasound Profile in a Service Hospital

Debnath

Chakraborty

Mohan

2003

Medical Journal Armed Forces India

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Real time gray scale ultrasonography of upper abdomen was carried out in 1237 cases for varied indications. Overall prevalence of biliary lithiasis was 11.56% with female to male ratio of 4:1. Fifty years and below, female to male ratio was 6.5:1. 88.8% cases of biliary lithiasis were 60 years and below. Gall bladder dyspepsia (61.5%) and right upper quadrant pain (41%) were the main presenting features of biliary lithiasis. 26 patients (18%) presented with acute abdomen. Asymptomatic gallstones were found in 25 (17.5%) cases. Solitary calculus was less common than multiple calculi with a ratio of 1:4. Amongst cases of multiple calculi the small sized (2-4 mm) variety was the maximum (49%) followed by medium sized (5-10mm) and large sized (>10mm) calculi respectively. MJAFI 2003; 59 : 15-17

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Section: Discussioncontrasting

confidence: 58%

Biliary Lithiasis: Prevalence and Ultrasound Profile in a Service Hospital

Debnath

Chakraborty

Mohan

2003

Medical Journal Armed Forces India

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“…7 In western countries 10-12% of adults develop gallstones. [8][9][10] The pathogenesis of gallstones is complex process involving factors affecting bile content and bile flow. A crucial factor in the forming of bile duct stones is biliary stasis, which may be caused by sphincter of oddi stenosis, dyskinesia, or bile duct strictures.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of previously undiagnosed hypothyroidism in patients with cholelithiasis in a tertiary care center, North-East India

et al. 2017

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Background: Earlier, the studies had an increased prevalence of previously diagnosed hypothyroidism in gallstone patient and recent studies also demonstrated low bile flow in hypothyroid subjects or the sphincter of oddi expresses thyroid hormone receptors and thyroxin has a direct prorelaxing effect on the sphincter. Iceberg of hypothyroidism was present in cholelithiasis patients. The objective of this study was to find out the prevalence of previously undiagnosed hypothyroidism in cholelithiasis patients.Methods: A prospective study was conducted in the 500 consecutive patients with cholelithiasis between 1st October 2014 and 31st March 2016 to find relation between gallstone and hypothyroidism. Patients already diagnosed as hypothyroidism were excluded. In each patients, detailed history and clinical examination was done and sent for ultrasound of neck for goitre detection and laboratory Thyroid hormone assay (S-FT3, S-FT4 and S-TSH).Results: A total of 2.2%, 5.0% and 6.6% (total 13.8%, 69 of 500) of the cholelithiasis patients were diagnosed to have clinical, subclinical and borderline subclinical hypothyroidism. In women older than 50 year, the prevalence of clinical and subclinical plus borderline-hypothyroidism was 6.8% and 25.6% (11.7%±13.9%) and clinical plus subclinical plus borderline-subclinical hypothyroidism was 32.4% in cholelithiasis patients.Conclusions: Although a low prevalence of hypothyroidism was found in this study, but it is evident that subclinical and borderline subclinical hypothyroidism were significantly more common, compared with the clinical hypothyroidism and with increasing age there was increase in its prevalence, so we recommend that S-TSH level should be measured for every patient with cholelithiasis older than 50 years.

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“…Using autopsy series findings, Brett and Parker reported that the prevalence of gallstones in European populations was 15.7% in 1976 (1). The prevalence of gallstones in sonographically based epidemiologic studies is reported to be between 3.1% and 24.5% depending on geographical location (2). Many reports have cited increased use of cholecystectomy after the popularization of laparoscopic cholecystectomy (4).…”

Section: Introductionmentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

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Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

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Prevalence of gallstones in sonographic surveys worldwide

Cited by 202 publications

References 50 publications

Biliary Lithiasis: Prevalence and Ultrasound Profile in a Service Hospital

Biliary Lithiasis: Prevalence and Ultrasound Profile in a Service Hospital

Prevalence of previously undiagnosed hypothyroidism in patients with cholelithiasis in a tertiary care center, North-East India

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

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