Risk factors for gallstone disease in the laparoscopic era

Richardson, William; Carter, K.M.; Helm, Barbara; García, L. Abreu; Chambers, Richard; Keats, Bronya J.B.

doi:10.1007/s00464-001-8306-4

Cited by 16 publications

(15 citation statements)

References 11 publications

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“…However, because of the 1982 national policy of family planning in China, women were allowed to give birth to only one child and underwent tubal ligation after their first delivery. This led to a reduction in risk factors for gallstone formation, such as being biologically reproductive and taking oral contraceptives . A large number of clinical research in Beijing suggested that the levels of cholesterol in men were higher than those in women .…”

Section: Discussionmentioning

confidence: 99%

Association between Helicobacter pylori infection and gallbladder diseases: A retrospective study

Yuan

et al. 2018

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 99%

Association between Helicobacter pylori infection and gallbladder diseases: A retrospective study

Yuan

et al. 2018

J of Gastro and Hepatol

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“…The risk factors associated with GSD are age, race, sex, family history of GSD, obesity, rapid weight loss, number of children, and use of oral contraceptives or estrogen replacement therapy. 4 In a study of gallstones in a Danish population, it was reported that BMI and slimming treatments were significantly associated with GSD. 5 In Taiwan, age over 60 years and diabetes mellitus were risk factors for GSD among older persons.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Gallstone Disease in a Thai Population

Panpimanmas

Manmee

2009

Journal of Epidemiology

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BackgroundGallstone disease (GSD) is a major public health problem that is associated with a number of risk factors.MethodsWe conducted a case–control study of 407 participants comprising 207 cases with GSD and 200 controls without GSD, as confirmed by ultrasonography. The participants completed a questionnaire and underwent physical and ultrasonographic examination. The risk factors examined were age, sex, BMI, use of oral contraceptives, diabetes mellitus, cirrhosis, thalassemia, dyspepsia, family history of gallstone disease, smoking status, alcohol consumption, and dietary history.ResultsBMI, fat content of dietary meat, and smoking were associated with GSD. When compared to participants with a BMI below 25, participants with a BMI of 25 or higher had a multivariate relative risk of 4.1 (95% CI, 2.5–6.7). Participants who consumed meat with moderate fat content or high fat content had respective relative risks of 2.5 and 2.9 (95% CI, 1.5–4.2 and 1.5–5.6), when compared to those who consumed meat with a low fat content. Also, the multivariate relative risk for former smokers, as compared to never smokers, was 2.4 (95% CI, 1.1–5.2).ConclusionsHigh BMI, consumption of high-fat meat, and smoking were associated with gallstone disease.

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“…The data from academic literature represent a problem of not paying attention to serious pathologies during an operation, including malignant neoplasm of the digestive track, accompanying gall-stones (2-9). The key role plays gastroduodenoscopy (10)(11)(12)(13)(14). In Poland there is no established standard, as for gastroscopy being performed in a routine way before an operation of removing a gall-bladder.…”

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Need Assessment for Gastroscopy in Patients with Gall-Stones

Bartosz¹,

Głuszek²

2010

Polish Journal of Surgery

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Cholelithiasis (gall-stones) occurs in 13% of the Polish population. Patients affected with gall-stones notify non-specific symptoms caused by pathology of the upper segment of the digestive track which coexists with gall-stones. the aim of the study was to analyze the risk of occurrence of pathological changes, within the part of the digestive track in patients affected with gall-stones, to assess the correlation between data of medical histories of patients and results of gastroscopy based diagnosis; to devise tactics of alterations to the planned measures in case a clinically significant disease has been diagnosed. material and methods. The study group comprised 615 patients, qualified for cholecystectomy, with symptomatic gall-stones, verified by an ultrasound diagnosis. After being interviewed and examined, all the patients were subjected to gastroscopy, and when necessary biopsy was performed. The statistical analysis was performed using an multifactorial analysis (Pearson's correlation coefficient for categorical variables). results. Among 615 patients, the subjects in the study, we found 183 ones (29.7%) with a normal upper digestive tract, we found pathology of the upper digestive system in 70.3% cases (432 patients). Serious pathology resulting in changing the planned treatment was found in 83 patients (13.5%): among those four ones had gastric carcinoma, sixty-three ones suffering from chronic peptic ulcer disease (gastric or/and duodenal), twelve patients were affected with hemorrhagic gastritis, four patients had GERD C and D. In a group of 83 patients cholocystectomy was postponed and the diagnosed disease was treated. Four patients were operated on because of gastric cancer, with intention of cure. Conclusions. 1. Routine gastroscopy performed before cholecystectomy is justified. The percentage of abnormalities diagnosed during gastroscopy proved the above mentioned thesis. 2. Medical histories and an object examination do not allow to state explicitly that there is another disease of the upper part of the digestive system which coexists with gall-stones. In case of diagnosing the other pathology it is necessary to take into consideration an alteration of tactics of management: to delay an operation and treat the other disease which has been diagnosed. Key words: cholelithiasis, gastroscopy, cholecystectomy Cholelithiasis occurs in 13% of the Polish population, twice more frequently among women than men (1). A golden standard of treatment of gall-stones is an laparoscopic operation of removing a gall-bladder because of little invasiveness, a minimal number of complications after surgery and a short period of hospitalization. Lack of any possibility of a palpable examination of organs in the abdominal cavity is an inconvenience of this form.

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Risk factors for gallstone disease in the laparoscopic era

Abstract: Body mass index, breast-feeding, oral contraceptives, parity > 2, and family history were found to be risk factors for gallstone disease. Age and female sex were not, probably due to selection bias.

Cited by 16 publications

References 11 publications

Association between Helicobacter pylori infection and gallbladder diseases: A retrospective study

Association between Helicobacter pylori infection and gallbladder diseases: A retrospective study

Risk Factors for Gallstone Disease in a Thai Population

Need Assessment for Gastroscopy in Patients with Gall-Stones

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