The Effect of Obesity on Co-Existence of Umbilical Hernia and Metabolic Syndrome in Patients with Cholelithiasis

Abstract

ÖzetAmaç: Çalışmamızın amacı popülasyonda sık görülen kolelitiazis (safra kesesi taşı), umbilikal herni (UH) ve metabolik sendrom (MS) hastalığının beraber bulunma oranlarını incelemek, kilo ve kolesterol yüksekliklerinin belirtilen hastalıkların bulunma oranlarını değiştirip değiştirmeyeceğini gözlemle- Anahtar KelimelerSafra Kesesi Taşı; Metabolik Sendrom; Umblikal Herni Abstract Aim: The aim of our study is to assess the co-existence ratios of cholelithiasis, umbilical hernia (UH) and metabolic syndrome (MS), which are commonly seen in population, and also is to research whether high cholesterol levels and body weight can change the co-existence ratio of these illnesses. Material and Method: Data of patients who underwent laparoscopic cholecystectomy (LC) due to cholelithiasis in our clinic were retrospectively reviewed. Patients were divided into three groups according to body mass index (BMI) criteria defined by the World Health Organization (WHO). Moreover, patients were divided into two groups as patients with high and normal cholesterol levels according to the third version of the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP-III). The prevalence of metabolic syndrome and umbilical hernia were investigated in the groups. Results: Of the 78 patients included in the study, 11 (14.1%) patients were detected to have umbilical hernia, 39 (50%) patients were detected to have metabolic syndrome. Co-existence of the metabolic syndrome and umbilical hernia were detected in 8 (10.2%) patients. When patients were classified according to body mass index, 23 patients were detected as normal weight, 41 patients as overweight and 14 patients as obese. According to these groups, distribution of patients was determined to be 1 (4.3%), 5 (12.2%) and 5 (35.7%) patients for UH (p = 0.026), 6 (26.1%), 22 (53%) and 11 (78.6%) patients for MS (p = 0.007), 1 (4.3%), 2 (4.8%) and 5 (35.7%) patients for MS+UH (p = 0.002), respectively, and statistically significant differences were determined among groups. Discussion: We can say that both many postoperative complications and perioperative complications resulting from frequency of UH have increased in high BMI with patients among planned laparoscopic cholecystectomy operation due to cholelithiasis. Likewise, it can be said that MS is a risk factor for formation of gallstone in patients with both cholelithiasis and high BMI. Co-existence of UH and MS has increased in patients with both cholelithiasis and high BMI, but it should be supported with extensive case studies.

Influence of Sonographic Imaging on Patients with Anterior Abdominal Wall Hernias to Prevent Reoperations

“…The last two studies predicted the common risk factors of umbilical hernia and cholelithiasis, and our results were similar to them so that there was the coexistence of cholelithiasis among 13.8% of umbilical hernia patients. 8,9 conclusIon Emphasizing the results of our study, the probable coexistence of surgically treatable intra-abdominal disease with the same symptoms is not negligible in the patients with anterior abdominal wall hernias. Therefore, it is recommended to perform total abdominopelvic sonographic examination on patients with these hernias before their herniorrhaphies.…”