Publication: Prevalence of different types of gallstone in the patients with cholelithiasis at Kathmandu Medical College, Nepal
Date
2009
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Background: Gallstone disease known as cholelithiasis is the most common digestive surgical disorder and account for
an important part of health care expenditure. Attempt was made to analyse the gallstone for typing depending upon the
composition.
Aims & objectives: The main objective of this study was to see the prevalence of different types of gallstone in Nepal
and to correlate them with the clinical findings.
Materials & methods: Gallstones of 80 different patients who underwent cholecystectomy for cholelithiasis were
collected from 20th January 2005 to 16th May 2006 in Department of Pathology, Kathmandu Medical College Teaching
Hospital. Detailed history was taken. Stones were analyzed with chemical and enzymatic methods using clinical
spectrophotometer.
Results & conclusion: The most commonly involved age group for cholelithiasis (32.5%) is found to be 30-39 years
with a female predominance (M: F=1:3.2). Cholelithiasis was found more commonly among non-vegetarian with the
vegetarian: non-vegetarian ratio 1:9.
Mixed type stone was found to be the most common type of stone comprising 78.75%, followed by cholesterol stone
12.5%, Brown pigment stone 7.5% and Black pigment stone 1.25%.
Key words: Gallbladder, cholelithiasis, Gallstone
Description
Pradhan SB 1, Joshi MR 2, Vaidya A 3
1Lecturer, Department of Pathology, Kathmandu Medical College & Teaching Hospital, Sinamangal, Kathmandu,Nepal, 2Assistant Professor, Department of Surgery, Kathmandu Medical College & Teaching Hospital, Sinamangal, Kathmandu, Nepal, 3Lecturer, Department of Community Medicine, Kathmandu Medical College & Teaching Hospital, Sinamangal, Kathmandu, Nepal