A Clinical Study of Cholelithiasis in Rural Population

Introduction cholelithiasis is a chronic recurrent disease of the hepatobiliary system. The impaired metabolism of cholesterol, bile acids, bilirubin charcterised by gallstone formation. the prevalence of cholelithiasis varies and has been reported as 2-29 % in india, and increased in recent years. Aims In the present study we are studying the incidences of cholethiasis in rural hospital, various modes of presentation, to evaluate the feasibility of laparoscopic cholecystectomy in rural hospital and cost effectiveness of laparoscopic cholecystectomy in rural population and to study the post operative complications cholecystectomy in rural hospital. Materials and methods A study includes 50 patients of cholelithiasis, admitted to surgical wards between jan 2014 to jun 2014, in Adichuchanagiri hospital, B G Nagar. The patients were selected by signs and symptoms of cholelithiasis, acute cholecystitis, and chronic cholecystitis. Results and Discussion In this study, the incidences of cholelithiasis more in females compared to males. Also it is more with arpit bansal et all study, which shows cholelithiasis is more common in females and in the age group of 30-50years. In table 3& 4, majority of the patients presented with biliary colic, these symptoms are more common in females with obesity and lactating mothers as a risk factors. Angelico F et all, study shows that obesity and parity are risk factors for cholelithiasis. Those patients who have diabetes mellitus as risk factors, are mainly male patients and presented with signs and symptoms of chronic cholecystitis. Conclusion In this study the incidence of cholelithiasis in rural population is increasing due to change in dietary habits and lifestyle modification