Role of Upper GI Scopy in Preventing Postcholecystectomy Pain in Patients with Cholelithiasis

Aim To evaluate the value of preoperative Upper GI scopy as a routine investigative tool in patients with gall stone disease in patients admitted for symptomatic cholelithiasis. Method This is a prospective study conducted on 50 cases at the Department of Surgery, K R Hospital, Mysore. The patients admitted with symptomatic Cholelithiasis proven ultrasonographically, were subjected to Upper GI scopy irrespective of age and sex. Results Endoscopic study showed that 48 % of the cases experienced upper GIT abnormalities as Gastritis, esophagitis, gastro-esophageal reflux disease, peptic ulcer (gastric or duodenal) Normal GI endoscope was estimated among 26 patients (52 %). Conclusion The routine use of Upper GI scopy in patients with symptomatic cholelithiasis prior to elective cholecystectomy could be clinically helpful and also may be cost effective in prevention of post cholecystectomy syndrome.