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ABSTRACT
BACKGROUND: The gallbladder is a small organ located just beneath the liver. The gallbladder holds a digestive fluid known as bile that is released into your small intestine. Cholelithiasis or gallstone are hardened deposits of digestive fluid that can form in your gallbladder. Cholelithiasis is one of the commonly occuring disease which we are observing in many people. In this modern generation most of the individuals have different life styles, diet, social habits to which people are addicted. Our study helps to identify risk factors like any social habits such as alcohol, smoking, tobacco, any drug addiction, diet (fatty foods), obesity, any comorbidities such as Hypertension, Diabetes Mellitus, Thyroid illness, IHD etc.
OBJECTIVES: This study aims to determine the various to determine treatment options for cholelithiasis, among the patients who received etiologies of potential cholelithiasis, including physical exam findings, lab analysis, diagnostic imaging testing and pharmacological and non-pharmacological treatment through well-validated questionnaire.
MATERIALS AND METHODS: A prospective and retrospective observational study with sample size of 101 patients was conducted in tertiary care hospital outpatient department and medical record department. Statistical analysis was performed using MS-excel and the result was analyzed statistically using appropriate statistical method wherever necessary. The result was depicted by graphical representation using pie charts and bar graphs
RESULTS: Out of 101 patients, ERCP was performed in 17.7% patients, CT scan of abdomen was performed in 10.4% patients, Biopsy of gall bladder was performed in 8.4%, MRI of abdomen was performed in 2.1% patients and CECT scan was performed in 1% of the patients. 80% of the patients were treated with the pharmacological therapy, 76% of the patients treated by means of surgery.
CONCLUSION: This study concluded the possible risk factors for causing cholelithiasis and commonly prescribed diagnosing methods such as USG of abdomen and pelvis, ERCP, CT and MRI scan of abdomen and determined the most preffered treatment option such as non-pharmacological treatment
Keywords:
Cholelithiasis, gall stone diseasae, biliary colic, murphy`s sign, Laproscopic cholecystectomy, Peritoneal lavage
Cite Article:
"A Differential Diagnosis and Management of Cholelithiasis in Tertiary Care Hospital", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2455-2631, Vol.8, Issue 5, page no.579 - 588, May-2023, Available :http://www.ijrti.org/papers/IJRTI2305091.pdf
Downloads:
000205195
ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator