Paper Information

Journal:   RAZI JOURNAL OF MEDICAL SCIENCES (JOURNAL OF IRAN UNIVERSITY OF MEDICAL SCIENCES)   WINTER 2008 , Volume 14 , Number 57; Page(s) 7 To 13.
 
Paper: 

ASSESSMENT OF THE PREVALENCE OF GALLSTONE IN ULTRASONOGRAPHY OF GALLBLADDER AND BILIARY DUCT AMONG HOSPITALIZED PATIENTS IN RASOOL-AKRAM HOSPITAL DURING 2000-2004

 
 
Author(s):  AGAH SH.*, FERESHTEHNEJAD S.M., RAHMATI NESHAT T.
 
* HAZRAT RASOOL AKRAM HOSPITAL, NIAYESH ST., SATTARKHAN AVE., IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, TEHRAN, IRAN
 
Abstract: 

Background & Aim: Gallstone disease or cholelithiasis is the most prevalent disorder of the biliary system and a major costly health problem throughout the world. Over the past two decades, a great deal has been learned about the epidemiology of and risk factors for gallstones and ultrasonography has played a major role in this process. However, the prevalence and epidemiologic features of gallstone disease has changed due to revolutionized life styles. Therefore, this study was performed to determine the prevalence and epidemiologic features of gallstone disease among hospitalized patients in Rasool-Akram hospital.
Patients and Methods: This cross-sectional study was performed on 1312 hospitalized patients in Rasool-Akram hospital from 2000 to 2004 who had undergone gallbladder and biliary duct ultrasonography. 420 patients had gallstone which were evaluated for demographic variables, symptoms and laboratory findings. The data were collected, described and analyzed using SPSS v.13 software. Chi Square was performed during analysis.
Results: The prevalence of gallstone in this study was 32% (420 of 1312). Among these 420 patients, 316(75.2%) were females and 104(24.8%) were males with the mean age of 58.21yr. (SD=14.3). The most common symptoms were abdominal pain in right upper quadrant (RUQ) in 67.9%, nausea and vomiting in 59.8%. There was a significant association between age group of the patients and both site of gallstone and pain in RUQ (P=0.001 and P=0.000, respectively).
Conclusion: The results of our study showed the higher prevalence of gallstone disease in women and ages between 55-74 years. Also there was relation between site of stone with RUQ abdominal pain and patient's age. In addition, the site of gallstone was mostly in gallbladder among younger patients; whereas, it changed to biliary duct in older individuals.

 
Keyword(s): GALLSTONE, CLINICAL SYMPTOM, PREVALENCE, EPIDEMIOLOGY
 
References: 
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