ABSTRACT
Background: Renal stone is a major health problem with adverse medico-economic consequences. It cost the healthcare services a great deal of money without reaching any desired destiny
Objective: To describe the current prevalence, risk factors, manifestations, methods of diagnosis and treatment of renal stones in Arar city, Northern Saudi Arabia
Method: Cross-sectional community based on survey applied to the adult of the general population of Arar city during the period from June to October 2017. The statistical significance level is made at less than 0.05
Results: Among 470 participants, 57.7% male and 42.3% females, 23% had renal gravel, 13% had renal stones. Only 15% complained from recurrent renal colic and 28% had family history of renal stones or gravels. Among the found cases of renal stones, 39.7% had family history of renal stones [P<0.05], 30% had other chronic diseases, 67% have renal gravels [P<0.05] and more than half [55.2%] of them had recurrent renal colic [P<0.05] and 39.9% were obese [P<0.05]. The most common symptom is renal colic as it appear in 55% of cases and 82% of affected people are diagnosed by complete urine analysis and ultrasound examination. The most common type is oxalate stone 55.2%, uric acid stones 27.6% and mixed stones 17.2%. More than half [55.2%] of renal stones are small in size and 46% found in the kidney. Most [84%] of the cases get herbal treatment, 89% medical treatment and only 8.6% got surgical treatment but 46% had recurrent stones
Conclusion: The prevalence of renal calculi and associated renal colic in Arar city, Northern is considerable. Suggestions for health education about risk factors in addition to future researches are mandatory
ABSTRACT
Background: chronic calculous cholecystitis is an inflammatory disease which affects the gallbladder wall and causes motoric-tonic dysfunctions of the biliary system accompanied by gallstones in the lumen of the gallbladder and biliary pain. Among aging study groups, the prevalence of gallstone disease is likely to increase
Aim of the Work: to determine the prevalence and determinant factors of chronic calculous cholecystitis among senile population in Arar, KSA
Patients and Methods: the present cross sectional community based study was conducted in Arar city, Northern Border Province, KSA on 217 adult people aged 50 years and more. Data were collected through personal interviews with the study population and filling the questionnaire which guided us to the data of socio-demographic status, smoking, chronic diseases, already previously diagnosed with chronic calculous cholecystitis, after ensuring the diagnosis by reviewing the accompanied health reports and/or prescriptions and asking the accompanied caregivers about the case
Results: the mean age of the participants [+/- SD] was 69.9 [+/- 9.3] years; male to female ratio was 43.8 to 56.2. The overall prevalence rate of chronic calculus cholecystitis found in this study was 6.9%. There was a relationship between chronic calculus cholecystitis and age group, sex, DM, BMI group, Thyroid disease and Hypertension. The prevalence of chronic calculus cholecystitis was more in females compared to males [9.0% vs. 4.2%]
Conclusion: female gender, diabetes and obesity are significantly associated factors in the development of gallstones. Thus, understanding the gallstones pathogenesis would result in life style modifications and weight loss which would decrease the rates of the disease