Incidence of gall stone disease, a hospital based study

ABSTRACT

Three hundred patients with gall stone disease admitted in Surgical Unit-1 Nishtar Hospital, Multan during a period of 6 years [January 1986 to December 1991], have been studied. Twenty-five were male [8.3%] while 275 were female patients [91.7%]. The male to female ratio was 1 11. Peak incidence was between 30-50 years of age. Ninety patients presented with pain right hypochondrium [30%] and 54 with flatulent dyspepsia [18%]. Twenty-seven patients presented with acute cholecystitis [9%]. Thirteen patients presented with obstructive jaundice [4.3%]. Most of the patients had chronic cholecystitis [37%]. Fifteen patients had carcinoma of the gall bladder [5%]. Eighty-two% of the stones on analysis proved to be cholesterol stones while only 18% were pigment stones. Ultrasound was found accurate in 86% while Oral Cholecystography was accurate in 73% of the patients