Gall Bladder Calculus in reproductive age group females attending the ultrasound clinic at a tertiary care hospital: A comparative Cross-sectional study

Authors

DOI:

https://doi.org/10.47203/IJCH.2021.v33i03.014

Keywords:

Females, Gallstones, Pregnant, Nonpregnant, Ultrasound

Abstract

Background: Pregnant females are at risk for cholelithiasis' progress, and the obstruction in the bile duct produced by gallstones is responsible for jaundice and abdominal pain. Objective: The objectives of the present study were to see the burden of gall stones, relation with parity, and trimester among reproductive age group females. Methodology: A cross-sectional study was conducted on 467 females of age between 15 to 45 years. The gall bladder was thoroughly examined by an ultrasound probe of frequency 2-5 MHz in all planes. Results: In most females who had gallstones, single (68.8 percent) gall stone was common as compared to multiple (31.2 percent). More nonpregnant women had gall bladder stones than pregnant women (p-value <0.005). Among the current nonpregnant group, the percentage of presence of gallbladder stones was greater in the female having parity of two or more (27.4 percent) than the females having parity of less than two (8.2 percent) with p-value <0.05. Conclusion: Since Gallstones can further complicate the situation in the form of gallbladder carcinoma, and females with higher parity have more chances of developing gallstones. Therefore, it becomes necessary to know the trimester of gallstone formation and its role in the progression of symptoms.

Downloads

Download data is not yet available.

References

Karlatti S, Kumar G. Incidence of Various Types of Gallstones in Patients of Cholelithiasis in Belagavi. Ijss-sn.com. 2016. Available from: https://www.ijss-sn.com/uploads/2/0/1/5/20153321/ijss_oct_oa05_-_2016.pdf

Jones MW, Weir CB, Ghassemzadeh S. Gallbladder Gallstones (Calculi). In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459370/

Parambil S, Matad S, K. C. S. Epidemiological, demographic and risk factor profile in patients harbouring various types of gallbladder calculi: a cross sectional study from a south Indian tertiary care hospital. International Surgery Journal. 2017;4(2):525. http://dx.doi.org/10.18203/2349-2902.isj20164794

Ibarra Ramirez C, Ortiz G L. Asymptomatic Colelithiasis in Pregnant Patients in the Primary Care Level. Gynecology & Obstetrics. 2016;6(7). DOI: 10.4172/2161-0932.1000392

Whitley E, Ball J. Statistics review 4: sample size calculations. Crit Care. 2002 Aug;6(4):335-41. doi: 10.1186/cc1521. Epub 2002 May 10. PMID: 12225610; PMCID: PMC137461.

Walcher T, Haenle MM, Kron M, Hay B, Mason RA, von Schmiesing AF, Imhof A, Koenig W, Kern P, Boehm BO, Kratzer W. Pregnancy is not a risk factor for gallstone disease: results of a randomly selected population sample. World J Gastroenterol. 2005 Nov 21;11(43):6800-6. doi: 10.3748/wjg.v11.i43.6800. PMID: 16425387; PMCID: PMC4725038.

Anita C, Kumar P, Malathi S, Udayakumar N, Jayanthi V. Gallstones in pregnancy--a prevalence study from India. J Clin Gastroenterol. 2008;42(9):1065-1066. doi:10.1097/MCG.0b013e318074dd88

IBM Corp. Released. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp., 2016

Harvard Health Publishing. Gallstones: Symptoms, diagnosis and treatment - Harvard Health [Internet]. Harvard Health. 2014 [cited 18 March 2020]. Available from: https://www.health.harvard.edu/digestive-health/gallstones-symptoms-diagnosis-and-treatment

Gangwar R, Dayal M, Dwivedi M, Ghosh U. Gallbladder disease in pregnancy. The Journal of Obstetrics and Gynecology of India. 2011;61(1):57-61. DOI: 10.1007/s13224-011-0002-2

Maringhini A, Ciambra M, Baccelliere P, Raimondo M, Orlando A, Tine F et al. Biliary sludge and gallstones in pregnancy: Incidence, risk factors, and natural history. International Journal of Gynecology & Obstetrics. 1994;46(1):86-86. DOI: 10.1016/0020-7292(94)90327-1

Hayaf M. Mousa A. The Prevalence of Gall Bladder Diseases during Pregnancy in Baghdad Teaching Hospital [Internet]. Iasj.net. 2019 [cited 20 June 2020]. Available from: https://www.iasj.net/iasj?func=article&aId=173050

Lydon-Rochelle M, Holt VL, Martin DP, Easterling TR. Association between method of delivery and maternal rehospitalization. JAMA. 2000;283(18):2411-2416. doi:10.1001/jama.283.18.2411

Thijs C, Knipschild P, Leffers P. Pregnancy and gallstone disease: an empiric demonstration of the importance of speci¿cation of risk periods. Am J Epidemiol. 1991; 134(2): 186 – 195.

Ko C, Beresford S, Schulte S, Matsumoto A, Lee S. Incidence, natural history, and risk factors for biliary sludge and stones during pregnancy. Hepatology. 2005;41(2):359-365. DOI: 10.1002/hep.20534

Downloads

Published

2021-09-30

How to Cite

1.
Pandey M, Rani A, Jaiswal K, Bajpai PK, Kumar S. Gall Bladder Calculus in reproductive age group females attending the ultrasound clinic at a tertiary care hospital: A comparative Cross-sectional study. Indian J Community Health [Internet]. 2021 Sep. 30 [cited 2024 Nov. 25];33(3):486-90. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2123

Issue

Section

Original Article

Dimensions Badge

Most read articles by the same author(s)

1 2 > >>