Abstract

Now a days cholelithiasis is the major cause of increased abdominal morbidity and mortality throughout the world. There is impairment of metabolism of cholesterol, bilirubin and bile acids, leads to formation of gallstones in the hepatic duct, common bile duct, or gallbladder. Objectives: This study was conducted to analyze the clinical presentation , incidence and variations of presentation among the various age & sex groups and the different modes of management of Cholelithiasis. Results: This study Included 65 patients of cholelithiasis, out of which 41 were females and 24 were males. The mean age group of patients was 45 years and incidence rate more common in female patients with mean age of 45.3 years. It is observed that mixed stones 36(55%) were commonly seen compared to pigment stones 21(32%) and cholesterol stones 08 (12%). Major association was seen with patients who are on mixed diet (N=39). Upper abdominal pain was the primary presentation seen in all patients, associated with dyspepsia, nausea, vomiting and fever in few patients. As laparoscopic cholecystectomy is considered as gold standard technique, 83% of patients under went same surgery with minimal post operative complications compared to open cholecystectomy. Conclusion: Laparoscopic cholecystectomy reduces the number of hospital days and was associated with lesser postoperative morbidity. Further studies are required in larger population to find out the prevalence rate as well as mode of management in patients with cholelithiasis.

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