PATTERNS AND OUTCOMES OF PATEINTS WITH SYMPTOMATIC CHOLELITHIASIS ADMITTED TO SPHMMC

Abstract

Summary Introduction: gall stone disease is a worldwide problem and remains to be one of the most common health problems leading to surgical intervention. The previous researches done on this subject mainly focused on the prevalence and epidemiology of the disease, and there was a gap on our knowledge of the pattern and outcomes the patients with this disease. The relevance of the study is that it would show the magnitude of the disease and common postoperative complications in our setup. Objective: to describe the pattern and outcomes of patients with symptomatic gallstone admitted to St. Paul’s hospital millennium medical college. Methods: The study area is surgical department of the St. Paul’s hospital. The study was conducted in the time period between January 2017 and March 2017. The study population was patients admitted with the assessment of symptomatic cholelithiasis for which cholecystectomy was done. Institutional based descriptive cross-sectional study design based on record review was used; the sample size was 187, which was selected by systematic sampling method from admitted patients. The data was collected by using checklist from patient’s charts and analyzed using SPSS version 20 software. The analysis method used is a descriptive cross sectional study method. Results: of patients admitted to surgery ward, the proportion of patients with symptomatic cholelithiasis was 5.4%. Of these patients, 86% were females while males were 14% with the ratio of 6:1. In 57% of the patients, stones were the intraoperative finding and 11% of the patients developed postop complications, 8% of it was found to be wound infection while 1% was bile duct injury. Conclusion: The magnitude of cholelithiasis was found to be 5.4% in patients admitted to surgery department. The proportion of gallstone disease is comparable to other developing countries and the results of this study can be used as a basis to do population based researches and health care workers need to work on surgical site infection prevention methods, policy makers need to increase public awareness of the disease and improve the quality of health care patients get. The next research question should be what is the magnitude of gallstone disease in the general population? What risk factors are common in this population?