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International Journal of Pure & Applied Bioscience (IJPAB)
Year : 2017, Volume : 5, Issue : 3
First page : (193) Last page : (196)
Article doi: http://dx.doi.org/10.18782/2320-7051.2805

A Study on Ethiopathogenesis and Management of Gall Bladder and CBD Calculus

G.V. Manoharan1* and Sivakumar2
Professor1, Assistant professor2
Department of surgery, Stanley Medical College, Chennai
*Corresponding Author E-mail: gvmfhm@yahoo.co.in
Received: 6.04.2017  |  Revised: 15.04.2017   |  Accepted: 16.04.2017  


Back ground: Calculus disease of biliary tract is the one of the most common problems affecting the digestive tract calc. Extra-hepatic biliary uli account for more than 95% of it. It includes cholelithiasis and choledocholithiasis. Autopsy reports have shown a prevalence of gall stone disease in 11% - 36%. Gallstone disease once more common in western world the incidence is increasing considerably in India, possibly due to change in dietary habits and lifestyle modifications. Aims Of The Study: To evaluate age, sex incidence, most common etiological factors for GB & biliary calculi,To illustrate varying clinical presentation. To study various modes of management adopted in our institution. To analyse biochemical types of stones prevalent in this part of country. Materials and Methods: Patients admitted in various surgical units of Stanley Medical College between August 2007 to August 2009 constitute the materials of this study. All patients admitted with clinical diagnosis of cholelithiasis / CBD calculus and its complications were included this study. A total of 60 patients were studied. A detailed history including dietary factors, life style habits, were elicited in all patients and thorough clinical examination was done in them. Results: Out of the cases studied 41 had only GB calculi. 19 had CBD calculi Total- 60 GB calculi- 41 (68.3%)CBD calculi- 19 (31.7%)postoperative biliary leak occurred in 2 cases after open CBD exploration which was of low output type and managed conservatively. Wound infection occurred in 6 cases (10%) Pus let out and sent for culture and sensitivity. Parenteral antibiotics administered according to culture and sensitivity report. Secondary suturing performed later

Key words: Gallstone disease, cholelithiasis, Extra-hepatic biliary.

Full Text : PDF; Journal doi : http://dx.doi.org/10.18782

Cite this article: Manoharan, G.V. and Sivakumar, A Study on Ethiopathogenesis and Management of Gall Bladder and CBD Calculus, Int. J. Pure App. Biosci.5(3): 193-196 (2017). doi: http://dx.doi.org/10.18782/2320-7051.2805