Frequency of Cholelithiasis in Prague and Malmö An Autopsy Study

Zahor, A; Nh, Sternby; Kagan, A; Uemura, K.; Vanĕcek, R; Am, Vichert

doi:10.1080/00365521.1974.12096783

Cited by 94 publications

(8 citation statements)

References 9 publications

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“…As in Taiwan, In older persons, two indicators of gallstones were being over sixty years of age and being positive for diabetes mellitus [ 5 ]. Similarly, autopsy studies conducted in Sweden and the Czech Republic showed the incidence of gallstones to be 30% in men and 50% in women older than 20 years of age [ 6 ]. Our study also justifies The Wheeler Study, which showed significant association between marital status and gallstone occurrence, as 95.1% of our subjects were married [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan

Naeem

Rahimnajjad

et al. 2012

BMC Res Notes

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BackgroundGallstones have been regarded as one of the most expensive diseases in Gastroenterology, posing a great economic burden on developing nations. The majority of Pakistani people live in rural areas where healthcare facilities are not available or are very primitive. We aim to assess the characteristics among cholelithiasis patients from rural Karachi so that a prevention campaign can be launched in rural underprivileged settings to reduce the economic burden of this preventable disease.MethodA total of 410 patients were included in the study after giving verbal consent as well as written consent. Variables such as age, weight, height, body mass index (BMI), blood pressure, waist circumference, number of children, monthly family income, number of siblings, and number of family members, were considered in this questionnaire. All data was analysed by SPSS ver. 16.0. Mean and standard deviation (SD) were calculated for continuous variables. Frequency and percentages were calculated for categorical variables.ResultsNearly 85.4% of the participants were female. The mean ± S.D. for age was 43.8 ± 9.59. Nearly 61% of the patients were illiterate. All of our patients were from low socioeconomic status and their mean salary ± S.D. was 6915 ± 1992 PKR (1 US $ = 90.37PKR). 75% of them were smokers with mean consumption ± S.D. of 7.5 ± 10 cigarettes per day. Fibre in diet was not used by 83.65% of patients. 40.2% were living in combined families. 61% were living in purchased homes. A positive history of diabetes mellitus was given by 45.1%, family history of cholelithiasis by 61% and history of hypertension by 31.7% of subjects. Soft drink consumption was given by 45.1% of patients; while only 8.5% used snacked daily. Tea was consumed by 95.1% of the subjects. Daily physical activity for 30 minutes was reported by only 13.4% of participants.ConclusionIn conclusion, rural dwellers from low socioeconomic strata are neglected patients and illiteracy further adds fuel to the fire by decreasing the contact with the health professionals. Assessment of the characteristics are very important because considering the great socio-economic burden, an intervention strategy in the form of mass media campaign as well as small group discussions in such rural areas can be formulated and applied to high risk populations to reduce the burden and complications of gallstone disease.

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Section: Discussionmentioning

confidence: 99%

Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan

Naeem

Rahimnajjad

et al. 2012

BMC Res Notes

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“…1 In Sweden and Czechoslovakia, the autopsy incidence of gallstones in individuals older than 20 years was 30% in men and 50% in women. 2 In addition, statistics from the Ministry of Public Health in Thailand show that the numbers of new inpatient cases of gallstones from 1999 to 2005 were 23 105, 24 438, 24 472, 30 754, 35 895, 41 019, and 48 232 cases. GSD is the most common disease of the biliary system and most cases are asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Gallstone Disease in a Thai Population

Panpimanmas

Manmee

2009

Journal of Epidemiology

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BackgroundGallstone disease (GSD) is a major public health problem that is associated with a number of risk factors.MethodsWe conducted a case–control study of 407 participants comprising 207 cases with GSD and 200 controls without GSD, as confirmed by ultrasonography. The participants completed a questionnaire and underwent physical and ultrasonographic examination. The risk factors examined were age, sex, BMI, use of oral contraceptives, diabetes mellitus, cirrhosis, thalassemia, dyspepsia, family history of gallstone disease, smoking status, alcohol consumption, and dietary history.ResultsBMI, fat content of dietary meat, and smoking were associated with GSD. When compared to participants with a BMI below 25, participants with a BMI of 25 or higher had a multivariate relative risk of 4.1 (95% CI, 2.5–6.7). Participants who consumed meat with moderate fat content or high fat content had respective relative risks of 2.5 and 2.9 (95% CI, 1.5–4.2 and 1.5–5.6), when compared to those who consumed meat with a low fat content. Also, the multivariate relative risk for former smokers, as compared to never smokers, was 2.4 (95% CI, 1.1–5.2).ConclusionsHigh BMI, consumption of high-fat meat, and smoking were associated with gallstone disease.

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“…Cholelithiasis is quite common in the community and often requires hospitalization and intervention if symptomatic (1). Although the frequency of cholelithiasis varies according to geographical region and age, it can be considered as 10-30% (2)(3)(4). Choledocholithiasis is the name given to the condition that occurs when gallstones fall into the main bile duct.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of pancreatic stent and/or suppository indomethacin efficacy in post ERCP pancreatitis prophylaxis: a single center experience

Erdoğan

Güven

Başpınar

et al. 2023

Journal of Health Sciences and Medicine

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Aim: Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is a serious complication of ERCP. In this study, we aimed to compare the use of rectal indomethacin, pancreatic stenting or both techniques for prevention of PEP. Material and Method: Patients who underwent ERCP for the first time due to choledocholithiasis between January 2022 and June 2022 were retrospectively reviewed. The clinical findings, demographics, laboratory records, endoscopic intervention characteristics, whether rectal indomethacin was applied before the procedure, whether pancreatic stent was placed or not were evaluated. Results: A total of 367 patients who underwent ERCP for the first time were included in the study. The mean age was 61 (28-92) years and 53.4% were female. In 124 (33.8%) patients, involuntary guide-wire insertion into the pancreatic duct occurred during canulation. Pancreatic stent was placed in 82 (22.3%) of the patients. Rectal indomethacin was administered to 288 patients (78.5%), while indomethacin could not be administered in 79 patients (21.5%), because they did not give consent. When patients with involuntarily pancreatic canulation were evaluated, the rate of PEP was 3.6% in the stented group, while it was 15.3% in the stent-free group (p

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Frequency of Cholelithiasis in Prague and Malmö An Autopsy Study

Cited by 94 publications

References 9 publications

Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan

Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan

Risk Factors for Gallstone Disease in a Thai Population

Evaluation of pancreatic stent and/or suppository indomethacin efficacy in post ERCP pancreatitis prophylaxis: a single center experience

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