Gallstones — an increasing problem: a study of hospital admissions in England between 1989/1990 and 1999/2000

Abstract

SUMMARYBackground: The number of operations for cholelithiasis increased from the 1950s to the 1990s. Aims: To determine the time trends in cholelithiasis for hospital admissions, operations and in-hospital case fatalities in England between 1989 ⁄ 1990 and 1999 ⁄ 2000, and population mortality rates between 1979 and 1999. Methods: Hospital Episode Statistics for admissions were obtained from the Department of Health and mortality data were obtained from the Office for National Statistics. Results: Between 1989 ⁄ 1990 and 1999 ⁄ 2000, agestandardized hospital admission rates for cholelithiasis increased by 30% for males and 64% for females. The

Management of cholelithiasis in Italian children: A national multicenter study

“…The frequency of hospital admission and operation for gallstones increased in Western countries since the 1950s [4] . In England the age-standardized hospital admission rate for cholelithiasis enhanced from 68.7 to 104.9 per 100 000 population between 1989/1990 and 1999/2000 and it increased progressively with age from 1.1 per 100 000 in the 0-14 year age group to 277.1 per 100 000 in the ≥ 85-year age group in 1999/2000 [5] . Guidelines for management of cholelithiasis are available for adults.…”

Diagnosis ofacute cholecystitis using ultrasonography

“…Acute cholecystitis is the most frequent complication of biliary lithiasis, with the incidence increasing with age, as demonstrated after analyzing thenumber of admissions and cholecystectomies in patients overthe age of 60 [18,19] . US is one of the methods most frequently used in thediagnosis of acute cholecystitis; however, several studies have stressed the limitations of the method related to the operator's expertise, the ultrasound machines used and the possibility of performing the investigation at the bedside [19][20][21] .…”

“…US is one of the methods most frequently used in thediagnosis of acute cholecystitis; however, several studies have stressed the limitations of the method related to the operator's expertise, the ultrasound machines used and the possibility of performing the investigation at the bedside [19][20][21] . There are also studies proving the accuracy and advantages of US performed in emergency as compared to hepato- [22,23] or computer tomography [24] .Summers and Colab.…”

Frequency of cholecystectomy and associated sociodemographic and clinical risk factors in the ELSA-Brasil study

“…The direct and indirect costs of this ailment have been progressively increasing over recent years, as a consequence of increased numbers of surgical procedures in recent decades, and especially since the introduction of laparoscopic cholecystectomy in 1989. 5,6 Multiple factors are responsible for cholelithiasis. Advancing age is one important risk factor for gallstones, and female sex is also a known risk factor.…”