The role of upper gastrointestinal endoscopy in correlation with cholelithiasis

Abstract

Background Cholelithiasis is one of the most common problems encountered in surgery. Evaluation of gallstone disease is an immense challenge and overlap as to ascertain whether gallstones are responsible for symptoms or incidental findings. This study aimed to analyze the use of upper gastrointestinal endoscopy (UGE) as a pre-operative investigative tool in gallstone disease. Methodology This prospective observational study was conducted in the R.D. Gardi Medical College in the Department of Surgery, Ujjain, M.P from December 2017 to February 2019 with a sample size of 58 diagnosed cases satisfying the inclusion-exclusion criteria. The analysis was done with the use of Statistical Package for Social Sciences (SPSS) software, IBM manufacturer, Chicago, USA, version 20.0. Results A total of 58 patients, the majority were female (60.3%) with the age group from 22 years to 80 years with a mean age of 49.16 years. The most common symptom was abdominal pain among 67.2 % of patients, followed by heartburn seen in 13.8 % of patients. Most commonly, the ultrasonographic finding was observed to be in the single gallstone around in 65.5 % of patients and abnormal OGD finding was seen in 32.8 of% patients. Conclusion Looking to the above symptoms and their co-relation with cholelithiasis, upper gastrointestinal endoscopy is a must before planned cholecystectomy which will reduce the post-operative upper gastrointestinal symptoms and post cholecystectomy syndrome. Coexistence of other upper gastrointestinal pathology with cholelithiasis should be ruled out to decrease false cholecystectomy. Ultimately it will reduce the discouraging for surgeons after doing cholecystectomy in patients with cholelithiasis having other upper gastrointestinal pathology.

Keywords

• Abdomen pain, Cholelithiasis, Upper gastrointestinal endoscopy, Cholecystectomy