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International Journal of Surgery Science
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Vol. 7, Issue 1, Part B (2023)

Oesophago-gastroduodenoscopy evaluation prior to elective cholecystectomy: A necessity?

Author(s): Dr. Drishti Mehta, Dr. Bibekananda Mahapatra, Dr. Sameen Hanware and Dr. Mansi Mehta
Abstract: Introduction: A proportion of patients do not get symptomatic relief after cholecystectomy for gallstone disease. The ultrasound finding of gallstones may be incidental and peptic ulcer disease of the stomach or the duodenum, gastro-oesophageal reflux or hiatus hernia may be the true cause of pain. Symptomatology of upper GI diseases can be overlapping. Upper abdominal pain may be secondary to either cholelithiasis or gastroduodenal diseases. Differentiating between these two situations is important, because the prevalence of both conditions is common in the general population. Thus, this study tries to seek the importance of upper gastrointestinal endoscopy to reveal the association between gastrointestinal symptoms and diseases with gallstones.
Aims and Objectives: To assess the value of preoperative upper GI endoscopy for qualifying patients with gallstone disease undergoing elective cholecystectomy, by determining upper GI lesions.
Materials and Methods: This is an observational study conducted on 50 cases of ultrasound proven gallstone disease. After the initial examination, all the patients were subjected to Upper GI endoscopy, and biopsy samples were obtained for histopathology wherever indicated.
Conclusion: Routine pre-operative upper GI endoscopy will help to detect the upper GI lesions which may be the true cause of symptoms, or they both (Gallstones and Upper GI lesions) may co-exist concomitantly, as is evidenced by our study wherein the upper GI lesions were detected in 62% (n=31) of the study sample, which otherwise undetected will lead to persistence of symptoms, even after cholecystectomy.
Pages: 95-98  |  473 Views  263 Downloads


International Journal of Surgery Science
How to cite this article:
Dr. Drishti Mehta, Dr. Bibekananda Mahapatra, Dr. Sameen Hanware, Dr. Mansi Mehta. Oesophago-gastroduodenoscopy evaluation prior to elective cholecystectomy: A necessity?. Int J Surg Sci 2023;7(1):95-98. DOI: https://doi.org/10.33545/surgery.2023.v7.i1b.984
 
International Journal of Surgery Science
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