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- Title
Variation in Presentation and Management of Gallstones in Mesalata Central Hospital, Libya.
- Authors
AL-Baaj, Hussain Taher Abbas
- Abstract
Background: Gallstones are common disease that may affect 10% of population and in 85-90% are asymptomatic. However, it might lead to serious complications so the proper management depends on risk-benefit balance of surgery. Objectives: To study the presentations and the complications of gallstones in Mesalata Central Hospital, Libya. Patients and methods: A case series study that includes 200 patients of gallstones who were operated upon over two years period in Mesalata Central hospital in Libya (2007-2009). The patients were divided in two groups, early age group (17-39 years) and middle-late age group (40-80 years). Most of patients at early adult life were operated by prompt cholecystectomy. Results: out of a total 200 patients, 110 patients (55%) presented between 17-40 years, 63 patients (31.5%) below 30 year of age. The majority-161 patients (80.5%) were females. Females were more predominant in the age group below 30 years. Biliary colic was the most common presentation in 135 patients (67.5%). Only 18 patients (16%) among the early adult life group were non-complicated acute cholecystitis, while in the middle and late adult life group 24 patients (27%) of non-complicated acute cholecystitis and all acute gangrenous cholecystitis occurred in the latter. Obstructive jaundice was seen in nine patients (4.5%) of the total 200 patients, and acute pancreatitis were in six patients (3%). Conclusion: patients symptomatic gallstones in the region of studywere a disease of mainly young females. However, males were more prone for complications than females. Further, complications seem to increase with progressing of age.
- Subjects
LIBYA; CHOLECYSTITIS; GALLSTONES; OBSTRUCTIVE jaundice; AGE groups
- Publication
Kerbala Jorunal of Medicine, 2021, Vol 14, Issue 1, p2481
- ISSN
1990-5483
- Publication type
Article