Clinicodemographic Profile and Management Outcomes of Patients with Gallstone Disease: A Cross-Sectional Observational Study.

Dr Banothu Prudhvi Raj; Dr. Banothu Ramakrishna

doi:10.51168/mhdwba36

Authors

Dr. Banothu Prudhvi Raj Assistant Professor, Department of General Surgery, Government Medical College and Government General Hospital, Bhadradri Kothagudem, Telangana, India
Dr. Banothu Ramakrishna Assistant Professor, Department of General Surgery, Government Medical Collage and Government General Hospital, Bhadradri Kothagudem, Telangana, India

DOI:

https://doi.org/10.51168/mhdwba36

Keywords:

Gallstone disease, Cholelithiasis, Cholecystectomy, Laparoscopy, Ultrasonography, Choledocholithiasis

Abstract

Background:

Gallstone disease is a frequent hepatobiliary disorder with wide variation in demographic distribution, clinical presentation, and treatment pathways. Local clinical data are useful for understanding presentation patterns and perioperative outcomes in secondary and tertiary care settings.

Objectives:

To evaluate the clinicodemographic profile, ultrasonographic features, management pattern, and treatment outcomes among patients with gallstone disease.

Methods:

This hospital-based cross-sectional observational study included 50 consecutive adult patients with ultrasonography-confirmed gallstone disease. Demographic details, symptoms, ultrasonographic findings, diagnosis, treatment modality, postoperative complications, and follow-up symptom status were analysed descriptively.

Results:

The mean age was 43.8 +/- 12.6 years, and most patients were aged 31-50 years. Females constituted 68% of cases. Right upper abdominal pain was the commonest symptom, followed by nausea or vomiting and dyspepsia. Ultrasonography showed multiple gallstones in 64%, solitary stones in 36%, gallbladder wall thickening in 30%, pericholecystic fluid in 12%, and common bile duct dilatation in 8% of patients. Laparoscopic cholecystectomy was performed in 80%, open cholecystectomy in 12%, and ERCP followed by cholecystectomy in 8%. Uneventful recovery was noted in 84%, with complete symptom relief in 88%.

Conclusion:

Gallstone disease predominantly affected middle-aged females and commonly presented with right upper abdominal pain. Laparoscopic cholecystectomy was the principal management modality and showed favourable recovery with low complication rates.

Recommendations:

Early ultrasonographic evaluation, risk stratification for common bile duct stones, and timely laparoscopic intervention should be strengthened in routine surgical practice.

Author Biographies

Dr. Banothu Prudhvi Raj, Assistant Professor, Department of General Surgery, Government Medical College and Government General Hospital, Bhadradri Kothagudem, Telangana, India

is an Assistant Professor in the Department of General Surgery at Government Medical College and Government General Hospital, Bhadradri Kothagudem, Telangana, India. He is actively involved in undergraduate medical teaching, surgical patient care, and academic research. His areas of professional interest include general surgical diseases, clinical evaluation of surgical patients, emergency surgical care, and outcomes-based research in general surgery.
Dr. Banothu Ramakrishna, Assistant Professor, Department of General Surgery, Government Medical Collage and Government General Hospital, Bhadradri Kothagudem, Telangana, India

is an Assistant Professor in the Department of General Surgery at Government Medical College and Government General Hospital, Bhadradri Kothagudem, Telangana, India. He is engaged in clinical teaching, operative surgical practice, and patient-centered surgical management. His academic interests include common general surgical conditions, perioperative care, clinical audit, and research related to surgical morbidity and treatment outcomes.

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