1993Saudi Medical JournalRequires access

Gallstones Revisited? Almadinah Almounawarah's Experience (A Prospective Study of 212 Consecutive Cases)

Abdelmonim F. Ahmed, O. M. Elhassan, Mohammed E. Mahmoud, Sherehan Abdelsalam, Hussain Ibrahim, Mahmood A. Khan, A. E. Alshiek

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Abstract

A total of 212 consecutive in-patients with ultrasound proven gallstones were studied prospectively for the clinical features of gallstones. There were 185 females and 27 males (female: male ratio of [6.9: 1]) with a mean age (range) of 39.5 (17-83) and 49.5 (30-94) years respectively. Fifty per cent of patients had non-specific symptoms, and gallstones were an incidental finding in 3%. Acute cholecystitis was found in 22% and biliary colic was present in 30%. Intolerance to fatty food as a symptom was reported by only 40% of patients. Complications were rare; with acute pancreatitis seen in 1.4% and surgical jaundice in 0.4%. Thirty-eight per cent of females were obese (Body Mass Index [BMI] > 30) with female mean (SD) BMI of 28.3 (6.2); and a mean parity of six pregnancies

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A total of 212 consecutive in-patients with ultrasound proven gallstones were studied prospectively for the clinical features of gallstones. There were 185 females and 27 males (female: male ratio of [6.9: 1]) with a mean age (range) of 39.5 (17-83) and 49.5 (30-94) years respectively. Fifty per cent of patients had non-specific symptoms, and gallstones were an incidental finding in 3%. Acute cholecystitis was found in 22% and biliary colic was present in 30%. Intolerance to fatty food as a symptom was reported by only 40% of patients. Complications were rare; with acute pancreatitis seen in 1.4% and surgical jaundice in 0.4%. Thirty-eight per cent of females were obese (Body Mass Index [BMI] > 30) with female mean (SD) BMI of 28.3 (6.2); and a mean parity of six pregnancies

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Available abstract

A total of 212 consecutive in-patients with ultrasound proven gallstones were studied prospectively for the clinical features of gallstones. There were 185 females and 27 males (female: male ratio of [6.9: 1]) with a mean age (range) of 39.5 (17-83) and 49.5 (30-94) years respectively. Fifty per cent of patients had non-specific symptoms, and gallstones were an incidental finding in 3%. Acute cholecystitis was found in 22% and biliary colic was present in 30%. Intolerance to fatty food as a symptom was reported by only 40% of patients. Complications were rare; with acute pancreatitis seen in 1.4% and surgical jaundice in 0.4%. Thirty-eight per cent of females were obese (Body Mass Index [BMI] > 30) with female mean (SD) BMI of 28.3 (6.2); and a mean parity of six pregnancies

Key concepts: Medicine, Gallstones, Biliary colic, Body mass index, Acute cholecystitis, Acute pancreatitis, Prospective cohort study, Cholecystectomy

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