Mona Humaira Niaz Ahmed Abdul Hafeez Soomro Qurrat ul Ain Shahid Shafi Muhammad Wassan Abdul Rashid Dayo


Background: It is estimated that between 15 to 25 percent of people have gallstones. Gallstones obstructing the cystic duct can cause gallbladder (GB) distention and biliary colic. Acute cholecystitis(AC), a disorder caused by inflammation, infection, and even ischemia, reveals itself when the bile duct becomes blocked for an extended time. Under 50 years of age, females are three times as likely as males to have acute cholecystitis. Regular occurrences of acute cholecystitis may result in the development of chronic cholecystitis. Additionally, gallstones can cause acute pancreatitis and cholangitis. Chronic inflammation from gallstones is associated with a higher risk of gallbladder cancer. Objective: To determine the causes of diagnostic delay of gallstone diseases. Study design: A retrospective study Place and Duration: This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro from June 2021 to June 2022. Material and Methods: Overall one hundred and fifty patients admitted to the surgical department of our hospital with gallstone disease were analyzed. Researchers acquired information regarding the participants' demographics, medical history, symptoms previous to surgery, exam results, diagnostic testing, surgical procedures, and postoperative outcomes using a standardized questionnaire. Patient records were determined to be comprehensive if they detailed preoperative symptoms, intraoperative complications, and postoperative complications for patients over the age of 18 who underwent laparoscopic cholecystectomy, with or without conversion to open cholecystectomy. Result: All patients with preoperative Ultrasonographic indications of cholelithiasis exhibited symptoms lasting between 7 months and 18 years. A total of 54% of patients arrived late because they were apprehensive about the anesthetic and the surgery. Women whose husbands were stationed far away could not travel to the hospital to utilize its services. Six percent of rural patients were incorrectly diagnosed with an acid peptic disease and only received symptomatic treatment without referral to a specialist. Conclusion: Hospitals must improve dyspepsia diagnosis and treatment, raise public awareness of gallstones, and expedite patient referrals.

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Cholecystitis, Pancreatitis, Gallbladder Cancer.

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