Growing burden of gall stone disease:- a retrospective analysis at tertiary care center in rural north india

Introduction:- Gallstone disease is a common health problem all over the world including India. The present study was conducted to analyse the presentation of gallstone disease and its associated complications and their surgical management in our tertiary care center in rural North India.
Material & Methods:- It is a retrospective study of 212 cases of symptomatic gallstone disease with its complications managed in Tertiary care center in rural North India (SGT University hospital), Gurugram over a duration from 1st June 2017to 31st August 2020. In total 212 patients were included in the study with age more than 11 years and not having any contraindication for surgery. Parameters evaluated were the growing burden of patients with gallstone disease and to determine its gender predilection, the mean age of presentation, its associated complications, different operative procedures performed, its post-operative complications & their management.
Results:- Gall stone disease was more common in fourth decade of life with male to female ratio 1:4.3. Serious complications of gallstone disease were reported in 11.78% of the study subjects like pancreatitis, gall bladder perforation, gall bladder cancer. More than 75% cases were managed with laparoscopic cholecystectomy. Post-operative complications were detected in 11% of the cases. Wound infection was the most common which happened in 5.18% of cases. All the patients were managed conservatively except a single patient with bile duct injury, which was managed with T-tube placement.
Conclusion:- Gallstone disease was more common in 31-40 years with female predominance. Histopathologically chronic cholecystitis was the one of the most common finding. Early intervention in symptomatic gallstone disease can prevent its complications.