A Clinical Study and Follow up of Cases of Acute Cholecystitis

Acute Cholecystitis

  • Abhishek Gautam 3rd Year Postgraduate Resident, Department of Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
  • T.S. Bhagat Vice chancellor and Professor, Department of Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
  • Shalabh Gupta H.O.D. and Professor, Department of Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
Keywords: Acute cholecystitis, clinical pathological profile, Socio-demographical Data

Abstract

Background: The variety of clinical appearance and comorbid conditions of patients diagnosed as a case of Acute Cholecystitis makes it enormously hard to standardize the treatment. Thus, the clinical decision for treatment regime may not be clear, specifically for aged and critically ill ones with reduced physiologic reserve. The aim is to study socio-demographical and clinical profile of diagnosed cases of Acute Cholecystitis. Subjects and Method: The present study is an Observational and Prospective study conducted at SMCH, Ghaziabad (U.P). Duration of this study from November 2018 to April 2020. Result: Evidence suggests that the frequency of gallstones increases with age, particularly after age 40 to become 4 to 10 times more likely in older individuals. Similarly, the occurrence of cholecystitis is comparatively higher in females, as ratio of female to male is 3:1 up to the age of 50 and a ratio of approximately 1.5:1 subsequently. The severe abdominal pain patients in right upper quadrant and overall the clinical presentation matched the pain of biliary colic. Conclusion: We got a clear idea how to manage patient presenting with different clinical pictures of acute cholecystitis. We can identify risk and co-morbidities relevant to management of Acute Cholecystitis. Thereby we can clearly identify cases of acute cholecystitis in a resource limited setting.

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Published
2020-12-31