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Research Paper | General Surgery | India | Volume 14 Issue 2, February 2025 | Rating: 5.9 / 10
Study of Upper GI Endoscopy Findings and Plan of Treatment in Patients with Cholelithiasis
Dr. Nishita Maheshwari, Dr. Pratik Gond
Abstract: Background: Upper gastrointestinal (GI) endoscopy has become an essential diagnostic tool for evaluating the upper GI tract, facilitating the direct visualization of the esophagus, stomach, and proximal duodenum. This study aims to assess the impact of preoperative upper GI endoscopy on the treatment plans for patients with cholelithiasis. Materials and Methods: This observational descriptive longitudinal study was conducted over one year at Pravara Rural Hospital, Loni. A total of 140 patients with ultrasound-confirmed gallstones and upper abdominal symptoms were included. All patients underwent upper GI endoscopy before laparoscopic cholecystectomy. Data on endoscopic findings and treatment modifications were collected and analyzed using descriptive statistics and Fisher?s exact test. Results: The mean age of participants was 47 years, with a range from 16 to 86 years. Among the patients, 55.7% were female and 44.3% were male. Upper GI endoscopy revealed abnormalities in 124 patients (88.6%), with common findings including gastritis (50.7%), esophagitis (17%), and gastroesophageal reflux disease (GERD) (15.7%). Treatment plans were modified for 70% of the patients based on endoscopic findings, while 30% proceeded with the initial plan. A statistically significant p-value of < .00001 indicated that endoscopy significantly impacted the treatment plan. Conclusion: Preoperative upper GI endoscopy provides a critical advantage in identifying and differentiating concurrent upper GI pathologies in patients with cholelithiasis. This diagnostic approach allows for tailored treatment plans, enhancing overall management and potentially improving patient outcomes.
Keywords: Upper gastrointestinal endoscopy, cholelithiasis, gastritis, esophagitis, GERD, treatment modification
Edition: Volume 14 Issue 2, February 2025,
Pages: 997 - 1001