Management of Symptomatic Gall Stones in a Tertiary Care Health Facility in Southern Nigeria: A Recent Study

Background: Gallstone disease is one of the most frequent digestive system diseases. The illness spans from silent to symptomatic stones, each with its own set of problems. The disease is exceedingly uncommon among black people, and it is unknown among Africa’s Bantu and Masai tribes. Surgery is still the most effective treatment for symptomatic gallstone disease, as other options are usually ineffective. Previously, open surgery was the only choice for cholecystectomy, but with the development of minimally invasive procedures, laparoscopic cholecystectomy has become the gold standard of surgical care.

Although not widespread in this environment, there is a need to assess the age and sex prevalence, the types of stones that are common, the various modes of clinical presentation and disease spectrum, as well as the treatment modalities used in this institution.

Methods: This is a sixteen-year retrospective review of all cases handled in this institution. Using a proforma, the case files of these patients were downloaded and essential information collected. SPSS VERSION 22 was used to analyse the data.

Results: Gall stone illness is more common in women, with a male-to-female ratio of 1:5.6. The most prevalent age group was 41-50 years, and the most common manner of presentation was recurring right hypochondrial/epigastric discomfort. In contrast to what happens in Europe and North America, the most common stone type was mixed.

Conclusion: This study found that gall stone disease is mainly prevalent among females in this area, and that open surgery is still used to treat it.

Author(s) Details

Promise N. Wichendu
Department of Surgery, University of Port Harcourt Teaching Hospital, Choba, Port Harcourt, Nigeria.

A. Dodiyi-Manuel
Department of Surgery, University of Port Harcourt Teaching Hospital, Choba, Port Harcourt, Nigeria.

Kelechi Ikonwa
Department of Surgery, University of Port Harcourt Teaching Hospital, Choba, Port Harcourt, Nigeria.

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