A Clinical Study on Role of Upper Gastrointestinal Endoscopy before Laparoscopic Cholecystectomy in a Secondary Care Centre

Volume : VII, Issue : VII, July - 2018

Dr Nagella Pradeep Kumar Reddy, Dr Bala Vidya Sagar, Dr S Sabu Jeyasekharan, Dr Deepak David

Background: Cholelithiasis is one of the most common problems encountered in surgery. It‘s an immense

challenge to discriminate between upper gastrointestinal (UGI) symptoms due to gall stones or any other causes.

This study focuses on the role of upper gastrointestinal endoscopy as an investigative modality to 􀃶nd out other associated disorders of

upper gastrointestinal tract in patients with ultra-sonogram proven gallstones presenting with dyspeptic symptoms.

Methods: Patients included in the study were divided into two groups based on symptoms, Group A (typical symptoms) and Group B

(atypical symptoms). All patients will be subjected to UGI endoscopy 1 or 2 days prior to operation and the endoscopic 􀃶ndings were noted

.The patients who underwent cholecystectomy were followed up postoperatively on 7th, 14th, 30th day to evaluate the presence of any

dyspeptic symptoms.

Results: In present study we observed that, out of 92 patients, 37 were in typical group and 55 were in atypical group. All 92 patients

underwent endoscopy before cholecystectomy. Out of 37 patients in typical group, 18 (48.60%) have positive 􀃶ndings. Out of 55 patients in

atypical group, 42(76.40%) have positive 􀃶ndings with gastritis being the most common 􀃶nding in both groups. Out of 92 patients, 5 didn‘t

undergo cholecystectomy and underwent different line of management. Patients were followed up postoperatively at day 7, 14 and 30.The

reduction of pain was signi􀃶cant at day 30 with 2(5.56%) in typical group and 3(5.89%) in atypical group suffering with pain.

Conclusions: Cholelithiasis can present with a complex combination of clinical symptoms which may resemble the presentation of other

gastrointestinal diseases. Hence, the use of routine preoperative investigations like upper GI endoscopy prior to planning surgical

treatment of cholelithiasis may help to identify other potentially treatable medical conditions and hence may reduce overall

cholecystectomy rates.