Upper gastrointestinal endoscopic findings in patients with gallstone disease

Mohamed Toum Musa M Ibrahim, Randa Zaki A M Khair, El-Hadi Y Mohamed, AbdelMagid M Massaad


Background: Upper abdominal symptoms may wrongly be attributed to biliary disease and many patients continue to complain of the same symptoms after cholecystectomy. So, upper gastrointestinal (GI) endoscopy
is performed for patients with gallstone disease (GSD) before cholecystectomy to exclude upper GI pathology other than GSD.
Aims: To assess the value of preoperative upper GI endoscopy in patients with GSD for cholecystectomy.
Patients and Methods: This is a prospective descriptive hospital-based study. One hundred and eight adult patients diagnosed as having gallbladder disease (GBD) underwent preoperative oesophago-gastroduodenoscopy
(OGD) and were included.
Results: OGD revealed different pathological findings in 61 (56%) out of 108 patients with GSD.
Cholecystectomy was done for 82 (76%) and 26 were treated conservatively.
Conclusions: OGD prior to cholecystectomy is valuable in patients with GSD for detection of upper GI pathology responsible for symptoms.
*Corresponding author: Department of Surgery- Faculty of Medicine, University of Khartoum. Email: mohtoum@hotmail.com

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ISSN: 1858-5345