scholarly journals Comparison of Body Mass Index and Cholelithiasis Diagnosed on Ultrasound in the Population of Pindi Bhattian

2021 ◽  
Vol 3 (5) ◽  
pp. 70-72
Author(s):  
I. Mehmood ◽  
M. Uzair ◽  
A. Malik ◽  
Y. Gillani ◽  
D. E. Shahwar ◽  
...  
Keyword(s):  
Imaging Modality ◽  
Gall Stone ◽  
Abdominal Ultrasound ◽  
Individual Case ◽  
Cross Sectional ◽  
Case Record ◽  
Grey Scale ◽  
Gall Stones ◽  
Minimum Age ◽  
Line Imaging

Obesity is one of the emerging conditions in our population. Gallstones are composed of cholesterol. It is postulated that gallstones are associated with the deposition of cholesterol. Ultrasound is the first line imaging modality for the diagnosis of cholelithiasis. If gallstones are correlated with BMI, it will open up a new vista for further research. In Yaqoob Ultrasound Clinic, PindiBhattian, Pakistan, a cross sectional analytical study was conducted. All included patients were inquired regarding variables like Age, Height, Weight, Presences of stones, Wall thickness of gall bladder, and location of gall stones on grey scale ultrasound findings. Patients were asked to lie down and expose their abdomen; grey scale abdominal ultrasound was performed of these patients. All variables mentioned above for each patient was recorded and maintain in their individual case record form (CFR). Data was collected during allocated period. Statically package SPSS version 2.4 was used to check the collected data and to organize and compile results. According to results out of total 160 patients, 105 were females and 55 were male. Out of 160 patients 150 (93.8%) were present with gall stones and 10 (6.3%) were having no gall stone. In total 61 patients (38.1%) were having single gall stone whereas 89 (55.6%) were diagnosed with multiple gall stones. According to the results, minimum age was 18 years and maximum was 80 years. Our study concluded that obesity is one of the major risk factors for gall stones. Obesity is usually more common in females, so they are more likely to have gall stones and overweight patients were more prone to GB stones.

scholarly journals GALL STONES;

2018 ◽  
Vol 21 (02) ◽  
pp. 386-390
Author(s):  
Alina Saqib ◽  
Saeed Sattar Shaikh ◽  
Jawad Mumtaz Sodhar
Keyword(s):  
Biochemical Analysis ◽  
Gall Stone ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gall Stones ◽  
Female Predominance ◽  
Study Results ◽  
Different Types ◽  
The Mean

Objectives: Recognition of various gall stones in the patients attending surgicalOPD by biochemical analysis of gall stones. Study design: Cross sectional study. Place &duration of study: ISRA Hospital, Hyderabad and Institute of Biochemistry Sindh UniversityJamshoro. Duration of study was 18 months. Methods: Cases were patients with gall stones whowere diagnosed on ultrasonography. Gall stone analysis was done from Institute of BiochemistrySindh University Jamshoro. A total of sixty nine subjects were included in the study. Results: Inthe present study the mean Age was 35.81+ 8.12 years. Frequencies in different age groups are15-24 (11.60%), 25-34 (24.64%), 35-44 (53.63%), 45-54 (8.69%), 55-64 (01.45%). Age distributionis shown in Graph III-1. In the present study 49(71.0%) were females and 20(29%) were maleswith the female to male ration of 2.45:1. gender distribution is shown in Graph III-2. In the presentfrequencies of different types of gall stones was, cholesterol stones 38(55.07%), pigmentedstones 20(28.99%) and mixed type of stones 11(15.94%). Frequencies of different types of gallstones is shown in Graph III-3. Conclusions: In our study the frequency of cholesterol gall stoneis more as compared to pigmented and mixed gall stones. A total of 55.07% of cholesterolgallstones were found in our study with the female predominance.

A Cross Sectional Study on the Rising Frequency of Gallbladder Stones

2021 ◽  
Vol 15 (11) ◽  
pp. 3447-3449
Author(s):  
Maaz ul Hassan ◽  
Fareeha Khaliq Khan ◽  
Rizwan Ahmad Khan ◽  
Muhammad Naveed
Keyword(s):  
Dietary Habits ◽  
Gall Stone ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Occurrence Rate ◽  
Age Group ◽  
Cross Sectional ◽  
Gall Stones ◽  
The City ◽  
Very High

Objective: The aim of this study was to determine the occurrence of cholelithiasis in the city of Lahore and its surrounding area. Material and Methods: This study was conducted at Shalamar Medical and dental college Lahore and data for this study was collected from different hospitals of Lahore and the duration of this study was from 2019 to 2021. The participants of this study were from both genders’ male and female from of the age of 10 years to 80 years, and the sample size for this study was 483 and 1583. The main focus of our study was to examine the occurrence of Cholelithiasis surgical in the duration of our study. A questionnaire was used to analyses the occurrence of gall stone, and also the sex, age and dietary habits of the patients. Results: In the results of this study the frequency of gall stones were observed 4.0% in males and 12.0% in females and the percentage of occurrence of gall stones in both these genders were 1% to 3.3%. the high occurrence rate of gall stones in the months are May and November, in both these months the observation of gall stones in these were very high. Both the genders were divided into two main age groups in which male age group were from 10 years to 78 years and the females age group were from 11 years to 80 years. The ideal age for the occurrence of gall stones in male were 45 years to 59 years and in females were 3 years to 44 years respectively. Conclusions: In the conclusion of this study, we examine that the overall occurrence of gall stones in both the genders were 7.01%, but at same the time occurrence rate in the females were very high as compared to the male which were 1% in males and 3.3% in females. Keywords: Cholelithiasis, Surgical Incidence, Gallstones.

scholarly journals HELICOBACTER PYLORI

2018 ◽  
Vol 25 (12) ◽  
pp. 1928-1932
Author(s):  
Zahoor Hussain ◽  
Zulfiqar Ali Shar ◽  
Abdul Malik Sangri
Keyword(s):  
Helicobacter Pylori ◽  
Gall Stone ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gall Stones ◽  
Duration Of Illness ◽  
H Pylori ◽  
Disease Study ◽  
Upper Abdomen

Objectives: To determine the frequency of helicobacter pylori in gallbladder in patient with gall stones disease. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at Surgical Unit-I Civil Hospital Karachi, March 2013 to August 2013. Methodology: A total of 281 patients diagnosed to have gall stone on basis of clinical history of pain in right upper abdomen with fatty intolerance confirmed on ultrasoundwho were operated rather by laparoscopic procedure or open surgery were included in the study. Immediately following gallbladder removal, the specimen was collected in a sterile cup. The specimen was sent to Laboratory for presence of H. Pylori using GEIMSA staining and for routine histopathology. Data was collected by a resident in predesigned proforma. Results: A total of 281 Patients diagnosed to have gall stone. Operated most of the cases were 21 to 50 years of age with mean age was 38.41±9.86 years. Out of 281 cases, 170 (60.5%) were female and 111 (39.5%) male. Seventy eight patients (27.76%) was observed obsess (BMI > 30kg/m2). Similarly duration of illness of 58.4% was below and equal to 6 months and 41.6% cases above six months. Frequency of helicobacter pylori in gallbladder of patients with gall stones disease was positive in 72(25.62%) cases. Conclusion: We conclude that H. pylori are also found in the biliary system, suggesting that these bacteria are of etiological importance in gallstoneformation. Early detection of helicobacter pylori and its eradication can prevent development of gall stones.

scholarly journals Cirrhosis of liver is a risk factor for gallstone disease

2017 ◽  
Vol 5 (5) ◽  
pp. 2053
Author(s):  
Nikhil U. Shirole ◽  
Sudhir J. Gupta ◽  
Dharmesh K. Shah ◽  
Nitin R. Gaikwad ◽  
Tushar H. Sankalecha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Cirrhosis ◽  
General Population ◽  
Gallstone Disease ◽  
Gall Stone ◽  
Gallstone Formation ◽  
Cross Sectional ◽  
Gall Stones ◽  
Cirrhotic Patients ◽  
Common Clinical Finding

Background: Gallstones are common clinical finding in general population. Mean prevalence rate in Indian population is 4-5%. The prevalence of gallstones is found to be high in cirrhotic patients compared to the general population in some western studies. Cause of this increased prevalence however is not known. Aim of the study was to evaluate prevalence of the gall stones in the cirrhotic patients, assess risk factors in cirrhotic patients and clinical presentation.Methods: This is the cross sectional observational study, included cirrhotic patients (compensated or decompensated). Risk factors for gallstone formation (age, gender and diabetes mellitus), characteristics of liver cirrhosis (etiology, Child Turcotte Pugh class, hypersplenism and varices) and clinical presentation were assessed in all cirrhotic patients with gallstones.Results: 336 patients with liver cirrhosis are included in this study; 201 (59.80%) male and 135 (40.2%) female. Mean age of the patients is 44.95±13.1 years. Overall prevalence of gall stones was 12.8% (43/336). Out of 43 patients, 23 (53.5%) are male and 20 (46.5%) are female. As child status progresses from A to B to C, prevalence of gall stone increases, with 60.46% (26/43) of gall stones occurring in the patients with CTP class C. Only 8 (18.6%) patients had gallstone related symptoms while rests were asymptomatic. 5 (11.6%) had concurrent CBD stones. Cholecystectomy was possible in only 2 patients with symptomatic gallstones.Conclusions: The prevalence of gall stones in cirrhotic is higher than general population which increases with the severity of liver cirrhosis. Most cirrhotic patients are asymptomatic for gallstones.

The Prevalence and Association between Subclinical Hypothyroidism and Gall Stone Disease: Study in Shaheed Suhrawardy Medical College Hospital

2020 ◽  
Vol 11 (2) ◽  
pp. 130-133
Author(s):  
Nadim Ahmed ◽  
ABM Muksudul Alam ◽  
Shoaeb Imtiaz Alam ◽  
Sami Ahmad ◽  
Rafiqul Karim Khan ◽  
...  
Keyword(s):  
Subclinical Hypothyroidism ◽  
Stone Formation ◽  
Gall Stone ◽  
Thyroid Function Test ◽  
Stone Disease ◽  
College Hospital ◽  
Cross Sectional ◽  
Gall Stones ◽  
Number Of Patients ◽  
Gall Stone Disease

Background: Gall stones are the most common biliary pathology. Subclinical hypothyroidism is not an uncommon problem in the population with thyroid disease, several explanations for a possible relation between hypothyroidism and lipid metabolism with gall stone formation proved that prevalence of gall stones is increased in patients with hypothyroidism. Objective: To find the prevalence and correlation between the subclinical hypothyroidism and gall stone disease. Methods: This is a cross-sectional study was done in the Unit-II of department of Surgery of Shaheed Suhrawardy Medical Hospital between July 2018 to June 2019, where 80 patients presented with gall stones. All the patients were assessed and prepared for cholecystectomy by detailed history, clinical examination, thyroid function test, abdominal ultrasound and others investigation needed for general anaesthesia. Results: Among 80 patients, 78.57% were in 40–59 year age group, 56 (70%) of them were female and 24 (30%) were male. Of the total number of patients, 14 of them (17.5%) had subclinical hypothyroidism and 66 (82.5%) were euthyroid. Most of patients in the subclinical hypothyroid group were showing female gender predominance with 78.57%. While the prevalence among males were found 21.43%. Dyslipidemia was present among 81.25% patients (p=0.03) having subclinical hypothyroidism and gall stones. Besides single stone was common (57.14%) among this hypothyroid group and all stones of this group were >1 cm. Conclusion: There is a gender speciûc relationship between subclinical hypothyroidism and gall stone disease. As this study sharing statistically significant in the prevalence of the subclinical hypothyroidism among females in age groupe³40 years, dyslipidemia and single gall stone. This subset of patients should be assessed for thyroid dysfunction. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 130-133

scholarly journals Gall bladder stones and the associated histopathology– a tertiary care centre study

2017 ◽  
Vol 5 (4) ◽  
pp. 1368
Author(s):  
Vijayakumaran Pillai ◽  
Renjith Sreekantan ◽  
Meer M. Chisthi
Keyword(s):  
Gallstone Disease ◽  
Tertiary Care ◽  
Gall Stone ◽  
Chronic Cholecystitis ◽  
Premalignant Lesions ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cholesterol Levels ◽  
Gall Stones

Background: Gall stones form one of the main reasons for recurrent upper abdomen pain. Cholecystectomy has turned out to be one of the commonest laparoscopic procedures done all over the world. The objectives of the study were to analyse the histopathological changes in gallstone disease and to study the clinical and biochemical factors that are seen in gall stone disease.Methods: This was a hospital based cross sectional study conducted at a tertiary care centre from January 2013 to December 2014. 108 patients admitted with diagnosis of cholelithiasis and posted for cholecystectomy were studied. Their clinical and biochemical data and post-operative stone analysis results and histopathological reports were collected and analyzed.Results: 63% of the patients were females with a female to male ratio of 1.7:1. Of the group, 64.8% had a BMI between 25 and 29.9. 65.7% patients got operated within one year of the onset of symptoms. Serum cholesterol levels were found elevated in majority of patients. 61% patients had multiple gall stones. 62% had stones composed of cholesterol, bilirubin, calcium carbonate and calcium oxalate. 102 out of the 108 specimens showed histological features of chronic cholecystitis only. One case showed a premalignant change in the form of pyloric metaplasia.Conclusions: Cholelithiasis is seen mostly in females, most of them having elevated cholesterol levels. The commonest histopathological change associated with cholelithiasis is chronic cholecystitis. Premalignant lesions are seen only in a small minority only. Hence early elective cholecystectomy can prevent malignant transformation in asymptomatic gall stones.

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

Diagnostic performance of computed tomography and diffusion-weighted imaging as first-line imaging modality according to the International Myeloma Working Group (IMWG) imaging algorithm for monoclonal plasma cell disorders

2021 ◽  
pp. 028418512110083
Author(s):  
Min A Yoon ◽  
Choong Guen Chee ◽  
Hye Won Chung ◽  
Dong Hyun Lee ◽  
Kyung Won Kim
Keyword(s):  
Plasma Cell ◽  
Diffusion Weighted Imaging ◽  
Diagnostic Performance ◽  
Imaging Modality ◽  
Reference Standard ◽  
First Line ◽  
Plasma Cell Disorders ◽  
Misclassification Rates ◽  
Line Imaging ◽  
And Diffusion

Background The latest International Myeloma Working Group (IMWG) guideline recommends low-dose whole-body (WB) computed tomography (CT) as the first-line imaging technique for the initial diagnosis of plasma cell disorders. Purpose To evaluate diagnostic performances of CT and diffusion-weighted imaging (DWI) as the first-line imaging modalities and assess misclassification rates obtained following the guideline. Material and Methods Two independent radiologists analyzed CT (acquired as PET/CT) and DWI (3-T; b-values = 50 and 900 s/mm2) of patients newly diagnosed with plasma cell disorder, categorizing the number of bone lesions. Diagnostic performance of CT and DWI was compared using the McNemar test, and misclassification rates were calculated with a consensus WB-MRI reading as the reference standard. Differences in lesion number categories were assessed using marginal homogeneity and kappa statistics. Results Of 56 patients (36 men; mean age = 63.5 years), 39 had myeloma lesions. DWI showed slightly higher sensitivity for detecting myeloma lesions (97.4%) than CT (84.6%–92.3%; P > 0.05). CT showed significantly higher specificity (88.2%) than DWI (52.9%–58.8%; P<0.05). CT had a higher additional study requirement rate than DWI (7.7%–15.4% vs. 2.6%), but a lower unnecessary treatment rate (11.8% vs. 41.2%–47.1%). Both readers showed significant differences in categorization of the number of lesions on CT compared with the reference standard ( P < 0.001), and one reader showed a significant difference on DWI ( P = 0.006 and 0.098). Conclusion CT interpreted according to the IMWG guideline is a diagnostically effective first-line modality with relatively high sensitivity and specificity. DWI alone may not be an acceptable first-line imaging modality because of low specificity.

scholarly journals Advanced thyroid carcinomas: neural network analysis of ultrasonographic characteristics

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Michael Cordes ◽  
Theresa Ida Götz ◽  
Elmar Wolfgang Lang ◽  
Stephan Coerper ◽  
Torsten Kuwert ◽  
...  
Keyword(s):  
Neural Network ◽  
Imaging Modality ◽  
Follicular Carcinoma ◽  
Predictive Values ◽  
Thyroid Carcinomas ◽  
The Neural Network ◽  
Group 2 ◽  
Line Imaging ◽  
Hidden Layer ◽  
Group 1

Abstract Background Ultrasound is the first-line imaging modality for detection and classification of thyroid nodules. Certain characteristics observable by ultrasound have recently been identified that may indicate malignancy. This retrospective cohort study was conducted to test the hypothesis that advanced thyroid carcinomas show distinctive clinical and sonographic characteristics. Using a neural network model as proof of concept, nine clinical/sonographic features served as input. Methods All 96 study enrollees had histologically confirmed thyroid carcinomas, categorized (n = 32, each) as follows: group 1, advanced carcinoma (ADV) marked by local invasion or distant metastasis; group 2, non-advanced papillary carcinoma (PTC); or group 3, non-advanced follicular carcinoma (FTC). Preoperative ultrasound profiles were obtained via standardized protocols. The neural network had nine input neurons and one hidden layer. Results Mean age and the number of male patients in group 1 were significantly higher compared with groups 2 (p = 0.005) or 3 (p <  0.001). On ultrasound, tumors of larger volume and irregular shape were observed significantly more often in group 1 compared with groups 2 (p <  0.001) or 3 (p ≤ 0.01). Network accuracy in discriminating advanced vs. non-advanced tumors was 84.4% (95% confidence interval [CI]: 75.5–91), with positive and negative predictive values of 87.1% (95% CI: 70.2–96.4) and 92.3% (95% CI: 83.0–97.5), respectively. Conclusions Our study has shown some evidence that advanced thyroid tumors demonstrate distinctive clinical and sonographic characteristics. Further prospective investigations with larger numbers of patients and multicenter design should be carried out to show whether a neural network incorporating these features may be an asset, helping to classify malignancies of the thyroid gland.

scholarly journals Hygienic practices during menstruation among adolescent school girls

2016 ◽  
Vol 7 (2) ◽  
pp. 139-142
Author(s):  
Farhana Salim ◽  
Nasreen Begum
Keyword(s):  
Reproductive Health ◽  
School Health ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Health Issues ◽  
Cross Sectional ◽  
Menstrual Hygiene ◽  
Sanitary Napkin ◽  
Minimum Age ◽  
School Girls

Objective : To assess the hygienic practices during menstruation among adolescent school girls in selected secondary rural schools.Methods : This descriptive, cross-sectional study was conducted from November to December, 2015. Study area was selected on choice were four upazilas of Kishoreganj, Lakshmipur, Barguna and Sirajganj District. From the study area 15 schools were selected on the basis of convenience and accessibility. Data were collected from 438 purposively selected adolescent unmarried school girls aged 15-18 years and studying in class IX and X, through face to face interview by pretested questionnaire. Data were analyzed by using software SPSS version 20.Results : The result of the study revealed that majority (52%) participants were using cloths and 48.4% were using sanitary napkin for menstrual hygiene management. About half of the participants got the information about menstrual and reproductive health from family members. Thirty five percent (35%) girls do not attend school during first two days of menstruation. Majority (69%) of the girls never change pad and 45% complained about unavailability of water at school. However, knowledge of reproductive health issues like minimum age at marriage (18yrs, 85.8%), minimum age of child birth (20yrs, 89%) and need for extra nutrition during pregnancy (99.0%) was quite satisfactory. The level of maternal education and economic condition were significantly associated with sanitary napkin use.Conclusion : The study revealed that higher percentage of participants was not using sanitary napkins, although their knowledge regarding menstrual and reproductive health issues is satisfactory. Implementation of school health programs for adolescents should emphasis on menstrual hygiene management.Northern International Medical College Journal Vol.7(2) Jan 2016: 139-142

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