Abstract
Background Gallstone disease is the commonest disease in India. Patients present with pain abdomen and nausea and vomiting. This study deals with etiology, pathogenesis including the role of bacteria in the formation of gallstones. It also deals with role of bacteria in different type of gallstones. By knowing the bacteriological etiology it will help in prevention as well as better treatment of gallstone disease in the features.
Materials and Methods Sixty patients with gallstone disease who underwent cholecystectomy in Hi-Tech Medical College and Hospital during October 2013 to September 2015 were studied. Data related to the objectives of the study were collected.
Results Majority of patients with gallstone disease were women aged from 41 to 50 years. Male to female ratio was 1:3. Most o the patients had mixed gallstones (31 cases) followed by pigment stones (19 cases) and cholesterol stones (10 cases) in the gallbladder. Bile culture was positive in 18 cases. Highest proportion of bile culture positivity was found in pigment gallstones i.e. 8 out of 19 cases. Escherichia coli was the most common organism isolated from the bile culture.
Conclusion We conclude that gallstone disease is common in women aged 41–50 years. Infection plays a major role in the formation of pigment gallstones. The role of bacteria in cholesterol gallstone and mixed gallstone formation is found to meager. Mixed gallstones are the most common stones found in this geographical area.
Keywords
References
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