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TITLE:

ANALYSIS OF FREQUENCY OF SILENT GALL-STONES IN ACUTE PANCREATITIS IN PAKISTAN

AUTHORS:

AMNA SHAHAB, MUHAMMAD AQIL RAZZAQ, MUHAMMAD MUDASSAR MAHMOOD

ABSTRACT:

Introduction: The prevalence of gallstones in adults is about twenty per cent in developed countries, with a yearly increasing incidence rate of 0.60-1.39%. Aims and objectives: The basic aim of the study is to analyse the frequency of silent gall-stones in acute pancreatitis in Pakistan. Material and methods: This cross sectional study was conducted in CMH Lahore from 1st January 2018 to 31st December 2018. The study participants were patients who presented in the emergency with acute abdominal pain and were diagnosed with acute pancreatitis. Patients greater than 15 years of age of both gender were included in the study. Results: The data was collected from 95 patients during a period of one year. The mean age of the patients were 48.5 From total 95 patients, 41(43.1%) male and 54(56.8%) female presented with acute pancreatitis. As we can see from the results, frequency of acute biliary pancreatitis was higher in females and in elder adults. 78.7% of the patients with biliary pancreatitis had a previous history of biliary colic while 21.3% of the patients had silent gallstones. Conclusion: It is concluded that patients with multiple small gallstones have increased risk of presenting with acute biliary pancreatitis. Cholecystectomy may be recommended for asymptomatic patients with microlithiasis. Keywords: Pancreatitis, Adults, Frequency, Risk factor.

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