Association between cholelithiasis and hiatus hernia in patients with dyspepsia: a prospective study

Authors

  • Shishir Sudhakar Jadhav Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Pravin Namdev Shingade Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Dakshayani Satish Nirhale Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Abhijeet . Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Anshu Rawat Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Amla Anant Ghalsasi Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  • Rizhin Sooraj Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20191058

Keywords:

Gastro oesophageal reflux disease, Gall bladder disease, Gastro-intestinal tract, Gall stones, Left iliac fossa, OGD scopy, esophago-gastroduodenoscopy, Per rectum, Ultrasonography

Abstract

Background: An association between hiatus hernia and cholelithiasis has been suspected for a long time but has never been adequately documented. Cholelithiasis is an asymptomatic disease. The precise incidence of hiatus hernia is not known. In current era as the practise is getting result oriented not diagnosing Hiatus hernia and persistence of symptoms is considered as failure in case of surgery. Coexistence if diagnosed preoperatively is of great help in management of the patient. The purpose of the study is to study association of Hiatus hernia with cholelithiasis in patients with dyspepsia.

Methods: This is a prospective study conducted in DR. D. Y. Patil Medical College, Pune, Maharashtra for a period of two years. 100 patients of dyspepsia were enrolled in the study. All patients of dyspepsia were subjected to USG- abdomen. Patients were divided into diagnosed cholelithiasis (A) and non-cholelithiasis (B) as per USG findings. Both groups were subjected to upper gastro intestinal scopy. Appropriate statistical method was applied to know the incidence of hiatus hernia in cholelithiasis and non -cholelithiasis patients. Comparison was done to know the association between hiatus hernia and cholelithiasis in the patients with dyspepsia.

Results: Total 24% patients had both hiatus hernia and cholelithiasis. Whereas 23% patients had neither hiatus hernia nor cholelithiasis on applying chi-square, p-value is 0.58. This is statistically insignificant.

Conclusions: There is no obvious association between hiatus hernia and cholelithiasis in patients with complains of dyspepsia.

Author Biographies

Shishir Sudhakar Jadhav, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

JUNIOR RESIDENT 3,DEPARTMENT OF GENERAL SURGERY

Pravin Namdev Shingade, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

PROFESSOR,DEPARTMENT OF GENERAL SURGERY

Dakshayani Satish Nirhale, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

PROFESSOR,DEPARTMENT OF GENERAL SURGERY

Abhijeet ., Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

JUNIOR RESIDENT 3,DEPARTMENT OF GENERAL SURGERY

Anshu Rawat, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

JUNIOR RESIDENT 2,DEPARTMENT OF GENERAL SURGERY

Amla Anant Ghalsasi, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

JUNIOR RESIDENT 2,DEPARTMENT OF GENERAL SURGERY

Rizhin Sooraj, Department of General Surgery, Dr D.Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

JUNIOR RESIDENT 2,DEPARTMENT OF GENERAL SURGERY

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Published

2019-03-26

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Original Research Articles