Prevalence of different Types of Gallstone in the Patients with Cholelithiasis at Rohilkhand Medical College and Hospital, Bareilly, U P, India

Gallstone disease known as cholelithiasis is the most common digestive surgical disorder and account for an important part of health care expenditure. Attempt was made to analyse the gallstone for typing depending upon the composition. The main objective of this study was to see the prevalence of different types of gallstone and to correlate them with the clinical findings. Gallstones of 141 different patients who underwent cholecystectomy for cholelithiasis were collected from January 2013 to December 2013 in Rohilkhand Medical College and Hospital. Detailed history was taken. Stones were analyzed with chemical and enzymatic methods using clinical spectrophotometer.

The most commonly involved age group for cholelithiasis (41.84%) is found to be 31–40 years with a female predominance (M: F=1:2.8). Majority of the patient had right hypo-chondriac pain (63.12%) as main presenting symptom. Mixed type stone was found to be the most common type of stone comprising 61.7%, followed by pure cholesterol stone 19.15%. The ratio of incidence of cholelithiasis in non-vegetarian and vegetarian was found to be 5.4:1. The morphological spectrum of the gallstones disease in this belt of India will certainly contribute to understand its etiopathogenesis, and hence prevention.