Heba A Elghalban, MD1, Nagwa Nashat, MD1, Rami R Mustafa, MD2, Hatem Soltan, MD3, Hala Shaheen, MD1, Taghreed Farahat, MD1. 1Family Medicine Department, Faculty of Medicine, Menoufia University, 2Department of surgery, Cleveland Medical Center, University Hosptals, 3Department of surgery, Faculty of medicne, Menoufia University
Introduction: cholecystitis is a striking public health issue with high socioeconomic impact. About 10%- 15% of the general population have gallstone, with a high risk for morbidity or even mortality. Risk factor for cholecystitis include increasing age, female sex, certain ethnic groups, obesity or rapid weight loss, certain diet, drugs and pregnancy. Gallstone disease is the second most costly digestive disease and the single most common indication for abdominal surgery; as more than 75%of patients who suffer from cholelithiasis combined with chronic cholecystitis undergo laparoscopic cholecystectomy (LC) surgery. The measurement of quality of life (QOL) issues make it possible to obtain standardized information about a patient perception of the specific disease and its impact on his or her life. Quality of life (QOL) is a critical consideration when evaluating treatment options for cholelithiasis. Therefore, understanding the postoperative physical, psychological, and social outcomes associated with cholecystectomy is essential. few studies have assessed the role of socioeconomic characteristics on outcomes after a cholecystectomy.
Methods: a cohort study that was conducted through an entire year (December 2016-december 2017); in Menoufia University hospital as all patient prepared for laparoscopic cholecystectomy was offered to join the study, with exclusion of those who refuse to participate, having malignancy, patient with sever organic or psychiatric illness and contraindication for anesthesia. Preoperatively patients were interviewed and promoted to complete a pre-designed questionnaire that include full patient history (age, sex, history of present illness with its onset, duration and any associated gastroenterological symptoms. Past medical history of presence of comorbid conditions, previous operations and hospitalization. Patients also subjected to detailed general and local physical examination. Revision patient’s investigation include U/S and some lab correlation when needed. Complete operative details collected. postoperatively all patients were interviewed for gastrointestinal quality-of-life index (GIQLI) after a month of the operation day; as part of the follow up process for the patients.
Results: among 200 patients enrolled in the study, (76% were females), mean age (43±2.65), with prevalence of (64%) of low socioeconomic level. Although more female patients were enrolled in the study; male patients had lower score of (GQOLI). Compared to younger groups, patients older than 65 years old were the lowest in the (GQOLI) scores.
Conclusion: age and sex could be used as a predictor of quality of life after laparoscopic cholecystectomy.
Keywords: cholecystitis, gallstone, quality of life .
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95108
Program Number: P223
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster