Prospective Study of Upper GI Scopic Evaluation of Cases of Gallstones with Dyspepsia Prior to Laparoscopic Cholecystectomy

Bhaskar V Musande, Parupally Chaitanya Kiran, Soorya C. Sekar

Abstract: Introduction: Gallstone disease is most common surgical problem encountered. There are multiple causative factors for it. Gallstone disease typically presents like biliary colic or may presents atypically with symptoms of dyspepsia which is similar for many upper gasatro-intestinal pathologies. Most patients remain asymptomatic from their gallstones throughout life. Hence performing upper GI scopy prior to laparoscopic cholecystectomy will decrease persistence of symptoms post operatively which will reduce the incidence of post-cholecystectomy syndrome. Methods: ultrasonography proven gallstone disease patients who are presenting with dyspepsia to general surgery opd. Patients are screened by upper gi scopy before laparoscopic cholecystectomy. Results: ? th patients had abnormal upper gi scopic findings and 56% had gastritis which is most common finding. For 11 patients management plan has changed. Conclusion: routine use of upper GI scopy as pre-operative diagnostic tool in patients presenting with atypical gallstone disease.

Keywords: Upper GI Scopy, Gall stones, Dyspepsia