TITLE

GALL STONES—AN INCREASING PROBLEM: A STUDY OF HOSPITAL ADMISSIONS IN ENGLAND 1989/1990-1999/2000

AUTHOR(S)
Gordon, C.; Ellis, C.; Majeed, A.; Hoare, J.; Tinto, A.; Williamson, R.C.N.; Tibbs, C.; Maxwell, J.D.; Kang, J.Y.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA109
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The frequency of admissions and operations for gall stones increased in Western countries from the 1950s to the early 1990s. Since 1990, ERCP and laparoscopic cholecystectomy have been increasingly used, and recent trends of frequency of: admission and operations for gall stones are therefore of particular interest. Aims: To determine time trends for admissions, operations, ERCP, and in-hospital case fatality for cholelithiasis in England 1989/1990 to 1999/2000, and to determine population mortality rates for the period 1979-1999. Methods: Hospital Episode Statistics for admissions were obtained from the Department of Health and mortality data from the Office for National Statistics. Age standardised hospital admission rates (ASAR) were calculated using the European standard population. For operation rates, the age distribution of hospital admissions for cholelithiasis was used as the standard population. Conclusion: There has been a steady increase in admission rates for cholelithiasis. Male rates increased by 30.3%, female rates by 64.3%. Female age specific admission rates were generally higher than those for males until age 75, after which rates were similar in men and women. While the frequency of operations among patients admitted with gallstone disease declined, the proportion of patients undergoing ERCP increased. During the same period, there has also been a decline in the in-hospital case fatality rate and the population mortality rates. Cholelithiasis continues to be an important part of the workload of both the medical and surgical gastroenterologist.
ACCESSION #
9748033

 

Related Articles

  • Delayed Presentation of Spilled Gallstones. Ong, Evelyn G.P.; Watkins, R.M. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct99, Vol. 9 Issue 5, p445 

    Describes a case of a cutaneous sinus at the umbilical port site following spillage of gallstones during laparoscopic cholecystectomy. Rate of spillage of gallstones at laparoscopic cholecystectomy; Details of the case; Occurrence of spillage of gallstones.

  • Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis. Nursal, Tarik Zafer; Baykal, Ataç; Iret, Düzgün; Aran, Ömer // Journal of Laparoendoscopic & Advanced Surgical Techniques;Aug2001, Vol. 11 Issue 4, p239 

    Situs inversus is a rare anomaly characterized by transposition of organs to the opposite side of the body. In this group of patients, cholelithiasis is observed with a frequency similar to the normal population. Herein, we report a patient with situs inversus totalis who underwent a successful...

  • A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy. HAJONG, RANENDRA; HAJONG, DEBOBRATTA; ANAND, MADHUR; SHARMA, GIRISH; NATUNG, TANIE // Journal of Clinical & Diagnostic Research;Oct2016, Vol. 10 Issue 10, p6 

    Introduction: Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. In the 1980s laparoscopic surgery revolutionized the management...

  • Contraindications and complications of laparoscopic cholecystectomy. Rappaport, William D.; Gordon, Paul // American Family Physician;12/1/1994, Vol. 50 Issue 8, p1707 

    Discusses contraindications of laparoscopic cholecystectomy, a procedure used for the removal of symptomatic gallstones. Comparison with open cholecystectomy; Empyema of the gallbladder; Gangrenous cholecystitis; Coagulopathy; Portal hypertension; Peritonitis; Complications; Family physician's...

  • Delay in Treatment of Biliary Disease during Pregnancy Increases Morbidity and Can Be Avoided with Safe Laparoscopic Cholecystectomy. Muench, Jeffrey; Albrink, Michael; Serafini, Francesco; Rosemurgy, Alexander; Carey, Larry; Murr, Michel M. // American Surgeon;Jun2001, Vol. 67 Issue 6, p539 

    Recent reports indicate that laparoscopic cholecystectomy in pregnancy is safe. The aim of this study was to evaluate whether delays in definitive treatment of symptomatic cholelithiasis increase morbidity. We reviewed the records of 16 women who underwent laparoscopic cholecystectomy during...

  • Management of Acute Gallstone Cholangitis. Nuovo, Jim // American Family Physician;9/15/2001, Vol. 64 Issue 6, p1082 

    Presents an abstract of the study `Management of Gallstone Cholangitis in the Era of Laparoscopic Cholecystectomy,' by R.T. Poon et al., from the January 2001 issue of `Archives of Surgery.'

  • Colecistectom�a laparosc�pica en edad pedi�trica. Ambriz-Gonz�lez, Gabriela; Ba�uelos, Carlos David; G�mez-Hermosillo, Luis; Guti�rrez-Jim�nez, Teodoro; Balderas-Pe�a, Luz Mar�a Adriana; Gonz�lez-Ojeda, Alejandro // Cirugia y Cirujanos;jul/ago2007, Vol. 75 Issue 4, p275 

    Background: We undertook this study to evaluate the results of surgical treatment of symptomatic cholelithiasis through laparoscopic cholecystectomy in a series of 47 consecutive pediatric patients. Methods: During a 5-year period (2001-2005) we performed laparoscopic cholecystectomy in 47...

  • Use of fistula director to enlarge the port site opening to retrieve a stone packed bulky... Viswanath, Y.K.S.; Wynne, K.S. // Journal of the Royal College of Surgeons of Edinburgh;Jun99, Vol. 44 Issue 3, p179 

    Describes a technique for enlarging a port site opening to retrieve a gall bladder during laparoscopic cholecystectomy. Difficulty of the procedure when the gall bladder is bulky due to packed multiple calculi; Effectiveness of the procedure using a scalpel and a fistula grooved director.

  • Laparoscopic cholecystectomy. Cuschieri, Alfred // Journal of the Royal College of Surgeons of Edinburgh;Jun99, Vol. 44 Issue 3, p187 

    Describes a technique for laparoscopic cholecystectomy for treating gallstones. Concerns about the procedure's safety; Orthodox management in patients with ductal calculi.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics