Gordon, C.; Ellis, C.; Majeed, A.; Hoare, J.; Tinto, A.; Williamson, R.C.N.; Tibbs, C.; Maxwell, J.D.; Kang, J.Y.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA109
Academic Journal
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.


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