African Journal of Internal Medicine

African Journal of Internal Medicine ISSN 2326-7283 Vol. 7 (12), pp. 001-003, December, 2019. © International Scholars Journals

Short Communication

Association of central obesity and severity in cholelithiasis during cholecystectomy in adult women

Juan de Dios Díaz-Rosales^1,2*, Lenin Enríquez-Domínguez¹, Juan Antonio Alcocer-Moreno¹, Jesús E. Romo³, Ever Duarte¹ and Beatriz Díaz-Torres²

¹Surgery Service / Hospital General Regional No. 66 - Instituto Mexicano del Seguro Social (Juárez, México)

²Universidad Autónoma de Ciudad Juárez (Juárez, México).

³Epidemiology Resident / Universidad de Guadalajara (Guadalajara, México).

Accepted 03 October 2019

Abstract

Cholelithiasis is the most common biliary pathology, with a prevalence of 14% in Mexico. Although, obesity is an established risk factor we hypothesized that central obesity is related to severity of cholelithiasis. We studied patients with symptomatic cholelithiasis, which were underwent to cholecystectomy. We divided into 3 groups; Group I: patients with uncomplicated cholelithiasis; Group II:   patients with acute cholecystitis, without other complications; and Group III: patients with any complications than acute cholecystitis. We analyzed age, weight, height, body mass index, waist circumference, hip circumference, and waist-hip index. We studied 212 patients, included 88 (41.5%) patients in Group I, 60 (28.3%) in group II, and 64 (30.2%) in group III. We found statistical difference only in waist circumference (98.6 cm vs 95.3 cm vs 105.3 cm; p=0.001) and waist-hip index (0.91 vs0.89vs 0.96; p=<0.001). Our results suggest that central obesity and waist-hip index could play an important role in patients with severe gallstone-related complications.

Key words: Cholelithiasis, cholecystectomy, gallbladder, gallstones, obesity.