Main Article Content
acute biliary pancreatitis, gallstones, silent gallstones, adults
Background: According to world statistics, approximately 20% of adults from the whole population are diagnosed with asymptomatic or silent gallstones in the United States of America and Europe. However, among these 20 percent of people, only a small percent develop complications or symptoms. Due to this, "silent" is the term assigned to most of these gallstones because they are often identified during abdominal investigations that were performed for other purposes.
Objective: This research was performed to identify the association between biliary pancreatitis and silent gallstones.
Study design: a cross-sectional study
Place and Duration: This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro from October 2022 to March 2023.
Methodology: The people who were involved in this research were those who were diagnosed with acute pancreatitis associated with silent gallstones. All the participants were of both genders and all ages. The most common thing that the participants complained about was pain in the upper abdomen, which spread to the back as well for about one to two weeks duration. The silent gallstones were confirmed using ultrasonography.
Results: A total of 150 people were diagnosed with acute pancreatitis, and 97 people were diagnosed with acute biliary pancreatitis associated with the detection of gallstones. The mean age was 49.1 years. Females had a higher frequency of acute biliary pancreatitis.
Conclusion: People who are diagnosed with smaller gallstones are more likely to develop acute biliary pancreatitis.
2. Nawaz A, Khan AH, Farrukh R, Mahmood K, Hayat N, Nazir A. Frequency of Silent Gallstones in Acute Pancreatitis. InMed. Forum 2021 Feb (Vol. 32, No. 2, p. 120).
3. Ahmad T, Javed F, Mehmood K, Rehan AG. GALL STONES ASSOCIATED ACUTE PANCREATITIS: A REVIEW OF 50 PATIENTS. Journal of University Medical & Dental College. 2018 Jun 3;9(2):34-40.
4. Mumtaz N, Arif A, Shah SN, Samo A. The Prevalence of Gall Stones in Acute Pancreatitis A Prospective View from Lady Reading Hospital MTI Peshawar KP. Pakistan Journal of Medical & Health Sciences. 2022 Oct 4;16(09):62-.
5. Marwah S, Garg A, Goyal H, Singla S, Gurawalia JP. Presentation and Outcome of Gall Stone Pancreatitis in A Tertiary Care Center in North India. Indian Journal of Health Sciences and Care. 2020;7(1):6-13.
6. Zaidi SF, Bhopal FG, Faisal K, Bhopal SF. Acute Pancreatitis–A Clinical Profile. Journal of Rawalpindi Medical College. 2013 Jun 30;17(1).
7. Raza M, Shah SZ, Hussain SM. Frequency of gall stones in patients with acute pancreatitis on computed tomography scan. Ann Pak Inst Med Sci. 2012;8(2):141-4.
8. Pradhan S, Shah JN. Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis. Bangladesh Journal of Medical Science. 2016;15(4):517.
9. Saraswat VA, Sharma BC, Agarwal DK, Kumar R, Negi TS, Tandon RK. Biliary microlithiasis in patients with idiopathic acute pancreatitis and unexplained biliary pain: response to therapy. Journal of gastroenterology and hepatology. 2004 Oct;19(10):1206-11.
10. Alper E, Baydar B, Vatansever S, Buyrac Z, Aslan F. Does presence of common bile duct stones in patients with acute biliary pancreatitis affect the severity of illness or laboratory findings?. Turk J Gastroenterol. 2011 Oct 1;22(5):517-22.
11. Kazmi SA, Saeed S, Shafique A, Dynamo MM, Hashmi JS, Khan SA. To evaluate causes of delayed presentation of Gall stone disease: A retrospective study at Punjab Rangers Teaching Hospital, Lahore. Pakistan Journal of Surgery. 2020 Oct 1;36(4).
12. Dhar N, Shafi SM, Singh J, Gulzar GM. Epidemiology, incidence, etiology, complications and outcome of Acute Pancreatitis in Kashmiri Population: A retrospective hospital based single centre study. Medico Research Chronicles. 2022 Jul 27;9(4):212-23.
13. Cappell MS. Acute pancreatitis: etiology, clinical presentation, diagnosis, and therapy. Med Clin North Am. 2008 Jul;92(4):889–923, ix–x.
14. Weitz G, Woitalla J, Wellhöner P, Schmidt K, Büning J, Fellermann K. Does etiology of acute pancreatitis matt er? A review of 391 consecutive episodes. J Pancreas. 2015;16(2):171–5.
15. Economou M, Zissis M. Infectious cases of acute pancreatitis. 2000;13(2):98–101.
16. Igarashi H, Ito T, Yoshinaga M, Oono T, Sakai H, Takayanagi R. Acetaminophen-induced acute pancreatitis. A case report. JOP. 2009 Sep;10(5):550–3.
17. Kaurich T. Drug-induced acute pancreatitis. Proc (Bayl Univ Med Cent). 2008 Jan;21(1):77–81.
18. Parenti DM, Steinberg W, Kang P. Infectious causes of acute pancreatitis. Pancreas. 1996 Nov;13(4):356–71.
19. Dragovic G. Acute pancreatitis in HIV/AIDS patients: an issue of concern. Asian Pac J Trop Biomed. 2013 Jun;3(6):422–5.
20. Steinberg W, Tenner S. Acute pancreatitis. N Engl J Med. 1994 Apr;330(17):1198–210.