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Association of dyslipidaemia with cholilithiasis and effect of cholecystectomy on the same
Ajaz Ahmad Malik1, Mohd Lateef Wani, Shahid Iqbal Tak
1Department of General Surgery, Cardiac Surgery, Cardiology, Radiology, Sher-i-Kashmir Institute of Medical Sciences Srinagar, J&K, India.
Insights
Cholelithiasis (gallstones) is linked to abnormal lipid profiles. Cholecystectomy significantly reduces plasma lipids, potentially lowering coronary artery disease risk in patients.
Area of Science:
- Cardiovascular Science
- Gastroenterology
- Metabolic Disorders
Background:
- Gallstones are associated with dyslipidemia and increased risk of cardiovascular events like stroke.
- Understanding the link between gallstones and lipid abnormalities is crucial for cardiovascular risk assessment.
Purpose of the Study:
- To investigate the association between dyslipidemia and cholelithiasis (gallstones).
- To evaluate the impact of cholecystectomy on lipid profiles in patients with gallstones.
Main Methods:
- Prospective study of 73 patients with symptomatic gallstones.
- Analysis of plasma lipid concentrations (cholesterol, triglycerides, LDL, HDL) preoperatively and postoperatively.
- No lipid-lowering drugs or dietary restrictions were imposed on participants.
Main Results:
- Preoperative lipid abnormalities were prevalent in 80% of females and 71.42% of males.
- Significant reductions in total cholesterol, triglycerides, and LDL cholesterol were observed on day 3 and 6 months post-cholecystectomy.
- HDL cholesterol levels showed no significant change 6 months after surgery.
Conclusions:
- Cholecystectomy leads to significant postoperative reductions in plasma lipid concentrations.
- These lipid changes post-cholecystectomy may influence the development of coronary artery disease.
Background:
The association between gallstones and abnormal lipids and later increase in risk of coronary artery disease and stroke has been shown in many studies. The aim of study is to elucidate the association of dyslipidaemia with Cholilithiasis and effect of Cholecystectomy on the same.
Methods:
73 patients with symptomatic gallstones were studied prospectively. Plasma concentration of cholesterol, triglycerides, LDL, HDL was analysed preoperatively and postoperatively on day 3 and after 6 months of Cholecystectomy. None of the patients received any lipid lowering drug or dietary restriction. Results were analysed and compared.
Results:
36 (80%) of the female patients and 20 (71.42%) of male patients had one or other abnormality in their lipid profile preoperatively Plasma concentration of total cholesterol, triglycerides, and LDL cholesterol were significantly reduced in patients on day 3 of surgery and 6 months thereafter. There was no significant increase/decrease in HDL cholesterol in 6 months after Cholecystectomy.
Conclusion:
There was a significant decrease in plasma concentration of lipids in Cholecystectomy patients postoperatively. These changes in plasma lipids are likely to have significant effect in the development of coronary artery diseases in patients with Cholecystectomy.
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