Update: Gallbladder disease and cholecystectomies, active component, U.S. Armed Forces, 2014-2018

Area of Science:

• Gastroenterology
• Epidemiology
• Surgical Outcomes

Background:

• Gallbladder disease encompasses conditions like gallstones and inflammation, often requiring surgical removal (cholecystectomy).
• Understanding disease trends and treatment patterns is crucial for military health management.

Purpose of the Study:

• To analyze the incidence of gallbladder disease and cholecystectomies in active component service members from 2014-2018.
• To identify demographic and occupational risk factors associated with gallbladder disease and surgical interventions.

Main Methods:

• Retrospective analysis of military health records from 2014-2018.
• Identification of incident cases of gallbladder disease and cholecystectomies.
• Calculation of incidence rates and comparison of surgical outcomes and resource utilization.

Main Results:

• Over 8,000 cases of gallbladder disease were identified, with an overall incidence rate of 1.2 per 1,000 person-years.
• Laparoscopic cholecystectomies (97.4%) predominated, with most performed in outpatient settings.
• Disease and surgery were more prevalent in females, certain ethnic groups, older individuals, Air Force personnel, and those in healthcare roles.

Conclusions:

• Gallbladder disease incidence is relatively low but shows specific demographic associations within the military population.
• Laparoscopic cholecystectomy is the preferred, efficient surgical approach.
• Promoting healthy lifestyles is essential for preventing gallbladder disease and maintaining force readiness.