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Cholelithiasis in Dar es Salaam, Tanzania
1Department of Surgery, Muhimbili University College of Health Sciences, Muhimbili Medical Centre, Dar es Salaam.
The Central African Journal of Medicine
|October 1, 1995
Summary
This study on cholelithiasis (gallstones) in Tanzania found that women aged 30-49 were most affected. All 30 patients underwent cholecystectomy with no deaths, highlighting effective gallstone disease management.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Epidemiology
Background:
- Cholelithiasis, or gallstones, is a common condition requiring medical attention.
- Understanding the demographics and clinical presentation of gallstones is crucial for healthcare planning.
Purpose of the Study:
- To analyze the characteristics of patients with cholelithiasis treated at Muhimbili Medical Centre.
- To report on the management and outcomes of gallstone disease in a Tanzanian population.
Main Methods:
- A five-year retrospective review of 30 patients diagnosed with cholelithiasis.
- Data collection included patient demographics, presenting symptoms, surgical procedures, and complications.
Main Results:
- The male to female ratio was 1:3, with the peak age group being 30-49 years.
- Right upper quadrant abdominal pain was the universal presenting symptom (100%).
- Cholecystectomy was performed in all patients; 23.3% experienced local complications. Multiple stones (90%) were common, with a 2:1 cholesterol to pigment stone ratio. No mortality was observed.
Conclusions:
- Cholelithiasis predominantly affects middle-aged women in this Tanzanian cohort.
- Cholecystectomy is a safe and effective treatment for symptomatic gallstones, even with associated complications.
- Further research into gallstone composition and prevention strategies is warranted.