ROLE OF CHOLECYSTECTOMY ON POSTOPERATIVE LIPID PROFILE OF PATIENTS UNDERGOING SURGERY
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Keywords
Lipid Profile, Cholelithiasis, Mean change
Abstract
Introduction: Gallstone disease is an emerging health issue worldwide with its incidence on the rise. The development of gallstone disease is multifactorial, with risk factors including increased age, female sex, obesity, and the use of oral contraceptive pills.
Objective: To determine the mean change (pre and postoperative) in serum lipid profile in patients with cholelithiasis.
Study design: Quasi-Experimental Study.
Setting: This study was conducted at the Department of General Surgery, Dr. Ruth K.M Pfau Civil Hospital, Karachi, Pakistan from September 21, ,2021 to March 20, 2022.
Materials and methods: All patients who fulfilled the inclusion criteria and visited Civil Hospital, Karachi were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. In our study, preoperative 3 ml blood samples after 12 hours fasting were taken from all the patients under aseptic conditions one day before surgery for assessing the preoperative lipid profile.
Results: The age of the patients ranged from 15 to 65 years with a median of 52.00. In the distribution of gender, 31 (35.2%) were male while 57 (64.8%) were female. Mean ± standard of change in pre and post- operative lipid profile after 1 week, total cholesterol was 4.47±90.98, LDL 5.54±28.82, HDL 2.42±12.87 while triglyceride was 4.18±102.09 and p-value found to be non-significant i.e. (P=0.646), (P=0.075), (P=0.081), (P=0.702) respectively. Mean ± standard of change in pre and post-operative lipid profile after 1 month, total cholesterol was 3.09±88.61, LDL 18.78±42.13, HDL 1.17±12.71 while triglyceride was 10.61±97.91 and non-significant p-value was found in total cholesterol i.e.(P=0.744) HDL (P=0.390), triglyceride (P=0.312) where as p-value was found in LDL (P=0.0001).
Conclusion: It is to be concluded that a highly significant mean change was noted in LDL while insignificant changes were noted in TCL, HDL, and triglyceride in serum lipid profile in patients with cholelithiasis. Further large-scale work is recommended for the validation of current findings.
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Osama Jawed Khan
Dow University of Health Sciences/ Dr Ruth K M Pfau Civil Hospital Karachi
Anam Taj
Department of general surgery, DUHS / Dr.Ruth K.M. Pfau Civil Hospital Karachi
Sana Ejaz
Department of general surgery, DUHS / Dr.Ruth K.M. Pfau Civil Hospital Karachi
Nimra Shaikh
Dow University of Health Sciences/ Dr Ruth K M Pfau Civil Hospital Karachi
Rafia Haleem Shaikh
Dow University of Health Sciences/ Dr Ruth K M Pfau Civil Hospital Karachi
Muhammad Hammad
Dow University of Health Sciences/ Dr Ruth K M Pfau Civil Hospital Karachi