Chronological changes in epidemiologic features of patients with gallstones over the last 20 years in a single large-volume Korean center
Annals of Surgical Treatment and Research
; : 136-141, 2019.
Article
em En
| WPRIM
| ID: wpr-762695
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
South Korea has a high prevalence of gallstones, the type of which could be influenced by changes in diet and socioeconomic status. Here we aimed to investigate the epidemiological characteristics and changing patterns of gallstones over the past 20 years in Korea.METHODS:
A total of 5,808 patients who underwent cholecystectomy due to gallstones at Seoul National University Hospital between 1996 and 2015 were analyzed. Patients were divided into 4 subgroups period 1 (1996–2000, n = 792), period 2 (2001–2005, n = 1,215), period 3 (2006–2010, n = 1,525), period 4 (2011–2015, n = 2,276). Gallstones were classified by type pure cholesterol (PC), mixed cholesterol (MC), calcium bilirubinate (CB), black pigment (BP), and combination (COM).RESULTS:
The female to male ratio was 1.16 with mean ages of 53.6 and 55.3 years old, respectively. The ratio of cholesterol stones to pigment stones was 0.961. The mean age and male to female ratio of the patients increased over time. The proportion of cholesterol vs pigment stone did not differ significantly. Proportions of PC and MC stone subtypes did not change notably, whereas proportion of BP stones increased (34.0% to 45.5%), and CB stones decreased (20.7% to 5.3%).CONCLUSION:
Gallstone types and occurrences were affected by environmental changes, and pigment stones remained common in Korea. Although no distinct increase in cholesterol stones was noted, the proportion of CB stones decreased. As the mean age at gallstone presentation increases, BP stones could become more prevalent.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Classe Social
/
Bilirrubina
/
Colecistectomia
/
Colelitíase
/
Cálculos Biliares
/
Colesterol
/
Prevalência
/
Classificação
/
Colecistolitíase
/
Dieta
Tipo de estudo:
Prevalence_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
Annals of Surgical Treatment and Research
Ano de publicação:
2019
Tipo de documento:
Article