THE CLINICAL PROGNOSIS AND MANAGEMENT BETWEEN BILIARY ASCARIASIS AND CHOLELITHIASIS IN DISTRICT LEVEL HOSPITAL PATIENTS OF BANGLADESH

Dr. Md. Morfudul Islam*, Dr. Mohammad Mahbubul Alam, Dr. Md. Faridul Islam, Dr. Syed Mohammad Kamrul Hossain, Dr. A. K. M. Mushfiqer Haider and Dr. Monowar Hossain Talukder

ABSTRACT

Objective: In this study our main goal is to evaluate the clinical prognosis and management between biliary ascariasis and Cholelithiasis in patient of Bangladesh. Method: This cross-sectional observational study was carried out at tertiary medical college and hospital, Noakhali & district level hospital in Feni, Bangladesh. Where data were collected from 2013 to June 2018. A total of 227 patients where 145 patients clinically diagnosed for biliary ascariasis and 82 patients were cholecystitis due to gallstone disease. among them 74 underwent cholecystectomy for gallstone disease considered for the study population. Sample were collected through purposive sampling as per inclusion criteria. Results: During the study, most of the patients belong to 10-25 years age group- 82, followed by 56 patients belong to 25-40 years age group and 07 patients belong to >40 years. Where as in Cholelithiasis group most of the patients, 45 belong to 25-40 years age group followed by 23 patients belong to 10-25 years age group and 14 patients belong to >40 years age group. Also, most of the cases were female in both groups. In both group Pain in rt hypochondrium 100% and 60%, nausea 84% and 75%, vomiting 41% and 29%, fever 74% and 60% symptoms were common. In biliary ascariasis group 96% cases responded to conservative therapy where as in Cholelithiasis group 89% patients responded to conservative therapy. Conclusion: From our result we can conclude that, female was high risk of gallstone formation and biliary ascariasis. Further studies are needed for better outcome.

Keywords: Biliary ascariasis, cholelithiasis, gallstone disease.