Risk factors for choledocholithiasis in a south Indian population: A case-control study

被引:3
作者
Chandran A.P. [1 ]
Sivarajan R.R. [1 ]
Srinivas M. [2 ]
Srinivasan V. [2 ]
Venkataraman J. [2 ]
机构
[1] Department of Medicine, Stanley Medical College, Chennai, 600 001, Old Jail Road, Royapuram
[2] Department of Gastroenterology and Hepatology, Global Hospitals and Health City, Chennai, 600 100, 439, Cheran Nagar, Perumbakkam
关键词
Epidemiology; Gallstones; Sugar; Vegetables;
D O I
10.1007/s12664-013-0354-x
中图分类号
学科分类号
摘要
Aim: To identify risk factors for common bile duct (CBD) stones in a south Indian population. Methods: Demographic characteristics and diet details were obtained from patients with isolated CBD stones (Gp I) and those with combined CBD and gallstones (Gp II) and age- and sex-matched controls. The risk factors were compared between the two groups. Results: The demographic characteristics were similar between the two groups and matched controls. The significant risk factors for Gp I were infrequent consumption of green vegetable (odds ratio (OR), 2.3; p < 0.05), intake of tea/coffee (OR 3.3; p < 0.01) and less consumption of sugar (p < 0.01). For Gp II, the risk factors were frequent intake (>3 times per week) of spices (OR, 2.8; p < 0.05), fried foods (OR, 2.7; p < 0.05), tamarind (OR, 2.8; p < 0.01), and quantum of oil (p < 0.01) per month. Green vegetables (OR, 8.5; p < 0.00001) and sugar (9.5 + 4.2 vs. 13.8 + 11.2 g; p < 0.00001) were protective. Between the two groups, the risk factors for Gp II were less frequent green vegetable intake (OR: 6.4; p < 0.00001), more frequent spicy food (0-3 times per week) (OR, 7.0; p < 0.05), and higher monthly oil intake (251 + 105 vs. 292 + 89 mL; p < 0.05). Conclusion: CBD stones in both groups were associated with reduced intake of sugar and green vegetables. Our findings need to be validated in larger studies. © 2013 Indian Society of Gastroenterology.
引用
收藏
页码:381 / 385
页数:4
相关论文
共 12 条
[1]  
Gokulakrishnan S., Murugesan R., Mathew S., Et al., Predicting the composition of gallstones by infrared spectroscopy, Trop Gastroenterol, 22, pp. 87-89, (2001)
[2]  
Ashok M., Nageshwar Reddy D., Jayanthi V., Et al., Regional differences in constituents of gall stones, Trop Gastroenterol, 26, pp. 73-75, (2005)
[3]  
Jayanthi V., Anand L., Ashok L., Srinivasan V., Dietary factors in pathogenesis of gallstone disease in southern India-A hospital-based case-control study, Indian J Gastroenterol, 24, pp. 97-99, (2005)
[4]  
Kumar D., Garg P.K., Tandon R.K., Clinical and biochemical comparative study of different types of common bile duct stones, Indian J Gastroenterol, 20, pp. 187-190, (2001)
[5]  
Attasaranya S., Fogel E.L., Lehman G.A., Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis, Med Clin N Am, 92, pp. 925-960, (2008)
[6]  
Ko C.W., Lee S.P., Epidemiology and natural history of common bile duct stones and prediction of disease, Gastroint Endos., 56, SUPPL. 6, pp. 165-169, (2002)
[7]  
Kaufman H.S., Magnuson T.H., Lillemoe K.D., Frasca P., Pitt H.A., The role of bacteria in gallbladder and common duct stone formation, Ann Surg, 209, pp. 584-592, (1989)
[8]  
Cetta F., Bile infection documented as initial event in the pathogenesis of brown pigment biliary stones, Hepatology, 6, pp. 482-489, (1986)
[9]  
Khuroo M.S., Zargar S.A., Mahajan R., Hepatobiliary and pancreatic ascariasis in India, Lancet, 335, pp. 1503-1506, (1990)
[10]  
Misra S.P., Dwivedi M., Clinical features and management of biliary ascariasis in a non-endemic area, Postgrad Med J, 76, pp. 29-32, (2000)