Pattern of gall bladder disease

Background & Aims : To analyze the incidence different types of of gall bladder disease on attending Bir Hospital.Methods: It is a retrospective study of 855 cases who were operated from April 2012-March 2015(3years) in the department of surgery Bir Hospital with various problems related to gall bladder. 702 were female and 153 were male.Results: Maximum number of gall bladder disease found females age group 20-41 (53.45 %).The highest incidence, in total patients were, chronic cholecystitis 808 (94.72 %), acute cholecystitis 29(3.39%).Total number of Polyp gall bladder were 6 (0.70%).carcinoma gall bladder 12 (1.40%).The male to female ratio was 1:4.5. Aged between 61-80, 4 patients had CA gall bladder were in the age group of 41-60, 3 male patients had CA gall bladder and 2 female patients were malignant disease. From the age group 21-40, 1 male and 2 had female malignant in our study. In HPE showed well differentiated carcinoma was 1, moderately differentiated carcinoma 7, poorly differentiated carcinoma 3 all of CA gall bladder cases and adeno squamous cell carcinoma was 1 case.Conclusion: Ratio of cholelithiasis male to female 1:4.5. Incidence of carcinoma gall bladder is not high in Nepalese population in our study shows though it is one of the common presentations among the cases of the gall bladder disease. Late presentation and delay of diagnosis and poor outcome are the main problems.