A clinical study on presence of hypothyroidism in diagnosed patients of gallstone diseases.

Abstract

AIM: To assess the correlation of hypothyroidism in patients diagnosed with cholelithiasis / choledocholithiasis. OBJECTIVES: 1. To assess and measure the clinical and biochemical parameters to diagnose hypothyroid patients with cholelithiasis / choledocholithiasis 2. To correlate significance of hypothyroidism in cholelithiasis / choledocholithiasis MATERIALS AND METHODS: All patients who attended outpatient and admitted in Department of Surgery at B.L.D.E. (D. U)’S Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, diagnosed with gallstone diseases were evaluated for the presence of hypothyroidism. • This was a Cross sectional study conducted from April 2023 to January 2025. • Sample size – 110 • Patients of any gender or age group diagnosed with cholelithiasis / choledocholithiasis were included. • Patients with known thyroid disorders on treatment, or who underwent thyroid surgeries were excluded. • Patients underwent detailed history taking, examination and necessary investigations and diagnosed with cholelithiasis/choledocholithiasis. • These patients underwent appropriate management and intervention as per standard protocols. • In addition, these patients underwent evaluation of their thyroid profile, (serum T3,T4, and TSH levels), before starting of treatment. RESULTS: Out of 110 patients, 65 were women & 45 were men. 14% were around <30 years,20% around 31-40years, 40% around 41-60years,26% were over 60years of age. Fifteen patients 15(13%) were found to have hypothyroidism. while 95 patients (87%) were euthyroid. Among the 15 patients 11 were women. CONCLUSION: Subclinical hypothyroidism as a potential precipitating factor in patients diagnosed with gallstone diseases should be considered and treated appropriately. All patients with gallstone disease should be evaluated for possible presence of thyroid diseases so that early intervention can be initiated.