Anemia & sociodemography in Gall stone patients in Sulaymaniyah, Kurdistan R. Iraq


ABSTRACT Background: Background: Gallstones (GS) are the most common biliary pathology. Socio-demography risks differ from place to another and generally anemia is not a clear predisposing factor for most of cholelithiasis.The Aim: to explore the association between GS patients with sociodemography & anemia .Patients and Methods: The present prospective study was conducted from July 2018 to December 2018 in the private surgical clinic in collaboration with hematological section of Nwa medical laboratory .One hundred sixty five patients were included in the study. Collected data noted in pre designed form including history, physical examination, Body mass index (BMI), Complete Blood Count. Patients with low hemoglobin (Hb) levels sent for peripheral blood film examination to hematopathologist to detect types of anemia. Ultrasonography (U.S.) for number & size of the stones are performed. Gallstone incidence according to other factors was analyzed. All statistical analysis was performed with the use of Statistical Package for Soscial Science (SPSS) version 23.0 software.Result: Gallstones was three times more common in females & in the middle of fourth decade of life. Nine in ten were above normal BMI and 2/3 of the patients were pre-obese and obese. One fifth has hypertension. Married ladies with parity were 93%, those with more than 3 children forms half of married ladies. Sonographically 2/3 of the patients had multiple stones. The Mean Hemoglobin ±SD. was 13.0 ±1.72 gm/dl. (8.2 -17).Peripheral blood film examination for the anemic patients 43 (26%) showed hypochromic microcytic anemia (58%), followed by normochromic normocytic anemia (35%) and no case of hemolytic anemia. Conclusion: Female sex, age, High body mass index, occupation, education, parity & hypochromic microcytic anemia are risk factors for Gallstone formation in our community. Some of these risks can be treated & prevented.