ROLE OF UPPER GASTROINTESTINAL ENDOSCOPY (UGE) IN ALL ULTRASONOGRAPHICALLY PROVEN CHOLELITHIASIS PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY AND EVALUATING THE POST-OPERATIVE SYMPTOMATIC RELIEF.

Upper abdominal pain can be secondary to either cholelithiasis or gastro duodenal diseases. Because of the ease of access to sonography, the diagnosis of cholelithiasis has increased. The sonographic nding of cholelithiasis may be incidental and acid peptic disease may be the true cause of pain. Because of this overlap in the symptomology of biliary and gastroduodenal pathologies there are a percentage of patients with no symptomatic relief. Thus, this study aims at evaluating the efcacy of upper gastrointestinal endoscopy (UGE) in all USG proven cholelithiasis patients undergoing elective laparoscopic cholecystectomy and evaluating the post-operative symptomatic relief. Objective- To evaluate the value of UGI endoscopy as a routine investigative tool in patients undergoing elective laparoscopic cholecystectomy and to nd post-operative symptomatic relief in the groups. Methodology –This prospective observational study was done in 105 patients of age group 18-80 years and of both genders diagnosed with cholelithiasis on USG , pre operatively endoscopy was done for all the patients. A two week and two months post-operative follow up was taken for all the patients. SPSS version 25 was used for statistical analysis. Results - On postoperative day 14, among 105 study subjects, 77 patients whose symptoms were relieved out of which 23 had normal endoscopy and 54 had pathology on endoscopy. While the 28 patients with persistent symptoms all had of pathology on endoscopy. 2 months postoperatively, among 105 study patients, 85 patients whose symptoms were relieved out of which 23 patients were those with normal endoscopy, 62 patients had presence of pathology on endoscopy. While 20 patients with persistence of symptoms were those who had of pathology on endoscopy. Conclusion-To manage patients preoperatively, improve postoperative outcomes and patient counseling, it is important to do preoperative endoscopy in patients undergoing elective laparoscopic cholecystectomy