Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online: 621


ORIGINAL ARTICLE
Year : 2016  |  Volume : 13  |  Issue : 2  |  Page : 57-62

Prevalence of hypothyroidism in common bile duct stone patients


1 Department of Endocrinology, King George Hospital, Visakhapatnam, Telangana, India
2 Department of Medicine, Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, Telangana, India

Correspondence Address:
Dr. Srinivas Sidduri
H. no-5-38, Gopalpur, Mandal, Elkathurthy Karimnagar - 505 476, Telangana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0354.159534

Rights and Permissions

Background: Hypothyroidism affects bile content, bile flow, and functions of the sphincter of Oddi, thereby increases the formation of common bile duct (CBD) stones. The exact prevalence of hypothyroidism in CBD stone patients is not known. Objectives: The aims are: (1) To investigate the prevalence of undiagnosed thyroid dysfunction in CBD stone patients compared with controls, (2) Comparison of lipid parameters in CBD stone patients and healthy controls, (3) Comparison of lipid parameters in CBD stone patients with and without thyroid dysfunction. Materials and Methods: This study recruited 44 CBD stone patients diagnosed with endoscopic retrograde cholangiopancreatography (ERCP) (cases). The control group includes 33 age, sex, and body mass index (BMI) matched healthy people. The control group underwent ultrasonography to exclude any asymptomatic cholelithiasis. Fasting blood samples were taken from all participants for measurements of serum total thyroxine (T4), serum thyroid stimulating hormone (TSH), triglycerides (TG), total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL). Results: The mean values of TSH in cases and controls were 3.57 ± 1.7 and 2.58 ± 0.67, respectively (P value 0.0029). Subclinical hypothyroidism (SCH) found in 30% of cases compared with 9.09% of controls (P value < 0.05). In the CBD stone group, the prevalence of SCH was 36% in the patients older than 50 year compared to 22% in the less than 50 year age-group (P > 0.05). The prevalence of SCH was more in females (23%) compared with males (11%) (P > 0.05). There is a trend toward increase in the mean values of TC, LDL, and TG levels in cases compared to controls. There is a non-significant increase in mean HDL values in cases. On subanalysis of lipid parameters in CBD stone patients with and without thyroid dysfunction, there is a trend toward an increase in the mean TC and LDL-C in cases with SCH compared to those without SCH (P > 0.05). Conclusions: SCH was more common in the CBD stone patients compared with controls. SCH was more prevalent in CBD patients older than 50 years of age. Prevalence of SCH in CBD stone patients was more common in females compared to males. Dyslipidemia may be one of the contributing factors for increased CBD stone formation in SCH.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2065    
    Printed62    
    Emailed0    
    PDF Downloaded233    
    Comments [Add]    

Recommend this journal