{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:13:58Z","timestamp":1784787238891,"version":"3.55.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess the prevalence of concurrent upper gastrointestinal (UGI) conditions through preoperative UGI endoscopy in patients with symptomatic cholelithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This prospective observational study, conducted at a tertiary care facility, involved 103 patients. All participants underwent preoperative endoscopy. Treatment was divided into three categories based on endoscopic findings: cholecystectomy (Group 1), cholecystectomy with medical treatment (Group 2), and postponed surgery (Group 3). Symptom scores were evaluated before surgery and during the postoperative follow-ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study group had a higher proportion of females (57.3%), with most participants aged 41\u201350 years (27.2%). Abdominal pain (73.8%) and heartburn (68.9%) were the most common symptoms. UGI endoscopy revealed significant concurrent conditions, including esophagitis (30.1%), hiatus hernia (18.4%), and gastric erosion (18.4%). Based on endoscopic results, 58.3% of patients underwent cholecystectomy, 38.8% received medical treatment alongside surgery, and 2.9% had their surgery delayed. Mean symptom scores significantly decreased in both Group 1 and 2, reaching zero by the sixth week postsurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A high incidence of concurrent UGI pathology was observed in patients with symptomatic gallstone disease and dyspepsia. Preoperative endoscopy altered management in a significant proportion of cases and may improve postoperative symptom resolution. Thus, routine preoperative endoscopy could help reduce persistent postcholecystectomy symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_327_26","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:00:17Z","timestamp":1784786417000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Role of Routine Preoperative Upper Gastrointestinal Endoscopy in Symptomatic Cholelithiasis: A Prospective Observational Study"],"prefix":"10.4103","author":[{"given":"Vinayak","family":"Kshirsagar","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"IAM","family":"Prashanth","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,23]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/aam.aam_327_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:00:18Z","timestamp":1784786418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/aam.aam_327_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_327_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"assertion":[{"value":"2026-03-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}