Introduction:

Cholelithiasis is a great public health problem in Mexico. Obesity plays a role during genesis of gallbladder disease, however, is not clear if it affects the severity of cholecystitis.

Objective:

The aim of this study was to evaluate risk factors for severity in cholecystitis (grade I vs grade II) in female patients.

Material and methods:

Cross-sectional study to evaluate risk factors to severity during cholecystitis (grade I vs grade II) in women that were underwent to laparoscopic cholecystectomy. We evaluated and compared: age, weight, height, body mass index (BMI), waist, hip, waist-hip index (WHI), blood pressure, glucose, cholesterol, high density lipoproteins (HDL), triglycerides, leucocytes, neutrophils, surgical time, presence of type 2 diabetes, arterial hypertension, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, central obesity, obesity by WHI, and metabolic syndrome.

Results:

We analyzed 132 patients that were underwent to laparoscopic cholecystectomy. Only triglycerides (155.9 vs 178.4; p = 0.008) and presence of hypertrygliceridemia (40.5% vs 70.8%; p = 0.001) were statistical different.

Conclusions:

Neither obesity by BMI nor central obesity (by waist or WHI) have a relation with severity of cholecystitis, but levels of triglycerides and presence of hypertriglyceridemia could be risk factor for severity (grade II).

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