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Cirujano general

versión impresa ISSN 1405-0099


DIAZ-ROSALES, Juan de Dios; ORTIZ-RUVALCABA, Oscar I; MENA-ARIAS, Gilberto  y  MORALES-POLANCO, Sergio. Factors associated with severity of grade I cholecystitis vs grade II in adult female patients. Cir. gen [online]. 2020, vol.42, n.1, pp.6-12.  Epub 24-Sep-2021. ISSN 1405-0099.


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.


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.


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.


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).

Palabras llave : Cholecystitis; cholecystectomy; gallstones; women.

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