Study of the Morphological Characteristics of the Human Gallbladder in Relation to Age and Sex of Bangladeshi People

K. Rahman, Afruza Bulbul Akhter, Selina Anwar, A. Begum, Sultan Ahmed, N. Saha
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Abstract

Context: Variations in the morphology of the gallbladder have long been debated by the abdominal surgeons. So it is important for the surgeons to appreciate the possible anatomical variations that can be encountered during surgery to prevent post operative complications during cholecystectomy. This study was aimed at to find out any variations in the morphology of the postmortem gallbladder in adult Bangladeshi male and female to find out any difference in the gallbladder morphology in relation to age and sex. Material & methods: This study was done on sixty (60) human postmortem gallbladder from Bangladeshi male and females of two age groups- group A age between 20-40 years and group B age between 41-65 years. Among the morphological parameters length, breadth, thickness and volume of the gallbladders were measured. Result: Result of the present study showed that the mean values of gross morphological features of the gall bladder (length, breadth, thickness, volume & weight), were higher in group B than group A except the thickness in female which show somewhat higher mean value in group A than group B. The result showed significantly high value for length and volume in case of male only (p<.05) in group B than group A. When comparison were made between these values in regard of sex, it was found that males of group B showed higher mean value for all parameters than females of group B and result showed a significantly higher value for the length of gallbladder(p<.05). But in case of group A, whereas male had higher mean value for length and weight and, female had higher mean value for breadth, thickness and volume though no values were significantly different. Conclusion: The higher mean values of different parameters of the gallbladder in elderly males and also from their female counterparts of the same age groups may be due to shorter size of the females. Again some parameters showed higher values in females (breadth, thickness and volume) which may indicate the predominance of cholelithiasis in females. Again most of the values in male and female of elderly were higher than the younger groups indicate the formation of gallstones in elderly. DOI: http://dx.doi.org/10.3329/bja.v11i2.20676 Bangladesh Journal of Anatomy, July 2013, Vol. 11 No. 2 pp 81-85
孟加拉人胆囊形态特征与年龄、性别的关系研究
背景:胆囊形态的变化长期以来一直是腹部外科医生争论的问题。因此对于外科医生来说,了解手术中可能遇到的解剖变异是很重要的,以防止胆囊切除术中的术后并发症。本研究旨在发现孟加拉成年男性和女性死后胆囊形态的变化,以发现胆囊形态在年龄和性别方面的差异。材料与方法:本研究取材于两个年龄组——A组年龄在20-40岁之间,B组年龄在41-65岁之间——孟加拉男性和女性的60(60)个死后胆囊。测量胆囊的长度、宽度、厚度和体积。结果:本研究的结果表明,该平均值总值的胆囊的形态特征(长度、宽度、厚度、体积和重量),是在B组高于A组除了厚度在女性显示更高的平均值在A组比B组结果表明显著高价值仅供长度和体积的男性(p < . 05), B组比组A。当这些值之间的比较是在性方面,结果表明,B组雄鱼各参数的平均值均高于B组雌鱼,胆囊长度的平均值显著高于B组雌鱼(p< 0.05)。A组雄性的体长和体重均值较高,雌性的宽度、厚度和体积均值较高,但差异不显著。结论:老年男性胆囊各参数均值高于同年龄组女性,可能与女性体型较矮有关。同样,一些参数在女性中显示更高的值(宽度,厚度和体积),这可能表明女性胆石症的优势。同样,大多数老年人的男性和女性的数值都高于年轻人,这表明老年人形成了胆结石。DOI: http://dx.doi.org/10.3329/bja.v11i2.20676孟加拉解剖学杂志,2013年7月,Vol. 11 No. 2 pp 81-85
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