Addiction and the Risk of Common Bile Duct Stones: A 4-Year Retrospective Population-Based Study in Mashhad, Iran.

Addiction CBD stone Choledocholithiasis

Journal

Addiction & health
ISSN: 2008-4633
Titre abrégé: Addict Health
Pays: Iran
ID NLM: 101582275

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 11 06 2022
accepted: 12 09 2022
medline: 10 8 2023
pubmed: 10 8 2023
entrez: 10 8 2023
Statut: ppublish

Résumé

As a common digestive disorder, choledocholithiasis can have serious consequences, including death. Given that opioids have been shown to contribute to the spasm of Oddi's sphincter, which results in biliary stasis in the common bile duct (CBD), it is likely that opioids can also raise the prevalence of choledocholithiasis. In this regard, this study aimed to investigate how common opium addiction was among choledocholithiasis patients in Mashhad, Iran. The current retrospective observational study was conducted on 599 patients with choledocholithiasis who underwent endoscopic retrograde cholangiopancreatography (ERCP), utilizing information gathered at the Ghaem hospital in Mashhad, Iran, between 2011 and 2015. Patient data were collected from files and records using certain criteria such as gender, opium addiction, hepatic enzymes (AST, ALT, ALP), plasma levels of total bilirubin, and direct bilirubin. The size of the CBD stones as well as the correlation between the gallbladder and CBD stones were calculated. From among 599 patients included, 345 (57.6%) were female and 254 (42.4%) were male. Moreover, 195 patients (32.2%) had opiate addictions. The size of the CBD stone was correlated with the patient's age (r=0.17, This study showed patients with CBD stones have a higher rate of opium addiction compared to the general population, indicating a possible link between the two conditions.

Sections du résumé

Background UNASSIGNED
As a common digestive disorder, choledocholithiasis can have serious consequences, including death. Given that opioids have been shown to contribute to the spasm of Oddi's sphincter, which results in biliary stasis in the common bile duct (CBD), it is likely that opioids can also raise the prevalence of choledocholithiasis. In this regard, this study aimed to investigate how common opium addiction was among choledocholithiasis patients in Mashhad, Iran.
Methods UNASSIGNED
The current retrospective observational study was conducted on 599 patients with choledocholithiasis who underwent endoscopic retrograde cholangiopancreatography (ERCP), utilizing information gathered at the Ghaem hospital in Mashhad, Iran, between 2011 and 2015. Patient data were collected from files and records using certain criteria such as gender, opium addiction, hepatic enzymes (AST, ALT, ALP), plasma levels of total bilirubin, and direct bilirubin. The size of the CBD stones as well as the correlation between the gallbladder and CBD stones were calculated.
Findings UNASSIGNED
From among 599 patients included, 345 (57.6%) were female and 254 (42.4%) were male. Moreover, 195 patients (32.2%) had opiate addictions. The size of the CBD stone was correlated with the patient's age (r=0.17,
Conclusion UNASSIGNED
This study showed patients with CBD stones have a higher rate of opium addiction compared to the general population, indicating a possible link between the two conditions.

Identifiants

pubmed: 37560391
doi: 10.34172/ahj.2023.1382
pmc: PMC10408761
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100-104

Informations de copyright

© 2023 Kerman University of Medical Sciences.

Déclaration de conflit d'intérêts

Competing Interests The authors declare no conflict of interest.

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Auteurs

Ali Beheshti Namdar (A)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mina AkbariRad (M)

Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mohammadreza Farzaneh Far (M)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mitra Ahadi (M)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Seyed Mousalreza Hosseini (SM)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abdollah Firoozi (A)

Pharmacist, Mashhad University of Medical Sciences, Mashhad, Iran.

Omid Shoraka (O)

Medical Doctor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mehdi Ataee Karizmeh (M)

Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

AmirAli Moodi Ghalibaf (A)

Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Classifications MeSH