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Background and objective: Cholelithiasis is a common condition, 10-20% of the population will develop gallstones, the incidence increases with age. Only about 30% of asymptomatic patients will warrant surgery during their lifetime.Dyspeptic symptoms due to other abdominal conditions such as PUD, IBS, Functional dyspepsia, IBS& GERD are frequently attributed to Gallstones. The current study aimed to asses the role of upper endoscopy in patients with gallstones in avoiding unnecessary cholecystectomies. Patients and methods: 124 patients were included in sulaimanyah city hospitals from october 2015 to february 2017 complaining of upper GIT symptoms and U/S evidence of gallstones and an oesophago-gastroduodenoscopy (OGD) is performed to exclude other possible explanation which may avoid unnecessary operation. Results: Among 124 patient 99 (79.8%) were females and 25 (20.2% ) were male, The mean age of studied patients was 46.4±14.5 years.The OGD findings of patients with Gallstones were normal 63 (50.8%), deudenal ulcer 24 (19.4%), non significant findings 24(19.4%), reflux esophagitis 10 (8.2%), gastrodudenitis 2 (1.6%)and fungal esophagitis 1 (0.8%) ,There was 12(9.6%) patients in whom surgery decision was changed while in 112(90.4%) the surgery was done. Conclusion: OGD is a very useful tool in the preoperative evaluation of patient with Gallstones with upper gastrointestinal tract (GIT) symptoms.

The Role of Oesophagogastroduodenoscopy in Avoiding Unnecessary Cholecystectomies in Patients with Gallstones and Upper Abdominal Discomfort