The Malaysian Journal of Analytical Sciences Vol 12 No 3 (2008): 552 - 560

 

 

ANALYSIS OF HUMAN GALLSTONES BY FTIR

 

Naseem A. Channa1*, Fateh D. Khand2, and Muhammad Iqbal Bhanger3

 

1Institute of Biochemistry, University of Sindh, Jamshoro

2Department of Biochemistry, isra University, Hyderabad

3National Center of Excellence in Analytical Chemistry, University of Sindh, Jamshoro, Pakistan

 

*Corresponding author: nachanna2000@yahoo.com

 

Abstract

The present study was aimed at determining the composition of gallstones removed from patients  in  Southern Sindh, Pakistan. 109 gallstone samples surgically removed from as many patients (98 females and 11 males; age range 20 to 80 years) admitted for treatment in Liaquat University hospital, Jamshsoro during 2000 to 2003, were analyzed for composition by Fourier Transform Infrared (FTIR) spectroscopy. 74  (67.9%) of the 109 gallstone samples were found to be pure cholesterol  stones,  5  (4.6%)  pure  calcium carbonate stones,  13  (11.9%) cholesterol +  calcium carbonate,  10  (9.2%) cholesterol  +  bilirubin  and  07  (6.4%)  calcium  bilirubinate  stones.  In  mixed  composition  gallstones  cholesterol  was concentrated more at periphery than in the center of stone. Cholesterol either singly (67.9%) or in combination with either calcium carbonate (11.9%) or bilirubin (9.2%) was the most predominant component of gallstones. Analysis of gallstones based on FTIR suggests that cholesterol either singly or in combination with either calcium carbonate or bilirubin is the most predominant component of gallstones from Southern Sindh, Pakistan.

 

Keywords: Gallstones, Composition, FTIR, Cholesterol, Bilirubin, Calcium bilirubinate, Calcium carbonate,

mixed gallstones.

 

References

1.  Harding AJ. Gallstones: Causes and Treatments. William Heinemann Medical Books, London, 1964; 42-56.

2.  Kern F Jr. Epidemiology and natural history of gallstones. Semin. Liver. Dis 1983; 3: 87-96.

3.  Khand  FD,  Ansari  AF,  Khand  TU,  et  al.  Cholelithiasis  in  southern  Sindh  (Pakistan)  incidence  and composition of gallstones. Specialist Pakistans J Med. Sci., 1997; 13(3): 263-270.

4.   Channa NA, Khand FD, Bhanger MI and Laghari MH. Surgical incidence of cholelithiasis in Hyderabad and adjoining areas (Pakistan). Pak J Med Sci. 2004;20(1):13-17.

5.  Kratzer W, Mason RA, and Kachele V. Prevalence of gallstones in sonographic surveys worldwide. J Clin Ultrasound 1999; 27: 1-7.

6.  Walker TM, Hambleton IR, Serjeant GR. Gallstones in sickle cell disease: observations from the Jamaican cohort study. J Pediatr. 2000; 136: 80-85.

7.  Akute 00, Marinho A0, Kalejaiye A0, et al. Prevalence of gallstones in a group of antenatal women in Ibadan. Nigeria Afr J Med Sci 1999; 3(4): 159-161.

8.   Kalloo AN and Kanstevoy SV. Gallstones and biliary disease. Prim Care. 2001; 28: 591-606.

9.   Stringer MD, Taylor DR and Soloway RD. Gallstone composition: are children different? J Pediatr 2003; 142: 435-440.

10. Kim MH,  Lim BC,  Myung SJ, et al. Epidemiological study of Korean gallstone disease: a  nationwide cooperative study. Dig Dis Sci 1999; 44: 1674-1683.

11. Kleiner 0, Ramesh J, Huleihel M, et al. A comparative study of gallstones from children and adults using FTIR spectroscopy and fluorescence microscopy. BMC Gastroenterology 2002; 2(3): 1-14.

12. Kim IS, Myung SJ, Lee SS, et al. Classification and nomenclature of gallstones revisited. Yonsei Medical Journal. 2003; 44: 561-570.


13. Wentrup-Byrne E, Chua-Anusorn W, St Pierre TG, et al. A Spectroscopic study of thalassemic gallstones. Biospectroscopy 1997; 3: 409-416.

14. Zhou XS, Shen GR, Wu JG, et al. A Spectroscopic study of pigment gallstones in China. Biospectroscopy. 1997; 3: 371-380.

15. Soloway RD, Wu J. Analysis of gallstones. In: Muraca M, editor. Methods in biliary research. Boca Raton (FL): CRC Press, Inc; 1995; 167-90.

16. Kauman  HS,  Magnuson  TH,  Pitt  HA,  et  al.  The  distribution  of  calcium  salt  precipitate  in  the  core, periphery, and shell of cholesterol, black pigment and brown pigment gallstones.  Hepatology. 1994; 19: 1124-1132.

17. Malet PF, Williamson CE, Trotman BW, et al. Composition of pigmented centers of cholesterol gallstones. Hepatology. 1986; 6: 477-481.

18. Samra ZQ, Ikram N, Parveen R, et al. Composition of gallstones of patients of Multan region. J. Pure and Applied Sciences 1988; 7(1): 1-9.

19. Tahir AA, Hussain J and Shahid ZA. Incidence of gallstone disease. A hospital based study.  Specialist Pakistan’s J Med. Sci. 1993; 9: 213-218.

20. Simko V. Physical exercise and the prevention of atherosclerosis and cholesterol gall stones. Postgrad Med J. 1978; 54:270-277.

21. Amaral JF, Thompson WR. Gallbladder disease in the morbidly obese. Am J Surg 149, 551-7 (1985).

22. Jorgensen T. Gall stones in a Danish population: relation to weight, physical activity,  smoking,  coffee consumption, and diabetes mellitus. Gut. 30, 528-534 (1989).

23. Hudepohl M. Diabetes mellitus and the formation of gallstones. ZFA (Stuttgart). 1983;59:1086-1091.

24. Pazzi P, Trevisani L, Sartori S et al. Diabetes and cholelithiasis. Gut. 1990;31:1422-1423.

25. Liu CM, Tung TH, Liu JH, Lee WL, Chou P. A community-based epidemiologic study on gallstone disease among type 2 diabetics in Kinmen, Taiwan. Dig. Dis. 22(1), 87- 91 (2004).

26. Chen CY, Lu CL, Huang YS et al. Age is one of the risk factors in developing gallstone disease in Taiwan. Age Ageing. 1998; 27:437-441.

27. Keane P, Colwell D, Baer HP et al. Effects of age, gender and female sex hormones upon contractility of the human gallbladder in vitro. Surg Gynecol Obstet. 1986;163:555-560.

28. Geetha A. Evidence for oxidative stress in the gall bladder mucosa of gall stone patients. J Biochem Mol Biol Biophys. 2002;6:427-43.

29. Everson GT. Pregnancy and gallstones. Hepatology 17, 159-163 (1993).

 

30. Lindseth, G. and M. Y. Bird-Baker. Risk factors for cholelithiasis in pregnancy. Res.Nurs.Health 27, no. 6, 382-391(2004).

31. Cuevas A, Miquel JF, Reyes MS, Zanlungo S, and Nervi F. Review: Diet as a Risk Factor for Cholesterol Gallstone Disease,J Am College of Nutr. 23(3), 187-196 (2004).

32. Jonnalagadda SS, Trautwein EA, Hayes KC. Dietary fats rich in saturated fatty acids (12:0, 14:0, and 16:0) enhance gallstone formation to monounsaturated fat (18:1) in cholesterol  fed hamsters. Lipids 30: 415-424 (1995).

33. Tsai CJ, Leitzmann MF, Willett WC, Giovannucci EL. The effect of long-term intake of  cis-unsaturated fats on the risk for gallstone disease in men: a prospective cohort study. Ann Intern Med 2004; 141: 514-522.

34. Heaton KW. The sweet road to gall stones. Br Med J (Clin Res Ed). 1984;288:1103-1104.

35. Channa  NA,  Khand  FD,  Bhanger  MI  and Laghari  MH.  Cottonseed  and /or Rapeseed oils  intake and gallstone risk: Results from a case control study. Pak J Ana Chem. 2003; 4(1):5-7.

36. Nervi  F,  Covarrubias  C,  Bravo  P  et  al.  Influence  of  legume  intake  on  biliary  lipids  and  cholesterol saturation in young Chilean men. Identification of a dietary risk factor for cholesterol gallstone formation in a highly prevalent area. Gastroenterology. 1989; 96:825-830.

37. Thijs C, Knipschild P. Legume intake and gallstone risk: results from a case-control study. Int J Epidemiol. 1990; 19:660-663.




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