RPMv126n4-original article-1340.indd

Sao Paulo Med J. 2008;126(4):220-2. O R IG IN A L A R T IC L E José Eduardo Vasconcelos Fernandes Maria Isete Fares Franco Reinaldo Kenji Suzuki Nelson Mattos Tavares Sansom Henrique Bromberg Intestinal metaplasia in gallbladders: prevalence study Postgraduate program for surgical gastroenterology, Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil CONTEXT AND OBJECTIVE: Gallbladder cancer is usually diagnosed at a late stage and generally results in death. Discovery of predisposing factors for this neoplasia could prevent this outcome. In this study, we assess the presence of one of these factors: intestinal metaplasia in gallbladders with stones and infl ammatory processes. DESIGN AND SETTING: Cross-sectional study in Hospital do Servidor Público Estadual de São Paulo. METHOD: The fi rst 80 gallbladders from patients who underwent elective cholecystectomy between April and August 2002, presenting stones and chronic infl ammation, were studied. The patients were divided into groups according to their age: CC1, from 15 to 40 years; CC2, from 41 to 60 years; and CC3, from 61 to 85 years. RESULTS: Twenty-one patients (26%) were male, while 59 (74%) were female. In the group CC1, intestinal metaplasia was present in 85.71% of the 21 patients studied; in CC2, in 79.41% of 34 patients; and in CC3, in 56.00% of 25 patients. These differences presented statistical signifi cance (p = 0.04542). CONCLUSION: Intestinal metaplasia is extremely frequent in gallbladders with infl ammation and lithiasis, especially in younger patients.