Experience on the surgical management of biliary stones in Sokoto, North West Nigeria


  • Umar Muktar Department of Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria http://orcid.org/0000-0003-4792-2136
  • Bello M. Bashir Department of Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria
  • Hamza Sani Department of Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria
  • Usman Mohammed Bello Department of Surgery, Bayero University Kano, Nigeria




Biliary stones, Cholecystectomy, Cholelithiasis, Laparoscopic cholecystectomy, Sokoto


Background: Cholelithiasis are relatively rare in Nigeria and Africa at large. However, recently the incidence has been reported to be on the rise. We present a ten-year review of our experience in managing gallstones to highlight the recent trends in our practice.

Methods: This is a 10-year retrospective study on patients who were managed for gall bladder disease in the Usmanu Danfodiyo university teaching hospital Sokoto from August 2011 to July 2021. The biographic data, clinical features, radiologic, operative findings, histologic findings and outcome of treatment were analyzed with IBM SPSS 25.

Results: There were 82 patients over the period of the study comprising of 18 (22%) males and 64 females (78%). Their ages range was 17 to 60 years with a mean of 37.59 years ±11.02. All patients had right upper quadrant pain as the main complaint with 24 patients (29.3%) having associated epigastric pain and 14 patients (17.1%) presented with jaundice. Preoperative ultrasound (USS) diagnosis was in keeping with intraoperative diagnosis in 97.6%. All patients had cholecystectomy out of which 62 patients (75.6%) had open cholecystectomy while 20 patients (24.4%) had laparoscopic cholecystectomy. There was no hospital mortality, the average hospital stay was 8.2 days following open cholecystectomy however this was shorter, 4.5 days for laparoscopic procedure.

Conclusions: The prevalence of gallstones is still comparatively low when compared to the western world. Ultrasonography is very sensitive imaging modality. Laparoscopic cholecystectomy is safe and superior to open surgery in our environment.

Author Biography

Umar Muktar, Department of Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria

Consultant Surgeon,

Surgery Department 

Usmanu Danfodiyo University Teaching Hospital Sokoto


Saxon C. Liver and biliary system. in: principles and practice of surgery including pathology in the tropics. 4th ed. Accra: Assemblies of God Literature Center Ltd.; 2009:748-65.

Lindenmeyer CC. The Gall-bladder and bile ducts. In: baily and love’s short practice of surgery. 25th ed. London: Edward Arnold (Publishers) Ltd; 2008: 1111-29.

Eze CU, Ezugwu EE, Ohagwu CC. Prevalence of cholelithiasis among igbo adult subjects in nnewi, southeast nigeria: a community-based sonographic study. J Diagn Med Sonogr. 2017;33(2):83-90.

Ibitoye BO, Adisa AO, Makinde ON, Ijarotimi AO. Prevalence and complications of gallstone disease among pregnant women in a Nigerian hospital. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2014;125(1):41-3.

Agunloye AM, Adebakin AM, Adeleye JO, Ogunseyinde AO. Ultrasound prevalence of gallstone disease in diabetic patients at Ibadan, Nigeria. Niger J Clin Pract. 2013;16(1):71-5.

Agholor CA, Akhigbe AO, Atalabi OM. The Prevalence of Cholelithiasis in Nigerians with Sickle Cell Disease as Diagnosed by Ultrasound. J Adv Med Med Res. 2014:2866-73.

Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172.

Rahman GA. Cholelithiasis and cholecystitis: changing prevalence in an African community. J Natl Med Assoc. 2005;97(11):1534-8.

Asuquo ME, Umoh MS, Nwagbara V, Inyang A, Agbor C. Cholecystectomy: indications at University of Calabar Teaching Hospital, Calabar, Nigeria. Ann Afr Med. 2008;7(1):35-7.

Darko R, Archampong EQ. The changing pattern of cholelithiasis in Accra. West Afr J Med. 1994;13(4): 204-8.

Akute OO, Obajimi MO. Cholelithiasis in Ibadan: an update. West Afr J Med. 2002;21(2):128-31.

Adisa AO, Lawal OO, Adejuyigbe O. Trend over time for cholecystectomy following the introduction of laparoscopy in a Nigerian tertiary hospital. Niger J Surg. 2017;23(2):102.

World Gastroenterology Organisation (WGO). Available at: https://www.worldgastroenterology. org. Accessed on 20 October 2021.

Dauda MM, Yusufu LMD, Attah MM. Cholecystitis and cholelithiasis in adults in Zaria. Trop Doct. 2005; 35(4):243-5.

da Rochas Afodu J, Adesola A. Cholecystitis in Nigerians. J Nigeria Med Assoc. 1971;1:45-50.

Ojukwu JO, Okafor JC. Incidence of cholelecystitis and cholelithiasis seen at UNTH Enugu - Nigeria. Part II: Period: 1986-1992. Int J Med Health Dev. 2000;5(2):23-8.

Imaging in gallstones (cholelithiasis): practice essentials, radiography, computed tomography. Available at: https://emedicine.medscape.com/ article/366246-overview. Accessed on 20 October 2021.

Kuzu UB, Ödemiş B, Dişibeyaz S. Management of suspected common bile duct stone: diagnostic yield of current guidelines. HPB. 2017;19(2):126-32.

Cohen S, Bacon BR, Berlin JA. National institutes of health state-of-the-science conference Statement: ERCP for diagnosis and therapy, January 14-16, 2002. Gastrointest Endosc. 2002;56(6):803-9.

Maple JT, Ben-Menachem T, Anderson MA. The role of endoscopy in the evaluation of suspected choledocholithiasis. Gastrointest Endosc. 2010; 71(1):1-9.

Shaffer E. Acalculous biliary pain: new concepts for an old entity. Dig Liver Dis Off J Ital Soc Gastroenterol Ital Assoc Study Liver. 2003;35(3): S20-5.

Misauno M. Pilot experience with laparoscopic cholecystectomy in Jos, Nigeria - challenges and prospects. J West Afr Coll Surg. 2011;1(3):37-43.

Jüngst D, Lang T, von Ritter C, Pratschke E, Paumgartner G. Cholesterol nucleation time in gallbladder bile of patients with solitary or multiple cholesterol gallstones. Hepatology. 1992;15(5):804-8.

Ngim OE, Ekong ME, Marwa AD, Ndoma-Egba RE. A five-year review of cholecystectomy in a hepato-pancreatobiliary surgery unit of the University of Calabar teaching hospital, Nigeria. Niger J Gastroenterol Hepatol. 2016;8(1):39-45.






Original Research Articles